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Epidemiology of Diabetes among Arab Americans in Michigan, USA

Adnan Hammad, PhD and Linda A. Jaber, PHAR, MD. Community Health & Research Center, ACCESS, 6450 Maple Street, Dearborn, MI 48126, 313-216-2239, AHammad@accesscommunity.org

Abstract:Research Design And Methods- Participants were randomly selected adult Arab Americans, 20-75 years of age, from randomly selected households in Dearborn, Michigan. Demographic and anthropometric data were recorded. Glucose tolerance was assessed with 2-h 75-g oral glucose tolerance tests and classified according to 1997 American Diabetes Association and 1998 World Health Organization criteria. Results- A total of 626 eligible adults were selected, and 542 participated (87 % response rate). Because prevalence increases with age and the overall response rate for women (328/352; 93%) was higher than that for men (214/274; 78%), prevalence rates were adjusted for age and sex. The overall prevalence of diabetes was 15.5% (95% CI 12.2-18.7%) in women and 20.1%(15.0-25.2%) in men (P=0.13). The prevalence of previously diagnosed diabetes was similar to that of undiagnosed diabetes. Impaired glucose tolerance (IGT) and / or impaired fasting glucose (IFG) were present in 16.8% (12.8-20.8 %) of women and 29.7% (23.4-35.9%) of men (P=0.0007). The combined rates of glucose intolerance (diabetes, IGT, and IFG) were 32.3%(27.8-36.7%) for women and 49.8% (43.1-56.4%) for men (P< 0.0001). Among younger adults, the prevalence in men was higher than in women. As expected, subjects with diabetes or IGT/ IFG were older and had greater BMI and waist-to-hip ratios than subjects with normal glucose tolerance.

Learning Objectives:

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Behavior lifestyle and social determinants Population of Health: Poster session

The 132nd Annual Meeting (November 6-10, 2004) of APHA