Andrew J. Karter|Dean Schillinger|Alyce S. Adams|Howard H. Moffet|Jennifer Liu|Nancy E. Adler|Alka M. Kanaya
Elevated Rates of Diabetes in Pacific Islanders and Asian Subgroups
Kaiser Permanente|University of California, San Francisco|San Francisco General Hospital|California Department of Public Health|Kaiser Permanente|Kaiser Permanente|Kaiser Permanente|University of California, San Francisco|University of California, San Francisco
estimated prevalence incidence diabetes among specific subgroups asians pacific islanders apis multiethnic us population uniform access carethis prospective cohort analysis included 2123548 adult members kaiser permanente northern california including 1704363 known raceethnicity white 569 latino 149 african american 80 filipino 49 chinese 40 multiracial 28 japanese 09 native american 06 pacific islander 05 south asian 04 southeast asian korean vietnamese 01 calculated agestandardized 2010 us population sexadjusted diabetes prevalence baseline incidence 2010 calendar year poisson models used estimate relative risksthere 210632 subjects prevalent diabetes 1 january 2010 15357 incident cases diabetes identified 2010 crude diabetes prevalence 99 incidence 80 cases per 1000 personyears standardizing age sex 2010 us census 89 77 cases per 1000 personyears considerable variation among seven largest api subgroups pacific islanders south asians filipinos highest prevalence 183 159 161 respectively highest incidence 199 172 147 cases per 1000 personyears respectively diabetes among racialethnic groups including minorities traditionally considered high risk eg african americans latinos native americanshigh rates diabetes among pacific islanders south asians filipinos obscured much lower rates among large population chinese several smaller asian subgroups