Racial and ethnic differences in diabetes mellitus among people with and without psychiatric disorders: results from the National Epidemiologic Survey on Alcohol and Related Conditions

Abstract Objective This study examined racial/ethnic differences in the prevalence of diabetes mellitus in a nationally representative sample of adults with and without common psychiatric disorders. Method Data were drawn from Wave 2 of the National Epidemiologic Survey on Alcohol and Related Condit...

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Published in:General hospital psychiatry 2011-03, Vol.33 (2), p.107-115
Main Authors: Cabassa, Leopoldo J., Ph.D, Blanco, Carlos, M.D., Ph.D, Lopez-Castroman, Jorge, M.D, Lin, Keng-Han, M.S, Lui, Shang-Min, M.S, Lewis-Fernández, Roberto, M.D
Format: Article
Language:English
Subjects:
Adult
Adult and adolescent clinical studies
Biological and medical sciences
Comorbidity
Diabetes mellitus
Diabetes Mellitus - epidemiology
Diabetes Mellitus - ethnology
Diabetes. Impaired glucose tolerance
Endocrine pancreas. Apud cells (diseases)
Endocrinopathies
Epidemiologic Studies
Etiopathogenesis. Screening. Investigations. Target tissue resistance
Female
Health disparities
Health Status Disparities
Health Surveys
Humans
Male
Medical sciences
Mental Disorders - epidemiology
Mental Disorders - ethnology
Middle Aged
Miscellaneous
NESARC
Psychiatric disorders
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
United States - epidemiology
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Summary:Abstract Objective This study examined racial/ethnic differences in the prevalence of diabetes mellitus in a nationally representative sample of adults with and without common psychiatric disorders. Method Data were drawn from Wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions ( N =34,653). Logistic regression models adjusting for sociodemographic variables and diabetes risk factors were used to examine racial/ethnic differences in 12-month prevalence rates of diabetes by psychiatric status. Results Among people without psychiatric disorders, African Americans, Hispanics and American Indians/Alaska Natives, but not Asians/Pacific Islanders, had significantly higher rates of diabetes than non-Hispanic whites even after adjusting for sociodemographic variables and diabetes risk factors. In the presence of psychiatric disorders, these health disparities persisted for African Americans and Hispanics, but not for American Indians/Alaska Natives. No significant interactions between race/ethnicity and psychiatric disorders in the odds of diabetes were found across any group. Conclusion Policies and services that support culturally appropriate prevention and treatment strategies are needed to reduce racial/ethnic disparities in diabetes among people with and without psychiatric disabilities.
ISSN:0163-8343
1873-7714
DOI:10.1016/j.genhosppsych.2010.11.011