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rate of african americans with diabetes who seek treatment

by Laney Goldner Published 2 years ago Updated 2 years ago
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Are African Americans more likely to be diagnosed with diabetes?

African American adults are 60 percent more likely than non-Hispanic white adults to be diagnosed with diabetes by a physician. In 2017, non-Hispanic blacks were 3.2 times more likely to be diagnosed with end stage renal disease as compared to non-Hispanic whites.

How can we improve the outcome of diabetes in the African American community?

Culturally sensitive strategies, structured disease management protocols, and the assistance of nurses, diabetic educators, and other health care professionals are effective in improving the outcome of diabetes in the African American community. Full Text The Full Text of this article is available as a PDF(165K). Selected References

Does diabetes affect people of all races and ethnic groups?

While diabetes can affect people within any racial or ethnic group, it disproportionately affects people of certain racial or ethnic backgrounds. According to the American Diabetes Association (ADA), the prevalence of diabetes in non-Hispanic Blacks is 11.7 percent, versus only 7.5 percent in non-Hispanic whites.

Is age-adjusted obesity more common among African Americans?

Age-adjusted obesity is more prevalent among African American people than it is among white American people. Some people assume that African American people have a different and less healthy cultural diet than white American people.

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What percentage of diabetes patients are black?

According to the American Diabetes Association (ADA), the prevalence of diabetes in non-Hispanic Blacks is 11.7 percent, versus only 7.5 percent in non-Hispanic whites. Asian Americans are slightly more affected by diabetes than white Americans, with a prevalence of 9.2 percent.

How are African Americans affected by diabetes?

African American adults are 60 percent more likely than non-Hispanic white adults to be diagnosed with diabetes by a physician. In 2017, non-Hispanic blacks were 3.2 times more likely to be diagnosed with end stage renal disease as compared to non-Hispanic whites.

Which race has the highest percentage of diagnosed cases of diabetes?

The prevalence of diabetes is highest among Native Americans (33%) and lowest among Alaska natives (5.5%; Table 1). NHWs and Asian Americans have similar prevalence rates of 7.1% and 8.4%, respectively, where NHBs and Hispanic Americans overall have higher prevalence rates of 11.8% and 12.6%, respectively.

What ethnic group gets diabetes the most?

What you may not know is that ethnicity also plays a major role. That's right. African Americans, Hispanics, American Indians, and some Pacific Islanders and Asian Americans are all at higher risk for type 2 diabetes than Caucasians, according to the American Diabetes Association (ADA).

Why is diabetes so common in black community?

People in racial and ethnic minority communities are most affected by diabetes because they are more likely to live in under-resourced neighborhoods.

Is diabetes more common in African-Americans?

In the U.S., black adults are nearly twice as likely as white adults to develop type 2 diabetes. This racial disparity has been rising over the last 30 years. To investigate potential causes for this health disparity, a team led by Dr. Mercedes R.

Which ethnicity has the lowest rates of diabetes?

The rates of diagnosed diabetes in adults by race/ethnic background are:14.5% of American Indians/Alaskan Natives.12.1% of non-Hispanic blacks.11.8% of Hispanics.9.5% of Asian Americans.7.4% of non-Hispanic whites.

Why are there racial disparities in diabetes?

In addition, genetic predisposition, higher rates of obesity,9 earlier onset, poor blood sugar control, diet, and lack of exercise have all been shown to contribute to these racial and ethnic disparities. the report due to limited sample sizes.

What population is most affected by diabetes?

As per the statistics provided by the Centers for Disease Control and Prevention (CDC) in 2020, the American Indians or the Alaska Natives are the most affected by diabetes than all other ethnic groups. Among people of different ages, 65 years and older seem to be the most affected with 25% of them having diabetes.

What is the expected rate of type 2 diabetes in minorities?

Patients in racial/ethnic minority groups were on average 5.5 to 8.4 years younger than non-Hispanic white patients. At age 45, type 2 diabetes prevalence was 10.9% among non-Hispanic black patients and 5.2% among non-Hispanic white patients.

What is the percentage of black people with diabetes?

Department of Health and Human Services, in 2018, the age-adjusted percentage of non-Hispanic Black people over the age of 18 years with diabetes was 13.4% for males and 12.7% for females.

Why are there racial disparities in diabetes?

These racial disparities concerning diabetes may be due to a combination of environmental, socioeconomic, physiological, and genetic factors. This article will look at how a person can prevent or manage diabetes as well as outline the roadblocks that affect African American people regarding these same measures.

How can obesity affect diabetes?

To decrease this risk, the National Institute of Diabetes and Digestive and Kidney Diseases recommend that people with obesity make certain changes to their diet and exercise habits to prevent developing diabetes.

Is social stress a risk factor for diabetes?

Experiencing high levels of stress, including social stress, is also a risk factor for diabetes. Stress can increase the risk of developing diabetes. However, there is also a link between stress and the management of diabetes. For example, certain stressors can destabilize blood sugar levels.

Can you get prediabetes before diabetes?

Trusted Source. U.S. adults have prediabetes. Undergoing regular health checkups can catch it before it progresses to diabetes. This means that people with access to these checkups can make substantial changes to their lifestyle to try to prevent diabetes.

Is type 1 diabetes more prevalent in white people?

Learn more about the differences between type 1 and type 2 diabetes here. Type 1 diabetes is more prevalent in white people. This could be due to the genes a person inherits from each of their parents. According to the American Association of Retired Persons, Black people are at significantly higher risk of developing type 2 diabetes ...

Is there a genetic difference between white and black people?

Trusted Source. , studies are increasingly showing that there is no genetic difference between white and Black people in terms of their risk of type 2 diabetes. For example, in a 2017 study. Trusted Source. , initial data showed that Black people had a significantly increased risk of developing type 2 diabetes.

Genetic factors

In the past, scientists proposed the “thrifty gene” as a theory for the increased rates of diabetes in Black Americans. According to this theory, previous populations who were exposed to periods of famine were thought to be more likely to efficiently store fat, especially in periods of plenty.

Health factors

Obesity is one of the most significant risk factors for the development of type 2 diabetes. Black Americans, especially Black women, statistically have higher rates of obesity than white Americans.

Social factors

Socioeconomic factors have an impact on healthcare outcomes and the risk of developing certain health conditions.

What are the factors that affect diabetes?

These factors included a combination of body mass index, waist measurement, fasting glucose levels, lipids, blood pressure, and lung function. Differences between blacks and whites in neighborhood, psychosocial, socioeconomic, and behavioral factors were also linked with diabetes, although to a lesser degree.

What is the greatest difference between black and white women?

The researchers used statistical analyses to determine how biological, neighborhood, psychosocial, socioeconomic, and behavioral risk factors contributed to rates of diabetes. They found that biological risk factors accounted for most of the health disparity.

What hormones help glucose?

Insulin, a hormone made by the pancreas, helps glucose get into your cells to be used for energy. In type 2 diabetes, your body doesn’t make enough insulin or doesn’t use insulin well. Too much glucose then stays in your blood, and not enough reaches your cells. Over time, too much glucose in your blood can cause health problems, ...

Can diabetes cause heart disease?

Over time, too much glucose in your blood can cause health problems, such as heart disease, nerve damage, eye problems, and kidney disease. You can develop type 2 diabetes at any age. However, type 2 diabetes occurs most often in middle-aged and older people.

How does Type 2 diabetes affect the health of the United States?

Getty. Type 2 diabetes is a condition that affects the way people process food for energy. But it’s really more than that—it’s an epidemic that’s affecting the health of our nation. It’s one of the leading causes of death and disability in the United States, running up total health care and treatment costs to $174 billion each year.

How to avoid diabetes?

Here’s what you can do: Make being active a habit. Most people should aim for 30 minutes of physical activity five days a week.

Can a grandparent have diabetes?

If your parent, grandparent or other family member has diabetes, it’s more likely you will develop the disease. Health conditions like high cholesterol and high blood pressure also contribute to diabetes and its complications. And although African Americans have the same or lower rates of high cholesterol as non-Hispanic whites, ...

Can you get diabetes if you have already been diagnosed?

YES! That’s the good news. Even though you may be at greater risk, you can take steps now to reduce that risk. And if you have already been diagnosed with diabetes, there is a lot you can do to keep it in check and prevent complications down the road.

Do African Americans have high blood pressure?

And although African Americans have the same or lower rates of high cholesterol as non-Hispanic whites, they are more likely to have high blood pressure. For some minority populations, issues like poverty, lack of access to health care, and cultural attitudes and behaviors can affect the ability to prevent or manage their diabetes.

Do African Americans have diabetes?

Compared to our country’s overall population, African Americans (especially African American women) are at a much greater risk for developing type 2 diabetes. If you are African American, you are also more likely to have serious complications from diabetes, such as kidney disease, blindness and amputations. And African Americans are twice as likely ...

Can diabetes be prevented in African Americans?

A Diabetes Prevention Program study by the National Institutes of Health found that overweight adults with higher-than-normal blood glucose levels—including African Americans—can delay or prevent type 2 diabetes. With good diabetes management, people in the study were able to lose 5 to 7% of their body weight ...

What are the factors that affect African Americans' health?

Certain social factors, also referred to as social determinants of health, have important implications for health risk and the ability to attain health insurance coverage. Poverty, income inequality, wealth inequality, food insecurity, and the lack of safe, ...

How does the wealth gap affect African Americans?

53 (See Figure 5.) Research shows that the wealth gap impacts African Americans across the income and education spectrum, making it harder for them to own homes or build retirement savings. 54 And while African Americans on average have less total debt than whites, the wealth gap means they are more likely to have costly, high-interest debt obligations. High health care costs and surprise medical bills can negatively affect an African-American family’s ability to reduce or eliminate debt, and ultimately the ability to create wealth—which could impact a family for generations.

How many states have expanded medicaid?

To date, thirty-seven states (including the District of Columbia) have expanded Medicaid, either through traditional means or the Section 1115 waiver process. 17 The states that have not expanded Medicaid are largely concentrated in the southern region of the United States. (See Map 1.) Map 1. Download.

How many people are covered by medicaid?

It is jointly funded by states and the federal government, and has been operating for fifty-four years. 12 As of August 2019, the program covered 68 million people, with African Americans making up about 20 percent of Medicaid enrollees. 13 Because African Americans tend to be poorer than other demographic groups on average, public health insurance programs such as Medicaid are vital to ensure affordable health care and healthier outcomes. In states that have not expanded Medicaid under the Affordable Care Act (ACA), African Americans and other people of color are most likely to fall within a coverage gap —meaning they earn too much to qualify for the traditional Medicaid program, yet not enough to be eligible for premium tax credits under marketplace plans. 14

What is Medicare for All?

Medicare for All is a signature single-payer plan originally authored by Senator Bernie Sanders, setting forth a vision for major structural change of the health insurance system. It has since been endorsed and supported by Representative Pramila Jayapal (who introduced the House version of the legislation ), Representative Alexandria Ocasio-Cortez, Senator Elizabeth Warren, Senator Kamala Harris, Senator Cory Booker, and a host of other progressive policymakers. 64 It calls for a single federal program with comprehensive benefits for all U.S. residents that would replace all private insurance, Medicaid, Medicare, and the Children’s Health Insurance Program (CHIP). The plan would be financed by taxes and eliminate premiums and cost-sharing or out-of-pocket costs, leading to major cost-savings for consumers in the long run. Taking into account the vast economic challenges for African Americans, savings in health care costs could help lead to better economic outcomes. In turn, health outcomes could also improve due to more comprehensive coverage available to all.

What are the social determinants of health?

Certain social determinants of health, such as poverty, income inequality, wealth inequality, food insecurity, and the lack of safe, affordable housing have important implications for health risk and the ability to attain health insurance coverage for African Americans . Another important social factor leading to poor health outcomes ...

Is racism a part of health care reform?

In an effort to draw implications from leading health care reform plans, recommendations are made for the way forward in ensuring that the physiological and social impacts of racism are not omitted in efforts to secure truly universal health care coverage in America.

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