Glucose intolerance by race and ethnicity in the U.S. Virgin Islands

This study describes the prevalence on glucose intolerance by race and ethnicity in the United States Virgin Islands. A population-based sample of 1026 individuals 20 years of age or older was recruited on the island of St. Croix, U.S. Virgin Islands, where 80% of the population classify their race...

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Bibliographic Details
Published in:Journal of the National Medical Association 2002-03, Vol.94 (3), p.135-142
Main Authors: TULL, Eugene S, LAPORTE, Ronald, KRISKA, Andrea, MARK, Joseph, HATCHER, Ann T
Format: Article
Language:English
Subjects:
Adult
Aged
Analysis. Health state
Biological and medical sciences
Black or African American
Black People
Cross-Sectional Studies
Diabetes Mellitus - diagnosis
Diabetes Mellitus - ethnology
Epidemiology
Ethnicity
Female
General aspects
Glucose Tolerance Test
Hispanic or Latino - statistics & numerical data
Humans
Male
Medical sciences
Middle Aged
Obesity - ethnology
Prevalence
Public health. Hygiene
Public health. Hygiene-occupational medicine
United States Virgin Islands - epidemiology
White People
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Summary:This study describes the prevalence on glucose intolerance by race and ethnicity in the United States Virgin Islands. A population-based sample of 1026 individuals 20 years of age or older was recruited on the island of St. Croix, U.S. Virgin Islands, where 80% of the population classify their race as African American and 20% indicate their ethnicity as Hispanic. American Diabetes Association (ADA) criteria was used to classify glucose tolerance for the entire sample. Persons 40 years of age or older (405) were also administered a 2-h oral glucose tolerance test. Among the major race/ethnic groups, the prevalence of diabetes in patients 20 years of age or older (age-adjusted to the 1995 world population) was 14.1% for non-Hispanic blacks (n = 712), 12.1% for Hispanic blacks (n = 145), 13.5% for Hispanic whites (n = 70) and 1.2% for non-Hispanic whites (n = 37). In each group, the prevalence of diabetes increased with age and appeared higher for men. Among individuals 40 years of age or older a slightly higher prevalence of newly diagnosed diabetes was found when using World Health Organization (WHO) criteria compared to ADA criteria (WHO 10.3%, ADA 7.7% for black non-Hispanic persons and WHO 10.4%, ADA 6.0% for all other groups combined). The prevalence of diabetes for African Americans residing in the U.S. Virgin Islands is similar to rates for the African-American population on the United States mainland and is double that of estimates for blacks on neighboring islands.
ISSN:0027-9684
1943-4693