Shih Margaret, Du Yajun, Lightstone Amy S, Simon Paul A, Wang May C
Office of Health Assessment and Epidemiology, Los Angeles County Department of Public Health, 313 N. Figueroa St., Rm 127, Los Angeles, CA 90012, USA.
Division of Chronic Disease and Injury Prevention, Los Angeles County Department of Public Health, 3530 Wilshire Blvd., 8th Floor, Los Angeles, CA 90010, USA; UCLA Fielding School of Public Health, 650 Charles E. Young Drive South, Los Angeles, CA 90095, USA.
Prev Med. 2014 Jun;63:90-5. doi: 10.1016/j.ypmed.2014.03.016. Epub 2014 Mar 20.
The primary objective of this analysis was to examine the burden of diabetes among Asians and Asian subgroups in Los Angeles County, which has the largest county population of Asians in the U.S.
Data were analyzed from 6cycles of the Los Angeles County Health Survey, 1997-2011 (n=47,282). Asian adults (n=4672) were categorized into the following ethnic subgroups: Chinese, Filipino, Korean, Japanese, Vietnamese, South Asian, and Other Asian. Descriptive and multivariable logistic regression analyses were conducted to examine trends in prevalence, prevalence among Asian subgroups, and factors associated with diabetes.
In 2005, we observed a rapid increase in diabetes prevalence among Asians compared to whites despite consistently lower BMI relative to other racial/ethnic groups. Diabetes prevalence was significantly higher among Filipinos and South Asians (>10%) compared to East Asians and Vietnamese (<7%). After adjusting for all covariates, Asians who were older, non-drinkers, insured, and overweight or obese were found to have increased odds of diabetes.
Diabetes prevalence is increasing more rapidly among Asians compared to whites despite overall lower BMI. The significant heterogeneity among Asian subgroups highlights the need for disaggregated data and additional research to develop culturally appropriate interventions for diabetes prevention and control.
本分析的主要目的是研究美国亚裔人口最多的洛杉矶县亚裔及亚裔亚组中的糖尿病负担情况。
对1997年至2011年洛杉矶县健康调查6个周期的数据（n = 47,282）进行分析。亚洲成年人（n = 4672）被分为以下族裔亚组：华裔、菲律宾裔、韩裔、日裔、越南裔、南亚裔和其他亚裔。进行描述性和多变量逻辑回归分析，以研究患病率趋势、亚裔亚组中的患病率以及与糖尿病相关的因素。
2005年，我们观察到与白人相比，亚裔糖尿病患病率迅速上升，尽管其体重指数（BMI）相对于其他种族/族裔群体一直较低。菲律宾裔和南亚裔的糖尿病患病率（>10%）显著高于东亚裔和越南裔（<7%）。在对所有协变量进行调整后，发现年龄较大、不饮酒、有保险且超重或肥胖的亚裔患糖尿病的几率增加。
尽管总体BMI较低，但与白人相比，亚裔糖尿病患病率上升更快。亚裔亚组之间存在显著异质性，这凸显了需要分类数据和更多研究，以制定适合不同文化的糖尿病预防和控制干预措施。
