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Prevalence and management of type 2 diabetes among Chinese Americans.

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Title: Prevalence and management of type 2 diabetes among Chinese Americans.
Authors: Niu, Lijie, Li, Yawen, Hwang, Wei-Chin, Song, Gaole, Xie, Bin
Source: Ethnicity & Health. Aug2023, Vol. 28 Issue 6, p809-821. 13p. 3 Charts, 2 Graphs.
Subjects: Confidence intervals, Communicative competence, Regression analysis, Type 2 diabetes, Socioeconomic factors, Research funding, Chi-squared test, Logistic regression analysis, Odds ratio, Data analysis software, Chinese Americans
Abstract: This study examines: (a) the prevalence rate of type 2 diabetes mellitus (T2DM) in Chinese Americans (CAs); (b) the influence of acculturative status (i.e. generational status and linguistic fluency) on T2DM prevalence; (c) and differences in diabetes management between CAs and Non-Hispanic Whites (NHWs). We used 2011–2018 data from the California Health Interview Survey (CHIS) to analyze the prevalence rate and management of diabetes among the CAs. Chi-squares, linear regressions, and logistic regressions were used to analyze the data. After controlling for demographic, socioeconomic, and health behaviors, there were no significant differences in the T2DM prevalence rate between CAs overall or of varying acculturative statuses compared with NHWs. However, there were differences in diabetes management, with first-generation CAs being less likely to exam glucose daily, have medical care plans developed by medical providers, or have confidence in controlling diabetes compared to NHWs. CAs with limited English proficiency (LEP) were less likely to perform self-monitoring of blood glucose or have confidence in managing their diabetes care compared to NHWs. Finally, non-first generation CAs were also more likely to take diabetes medication compared to NHWs. Although the prevalence rate of T2DM was found to be similar between CAs and NHWs, significant differences were found in diabetes care and management. Specifically, those who were less acculturated (e.g. first generation and those with LEP) were less likely to actively manage and have confidence in managing their T2DM. These results highlight the importance of targeting immigrants with LEP in prevention and intervention efforts. [ABSTRACT FROM AUTHOR]
Copyright of Ethnicity & Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Prevalence and management of type 2 diabetes among Chinese Americans.
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  Data: <searchLink fieldCode="AR" term="%22Niu%2C+Lijie%22">Niu, Lijie</searchLink><br /><searchLink fieldCode="AR" term="%22Li%2C+Yawen%22">Li, Yawen</searchLink><br /><searchLink fieldCode="AR" term="%22Hwang%2C+Wei-Chin%22">Hwang, Wei-Chin</searchLink><br /><searchLink fieldCode="AR" term="%22Song%2C+Gaole%22">Song, Gaole</searchLink><br /><searchLink fieldCode="AR" term="%22Xie%2C+Bin%22">Xie, Bin</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Ethnicity+%26+Health%22">Ethnicity & Health</searchLink>. Aug2023, Vol. 28 Issue 6, p809-821. 13p. 3 Charts, 2 Graphs.
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  Data: <searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Communicative+competence%22">Communicative competence</searchLink><br /><searchLink fieldCode="DE" term="%22Regression+analysis%22">Regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Type+2+diabetes%22">Type 2 diabetes</searchLink><br /><searchLink fieldCode="DE" term="%22Socioeconomic+factors%22">Socioeconomic factors</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Chi-squared+test%22">Chi-squared test</searchLink><br /><searchLink fieldCode="DE" term="%22Logistic+regression+analysis%22">Logistic regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Odds+ratio%22">Odds ratio</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Chinese+Americans%22">Chinese Americans</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: This study examines: (a) the prevalence rate of type 2 diabetes mellitus (T2DM) in Chinese Americans (CAs); (b) the influence of acculturative status (i.e. generational status and linguistic fluency) on T2DM prevalence; (c) and differences in diabetes management between CAs and Non-Hispanic Whites (NHWs). We used 2011–2018 data from the California Health Interview Survey (CHIS) to analyze the prevalence rate and management of diabetes among the CAs. Chi-squares, linear regressions, and logistic regressions were used to analyze the data. After controlling for demographic, socioeconomic, and health behaviors, there were no significant differences in the T2DM prevalence rate between CAs overall or of varying acculturative statuses compared with NHWs. However, there were differences in diabetes management, with first-generation CAs being less likely to exam glucose daily, have medical care plans developed by medical providers, or have confidence in controlling diabetes compared to NHWs. CAs with limited English proficiency (LEP) were less likely to perform self-monitoring of blood glucose or have confidence in managing their diabetes care compared to NHWs. Finally, non-first generation CAs were also more likely to take diabetes medication compared to NHWs. Although the prevalence rate of T2DM was found to be similar between CAs and NHWs, significant differences were found in diabetes care and management. Specifically, those who were less acculturated (e.g. first generation and those with LEP) were less likely to actively manage and have confidence in managing their T2DM. These results highlight the importance of targeting immigrants with LEP in prevention and intervention efforts. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Ethnicity & Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/13557858.2023.2179020
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 13
        StartPage: 809
    Subjects:
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Communicative competence
        Type: general
      – SubjectFull: Regression analysis
        Type: general
      – SubjectFull: Type 2 diabetes
        Type: general
      – SubjectFull: Socioeconomic factors
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Chi-squared test
        Type: general
      – SubjectFull: Logistic regression analysis
        Type: general
      – SubjectFull: Odds ratio
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Chinese Americans
        Type: general
    Titles:
      – TitleFull: Prevalence and management of type 2 diabetes among Chinese Americans.
        Type: main
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          Name:
            NameFull: Niu, Lijie
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            NameFull: Li, Yawen
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            NameFull: Hwang, Wei-Chin
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            NameFull: Song, Gaole
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            NameFull: Xie, Bin
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            – D: 01
              M: 08
              Text: Aug2023
              Type: published
              Y: 2023
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              Value: 13557858
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              Value: 28
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