The prevalence and health burden of self-reported diabetes in older Mexican Americans

Findings from the Hispanic Established Populations for Epidemiologic Studies of the Elderly

Sandra A. Black, Laura A. Ray, Kyriakos Markides

Research output: Contribution to journalArticle

77 Citations (Scopus)

Abstract

Objectives. The prevalence and health burden of self-reported adult- onset diabetes mellitus were examined in older Mexican Americans. Methods. Data from the Hispanic Established Populations for Epidemiologic Studies of the Elderly were used to assess the prevalence of self-reported diabetes and its association with other chronic conditions, disability, sensory impairments, health behaviors, and health service use in 3050 community- dwelling Mexican Americans 65 years and older. Results. The prevalence of self-reported diabetes in this sample was 22%, and there were high rates of obesity, diabetes-related complications, and diabetic medication use. Myocardial infarction, stroke, hypertension, angina, and cancer were significantly more common in diabetics than in nondiabetics, as were high levels of depressive symptoms, low perceived health status, disability, incontinence, vision impairment, and health service use. Many of the rate differences found in this sample of older Mexican Americans were higher than those reported among other groups of older adults. Conclusions. Our findings indicate that the prevalence and health burden of diabetes are greater in older Mexican Americans than in older non-Hispanic Whites and African Americans, particularly among elderly men.

Original languageEnglish (US)
Pages (from-to)546-552
Number of pages7
JournalAmerican Journal of Public Health
Volume89
Issue number4
StatePublished - Apr 1999

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Hispanic Americans
Epidemiologic Studies
Health
Population
Health Services
Independent Living
Vision Disorders
Health Behavior
Diabetes Complications
African Americans
Type 2 Diabetes Mellitus
Health Status
Obesity
Stroke
Myocardial Infarction
Depression
Hypertension
Neoplasms

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

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title = "The prevalence and health burden of self-reported diabetes in older Mexican Americans: Findings from the Hispanic Established Populations for Epidemiologic Studies of the Elderly",
abstract = "Objectives. The prevalence and health burden of self-reported adult- onset diabetes mellitus were examined in older Mexican Americans. Methods. Data from the Hispanic Established Populations for Epidemiologic Studies of the Elderly were used to assess the prevalence of self-reported diabetes and its association with other chronic conditions, disability, sensory impairments, health behaviors, and health service use in 3050 community- dwelling Mexican Americans 65 years and older. Results. The prevalence of self-reported diabetes in this sample was 22{\%}, and there were high rates of obesity, diabetes-related complications, and diabetic medication use. Myocardial infarction, stroke, hypertension, angina, and cancer were significantly more common in diabetics than in nondiabetics, as were high levels of depressive symptoms, low perceived health status, disability, incontinence, vision impairment, and health service use. Many of the rate differences found in this sample of older Mexican Americans were higher than those reported among other groups of older adults. Conclusions. Our findings indicate that the prevalence and health burden of diabetes are greater in older Mexican Americans than in older non-Hispanic Whites and African Americans, particularly among elderly men.",
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T2 - Findings from the Hispanic Established Populations for Epidemiologic Studies of the Elderly

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AU - Ray, Laura A.

AU - Markides, Kyriakos

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N2 - Objectives. The prevalence and health burden of self-reported adult- onset diabetes mellitus were examined in older Mexican Americans. Methods. Data from the Hispanic Established Populations for Epidemiologic Studies of the Elderly were used to assess the prevalence of self-reported diabetes and its association with other chronic conditions, disability, sensory impairments, health behaviors, and health service use in 3050 community- dwelling Mexican Americans 65 years and older. Results. The prevalence of self-reported diabetes in this sample was 22%, and there were high rates of obesity, diabetes-related complications, and diabetic medication use. Myocardial infarction, stroke, hypertension, angina, and cancer were significantly more common in diabetics than in nondiabetics, as were high levels of depressive symptoms, low perceived health status, disability, incontinence, vision impairment, and health service use. Many of the rate differences found in this sample of older Mexican Americans were higher than those reported among other groups of older adults. Conclusions. Our findings indicate that the prevalence and health burden of diabetes are greater in older Mexican Americans than in older non-Hispanic Whites and African Americans, particularly among elderly men.

AB - Objectives. The prevalence and health burden of self-reported adult- onset diabetes mellitus were examined in older Mexican Americans. Methods. Data from the Hispanic Established Populations for Epidemiologic Studies of the Elderly were used to assess the prevalence of self-reported diabetes and its association with other chronic conditions, disability, sensory impairments, health behaviors, and health service use in 3050 community- dwelling Mexican Americans 65 years and older. Results. The prevalence of self-reported diabetes in this sample was 22%, and there were high rates of obesity, diabetes-related complications, and diabetic medication use. Myocardial infarction, stroke, hypertension, angina, and cancer were significantly more common in diabetics than in nondiabetics, as were high levels of depressive symptoms, low perceived health status, disability, incontinence, vision impairment, and health service use. Many of the rate differences found in this sample of older Mexican Americans were higher than those reported among other groups of older adults. Conclusions. Our findings indicate that the prevalence and health burden of diabetes are greater in older Mexican Americans than in older non-Hispanic Whites and African Americans, particularly among elderly men.

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