Diabetes control in Asian Americans — Disparities and the role of acculturation. Issue 1 (February 2021)

• Record Type: Journal Article
• Authors: Yoshida, Yilin; Fonseca, Vivian A.
• Is Part Of: Primary care diabetes. Volume 15:Issue 1(2021)
• Page Start: 187
• Page End: 190
• Publication Date: 2021-02
• Subjects: Diabetes control -- 'ABCs diabetes' -- Acculturation -- Asian Americans -- NHANES; Diabetes -- Periodicals; 616.462
• DOI: 10.1016/j.pcd.2020.01.010
• Languages: English
• ISSNs: 1751-9918

Abstract

Highlights: Disparities in diabetes control exist between Asian Americans (AA) and white patients. AA with diabetes were less likely to meet glycemic, cholesterol and the collective 'ABCs' goals than whites with diabetes. More acculturation was associated with better glycemic goal achievement among AA with diabetes. Culturally and linguistically tailored efforts are needed to promote diabetes control in less acculturated AA patients. Abstract: Asian Americans (AA) are disproportionately affected by diabetes (DM) and its complications than non-Hispanic whites (whites). We examined white-AA disparities in glycemic, cholesterol and blood pressure control, known as 'ABCs of DM', and evaluated if acculturation plays a role in DM control in AA with DM. Using data from NHANES 2011–2016, we found AA patients were significantly less likely to meet glycemic, cholesterol and the collective 'ABCs' goals than their white counterparts. Acculturation was positively associated with glycemic goal achievement in AA patients. This study identified disparities and pointed to strategies related to acculturation to improve DM control for AA.