#StayWoke: Diabetes And African Americans

www.minorityhealth.hhs.gov

 

 

 

African Americans are almost twice as likely to be diagnosed with diabetes as non-Hispanic whites. In addition, they are more likely to suffer complications from diabetes, such as end-stage renal disease and lower extremity amputations. Although African Americans have the same or lower rate of high cholesterol as their non-Hispanic white counterparts, they are more likely to have high blood pressure.

• African American adults are 80 percent more likely than non-Hispanic white adults to have been diagnosed with diabetes by a physician.
• In 2010, non-Hispanic blacks were 4.2 times more likely to be diagnosed with end stage renal disease as compared to non-Hispanic whites.
• In 2012, non-Hispanic blacks were 3.5 times more likely to be hospitalized for lower limb amputations as compared to non-Hispanic whites.
• In 2013, African Americans were twice as likely as non-Hispanic Whites to die from diabetes.

At a glance – Diagnosed Cases of Diabetes:

Age-adjusted prevalence of persons 18 years of age and over with diabetes, 2014

Non-Hispanic Black	Non-Hispanic White	Non-Hispanic Black/Non- Hispanic White Ratio
13.4	7.3	1.8

Source: CDC 2016. Summary Health Statistics: National Health Interview Survey: 2014. Table A-4.
http://www.cdc.gov/nchs/nhis/shs/tables.htm

 

At a glance – Prevalence Rate:

Age-adjusted prevalence of diagnosed diabetes per 100 population (2014)

	African Americans	White	African Americans/ White Ratio
Men	9.2	6.3	1.5
Women	9.9	5.3	1.9
Total	9.5	5.8	1.6

Source: CDC 2016. National Diabetes Surveillance System.
http://www.cdc.gov/diabetes/statistics/prevalence_national.htm

 

Age-adjusted prevalence of visual impairment per 100 adults with diabetes (2011)

	African Americans	White	African Americans/ White Ratio
Men	19.9	16.0	1.2
Women	21.4	18.3	1.2
Total	20.7	17.1	1.2

Source:  CDC 2016.  National Diabetes Surveillance System.
https://gis.cdc.gov/grasp/diabetes/DiabetesAtlas.html

 

Incidence of end-stage renal disease related to diabetes per 100,000 diabetic population (2008)

	African Americans	White	African Americans/ White Ratio
Men and Women	368.7	151.7	2.4
Men	461.7	170.7	2.7
Women	304.9	131.5	2.3

Source: CDC 2016. National Diabetes Surveillance System.
https://gis.cdc.gov/grasp/diabetes/DiabetesAtlas.html

 

Age-adjusted hospital discharge rate per 1,000 diabetic population, 2009

African Americans	White	African Americans/ White Ratio
265.6	160.5	1.7

Source: CDC 2016. National Diabetes Surveillance System.
https://www.cdc.gov/diabetes/data/index.html

 

Age-adjusted rate for lower extremity amputation per 1,000 diabetic population, 2009

African Americans	White	African Americans/ White Ratio
4.5	2.3	2.0

Source: CDC 2016. National Diabetes Surveillance System.
https://gis.cdc.gov/grasp/diabetes/DiabetesAtlas.html

 

Hospital admissions for lower extremity amputations, age 18 and over with diabetes, 2012 (rate per 1,000 population)

Non-Hispanic Black	Non-Hispanic White	Non-Hispanic Black / Non-Hispanic White Ratio
44.2	12.5	3.5

Source: National Healthcare Quality and Disparities Reports. Data Query: Table 6_4_3_5_2.2a [Accessed 05/05/2016] http://nhqrnet.ahrq.gov/inhqrdr/data/query

 

Age-adjusted end stage renal disease (ESRD) due to diabetes, 2010 (rate per million)

Non-Hispanic Black	Non-Hispanic White	Non-Hispanic Black / Non-Hispanic White Ratio See Also Voices for the Heart to address a rare heart disease affecting the African diaspora disproportionately
427.2	100.7	4.2

Source: National Healthcare Quality and Disparities Reports. Data Query: Table 6_4_3_6_1.2b [Accessed 05/05/2016] http://nhqrnet.ahrq.gov/inhqrdr/data/query

 

At a glance – Death Rate:

Age-Adjusted Diabetes Death Rates per 100,000 (2013)

	Non-Hispanic Black	Non-Hispanic White	Non-Hispanic Black/Non- Hispanic White Ratio
Male	45.1	23.1	2.0
Female	35.2	14.9	2.4
Total	39.5	18.6	2.1

Source: CDC, 2014. National Vital Statistic Report. Vol. 64, Num 2 Table 17.
http://www.cdc.gov/nchs/data/nvsr/nvsr64/nvsr64_02.pdf [PDF | 1.68MB]

 

At a Glance – Risk Factors

There are several risk factors related to diabeties. Some of these risk factors are:

Obesity and Overweight – See Obesity and African Americans
Hypertension – See Heart Disease and African Americans
High Cholesterol – See Heart Disease and African Americans
Cigarette Smoking – See Heart Disease and African Americans

At a Glance – Treatment:

Age-adjusted percentage of persons 40 years of age and over with diabetes who had received an influenza immunization, 2012

Non-Hispanic Black	Non-Hispanic White	Non-Hispanic Black/ Non-Hispanic White Ratio
55.2	65.0	0.8

Source: National Healthcare Quality and Disparities Reports. Data Query: Table 6_4_1_5_1.2b [Accessed 05/05/2016] http://nhqrnet.ahrq.gov/inhqrdr/data/query

 

Age-adjusted percentage of persons 40 years of age and over with diabetes who had a foot examination, 2012

Non-Hispanic Black	Non-Hispanic White	Non-Hispanic Black/ Non-Hispanic White Ratio
72.5	69.4	1.0

Source: National Healthcare Quality and Disparities Reports. Data Query: Table 6_4_1_5_1.2b [Accessed 05/05/2016] http://nhqrnet.ahrq.gov/inhqrdr/data/query

 

Age-adjusted percentage of persons 40 years of age and over with diabetes who had a retinal eye examination, 2012

Non-Hispanic Black	Non-Hispanic White	Non-Hispanic Black/ Non-Hispanic White Ratio
55.3	61.3	0.9

Source: National Healthcare Quality and Disparities Reports. Data Query: Table 6_4_1_5_1.2b [Accessed 05/05/2016] http://nhqrnet.ahrq.gov/inhqrdr/data/query