Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Infectious Disease Section, Atlanta VA Medical Center, Atlanta, GA, USA.
J Int Assoc Provid AIDS Care. 2020 Jan-Dec;19:2325958220904241. doi: 10.1177/2325958220904241.
In a setting of universal health care access, we compared diabetes control between Caucasians and African Americans (AA) living with HIV. This was a cross-sectional analysis of data from a cohort study among military members living with HIV and diabetes. Using adjusted logistic regression models, we compared proportions of Caucasians and AA meeting the following diabetes treatment goals: hemoglobin A <7.0%, blood pressure (BP) <140/90 mm Hg, low density lipoprotein cholesterol <100 mg/dL, and not smoking. We included 107 Caucasian (mean age 37 years) and 126 AA (mean age 33 years) participants. A similar proportion of Caucasians and AA were prescribed diabetes (∼60%) and BP (∼80%) medications. Yet, more Caucasians met the BP treatment goal (77% [54%, 90%]) than AA (61% [36%, 82%]). Thus, more Caucasians met the combined A, BP, and cholesterol goals for diabetes control (25% [10%, 49%]) than AA (13% [5%, 31%]). Despite having equal access to health care, AA in this study have poorer diabetes control than Caucasians.
在全民医疗保健覆盖的环境下，我们比较了患有 HIV 的白人和非裔美国人（AA）的糖尿病控制情况。这是对一项针对患有 HIV 和糖尿病的军人队列研究数据的横断面分析。我们使用调整后的逻辑回归模型，比较了以下糖尿病治疗目标达标比例的白人和 AA：血红蛋白 A<7.0%、血压（BP）<140/90mmHg、低密度脂蛋白胆固醇<100mg/dL、不吸烟。我们纳入了 107 名白人（平均年龄 37 岁）和 126 名 AA（平均年龄 33 岁）参与者。开给白人的糖尿病（约 60%）和 BP（约 80%）药物与 AA 的处方比例相似。然而，更多的白人达到了 BP 治疗目标（77%[54%，90%]），而非 AA（61%[36%，82%]）。因此，更多的白人达到了糖尿病控制的联合 A、BP 和胆固醇目标（25%[10%，49%]），而非 AA（13%[5%，31%]）。尽管获得了平等的医疗保健机会，但本研究中的 AA 的糖尿病控制情况仍不如白人。
