Racial and ethnic disparities in diabetes complications in the northeastern United States

The role of socioeconomic status

Chandra Y. Osborn, Mary de Groot, Julie A. Wagner

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

The role of socioeconomic status (SES) in explaining racial/ethnic disparities in diabetes remains unclear. We investigated disparities in self-reported diabetes complications and the role of macro (eg, income, education) and micro (eg, owning a home or having a checking account) SES indicators in explaining these differences. The sample included individuals with a diagnosis of diabetes (N = 795) who were aged, on average, 55 years, and 55.6% non-Hispanic white, 25.0% African American, and 19.4% Hispanic. Approximately 8% reported nephropathy, 35% reported retinopathy, and 16% reported cardiovascular disease. There were significant disparities in the rates of complications among non-Hispanic white, African American, and Hispanic participants, with Hispanic participants having the highest rates of nephropathy, retinopathy, and cardiovascular disease. Macro SES indicators (eg, income) mediated racial differences (ie, non-Hispanic whites vs African Americans) in self-reported retinopathy, a combination of macro and more micro SES indicators (eg, education, income, and owning a home or having a checking account) mediated racial/ethnic differences (ie, non-Hispanic white vs Hispanic participants) in self-reported cardiovascular disease, and only micro SES indicators (eg, owning a home or having a checking account) mediated differences between lower-income SES racial/ethnic minority groups (ie, African American vs Hispanic participants) in self-reported retinopathy and cardiovascular disease. Findings underscore that indicators of SES must be sensitive to the outcome of interest and the racial/ethnic groups being compared.

Original languageEnglish
Pages (from-to)51-58
Number of pages8
JournalJournal of the National Medical Association
Volume105
Issue number1
StatePublished - Mar 2013

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New England
Diabetes Complications
Social Class
Hispanic Americans
African Americans
Cardiovascular Diseases
Ethnic Groups
Education
Minority Groups
Personal Banking

Keywords

  • Diabetes
  • Health disparities
  • Minority health
  • Socioeconomic status

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Racial and ethnic disparities in diabetes complications in the northeastern United States : The role of socioeconomic status. / Osborn, Chandra Y.; de Groot, Mary; Wagner, Julie A.

In: Journal of the National Medical Association, Vol. 105, No. 1, 03.2013, p. 51-58.

Research output: Contribution to journalArticle

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