Table 1.
Intermediate outcomes and diabetic complications by race/ethnicity
Haitians | African Americans | P* | aOR (95% CI)†‡ | Non-Hispanic whites | P§ | aOR (95% CI)‖‡ | |
---|---|---|---|---|---|---|---|
n | 715 | 1,472 | 466 | ||||
Intermediate outcome measures | |||||||
A1C >9% (%) | 24 | 18 | 0.003 | 1.43 (1.04–2.00) | 15 | 0.0002 | 1.67 (1.11–2.50) |
LDL ≥100 mg/dl (%) | 29 | 30 | 0.61 | 1.08 (0.80–1.45) | 19 | <0.0001 | 1.85 (1.28–2.63) |
BP ≥140/80 mmHg (%)¶ | 51 | 45 | 0.01 | 1.07 (0.81–1.43) | 33 | <0.0001 | 1.85 (1.30–2.50) |
Diabetic complications | |||||||
Macrovascular# | 20 | 38 | <0.0001 | 0.35 (0.23–0.55) | 42 | <0.0001 | 0.32 (0.20–0.50) |
Microvascular** | 46 | 59 | <0.0001 | 0.56 (0.41–0.76) | 61 | <0.0001 | 0.55 (0.39–0.79) |
*P value for Haitians versus African Americans.
†Adjusted odds ratio for Haitians versus African Americans.
‡Odds ratios adjusted for age, sex, language (English speaking/non-English speaking), and insurance type (Medicaid or Free Care, Medicare, private, and other insurance), number of primary care visits over 2 years, and having at least one endocrinologist visit over 2 years. Models for complications are additionally adjusted for BMI, diagnosis of hypertension, and ever having smoked.
§P value for Haitians versus non-Hispanic whites.
‖Adjusted odds ratio for Haitians versus non-Hispanic whites.
¶This quality measure selected on the basis of clinical trials, which show a reduction in coronary heart disease events, stroke, and nephropathy with blood pressure <140/80 mmHg (9).
#Macrovascular complications include coronary artery disease, congestive heart failure, ischemic stroke, peripheral vascular disease, and lower extremity ulcers.
**Microvascular complications include retinopathy, nephropathy, and neuropathy. aOR, adjusted odds ratio; BP, blood pressure.