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Asian American/Pacific Islander paradox in diabetic retinopathy: findings from the Behavioral Risk Factor Surveillance System, 2006-2008

TitleAsian American/Pacific Islander paradox in diabetic retinopathy: findings from the Behavioral Risk Factor Surveillance System, 2006-2008
Publication TypeJournal Article
Year of Publication2010
AuthorsLi, Y, Liao, Y, Fan, A, Zhang, X, Balluz, L
JournalEthn DisEthn Dis
Volume20
Pagination111-7
Date PublishedSpring
ISBN Number1049-510X (Print)<br/>1049-510X (Linking)
Accession Number20503889
KeywordsAdolescent, Adult, Aged, Asian Americans, Behavioral Risk Factor Surveillance System, Diabetic Retinopathy/ epidemiology/ ethnology, Female, Humans, Male, Middle Aged, Oceanic Ancestry Group, Odds Ratio, Population Surveillance, Prevalence, Risk Factors, Social Class, Young Adult
AbstractOBJECTIVES: To compare the self-reported prevalence of diabetic retinopathy (DR) between Asian Americans/Pacific Islanders (AAPIs) and Whites in the United States. METHODS: We analyzed data from 70,209 adults aged > or =18 years with diabetes derived from the 2006-2008 Behavioral Risk Factor Surveillance System (BRFSS), including 1,499 AAPIs and 68,710 White individuals. RESULTS: Compared with Whites with diabetes, AAPIs with diabetes had higher socioeconomic status, fewer risk factors (eg, smoking) and coexisting chronic diseases (eg, cardiovascular disease [CVD]). Diabetes duration and percentage of persons using insulin were similar between the 2 populations. However, AAPIs had a much higher prevalence of DR (27.6%) than Whites (18.2%) (P<.001 comparing="" aapis="" to="" whites="" the="" age-="" and="" gender-adjusted="" odds="" ratio="" of="" dr="" was="" adjusted="" after="" adjustment="" for="" sociodemographic="" marital="" status="" chronic="" conditions="" smoking="" severity="" diabetes="" care="" onset="" frequency="" self-checking="" blood="" sugar="" dilated="" eye="" exam="" conclusions:="" despite="" their="" favorable="" socio-="" health-related="" profiles="" had="" significantly="" higher="" prevalence="" compared="" with="" whites.="">