Karter Andrew J, Laiteerapong Neda, Chin Marshall H, Moffet Howard H, Parker Melissa M, Sudore Rebecca, Adams Alyce S, Schillinger Dean, Adler Nancy S, Whitmer Rachel A, Piette John D, Huang Elbert S
Kaiser Permanente Division of Research, Oakland, CA, USA
University of Chicago, Chicago, IL, USA.
J Aging Health. 2015 Aug;27(5):894-918. doi: 10.1177/0898264315569455. Epub 2015 Feb 5.
The aim of this study was to evaluate ethnic differences in burden of prevalent geriatric conditions and diabetic complications among older, insured adults with diabetes.
An observational study was conducted among 115,538 diabetes patients, aged ≥60, in an integrated health care system with uniform access to care.
Compared with Whites, Asians and Filipinos were more likely to be underweight but had substantively lower prevalence of falls, urinary incontinence, polypharmacy, depression, and chronic pain, and were least likely of all groups to have at least one geriatric condition. African Americans had significantly lower prevalence of incontinence and falls, but higher prevalence of dementia; Latinos had a lower prevalence of falls. Except for end-stage renal disease (ESRD), Whites tended to have the highest rates of prevalent diabetic complications.
Among these insured older adults, ethnic health patterns varied substantially; differences were frequently small and rates were often better among select minority groups, suggesting progress toward the Healthy People 2020 objective to reduce health disparities.
本研究旨在评估患有糖尿病的老年参保成年人中，常见老年疾病负担及糖尿病并发症方面的种族差异。
在一个能统一获得医疗服务的综合医疗保健系统中，对115538名年龄≥60岁的糖尿病患者进行了一项观察性研究。
与白人相比，亚洲人和菲律宾人更可能体重过轻，但跌倒、尿失禁、多重用药、抑郁和慢性疼痛的患病率显著较低，且在所有组中患至少一种老年疾病的可能性最小。非裔美国人尿失禁和跌倒的患病率显著较低，但痴呆症患病率较高；拉丁裔跌倒的患病率较低。除终末期肾病（ESRD）外，白人往往患有糖尿病并发症的比例最高。
在这些参保的老年人中，种族健康模式差异很大；差异通常较小，且某些少数群体的情况往往更好，这表明在实现《健康人民2020》减少健康差距的目标方面取得了进展。
