Abstract 19229: Does Ethnicity Matter? A Comparative Analysis of Social Determinants of Hypertension and Diabetes Among African Americans, African Immigrants and Afro Caribbeans in the 2010-2014 National Health Interview Survey
Introduction: Ethnic minorities in the United States are disproportionately affected by hypertension and diabetes. Historically, African Americans (AAs), African immigrants (AIs), and Afro-Caribbeans (ACs) are studied as “Blacks” without regard to ethnic differences.
Hypothesis: We hypothesized that the prevalence and social determinants (income, education, health insurance coverage, marital status) of hypertension and diabetes in Blacks will vary by ethnicity in the National Health Interview Survey (NHIS).
Methods: We used the nationally-representative NHIS and pooled the 2010-2014 surveys. We used logistic regression to examine social determinants of hypertension and diabetes by ethnicity, and estimate age- and sex-adjusted prevalences.
Results: Participants were 90% AA, 6% AC, and 4% AI (N=40,838). AIs were more likely to be college-educated, married, and less likely to be insured than AAs and ACs. AAs and AIs were wealthier and younger than ACs. The age- and sex-adjusted prevalence of hypertension was 37% in AAs, 21% in AIs, and 22% in ACs. The age- and sex-adjusted prevalence of diabetes was 12% in AAs, 7% in AIs, and 10% in ACs. In AAs, wealth and >high school education was associated with lower odds of hypertension. In AIs, insurance coverage was associated with higher odds of hypertension. In ACs, wealth was associated with lower odds of hypertension. In AAs, >high school education was associated with lower odds of diabetes. In AIs, wealth was associated with lower odds of diabetes while health insurance coverage was associated with higher odds.
Conclusion: Our findings suggest that “Blacks” are not homogenous with respect to social determinants of hypertension and diabetes. Future research should disaggregate data by ethnicity, examine social determinants in depth, and design culturally appropriate prevention and management interventions for hypertension and diabetes to address disparities in the different ethnic subgroups.
Author Disclosures: Y.Y. Commodore-Mensah: None. J.S. Wells: None. N. Matthie: None. S.B. Dunbar: None. R. Chandler: None.
- © 2016 by American Heart Association, Inc.