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Racial and ethnic differences
Table 2.2a. Racial and Ethnic Differences in Effectiveness of Care: Diabetes
| Measure |
Racial Differencei |
Ethnic Differenceii |
| Black |
Asian |
NHOPI |
AI/AN |
>1 Race |
Hispanic |
| Management of Diabetes |
| Adults with diabetes who had a hemoglobin A1c measurement at least once in past yeariii |
= |
|
|
|
↓ |
| Adults with diabetes who had a lipid profile in past 2 yearsiii |
= |
|
|
|
= |
| Adults with diabetes who had a retinal eye examination in past yeariii |
= |
|
|
|
↓ |
| Adults with diabetes who had a foot examination in past yeariii |
= |
|
|
|
↓ |
| Adults with diabetes who had an influenza immunization in past yeariii |
↓ |
|
|
|
↓ |
| Hospital admissions for uncontrolled diabetes per 100,000 populationiv |
↓iv |
=iv |
|
|
↓ |
| Hospital admissions for short-term complications of diabetes per 100,000 populationiv |
↓iv |
↑iv |
|
|
= |
| Hospital admissions for long-term complications of diabetes per 100,000 populationiv |
↓iv |
=iv |
|
|
↓ |
| Hospital admissions for lower extremity amputations in patients with diabetes per 1,000 populationv |
= |
|
|
|
|
|
Table 2.2b. Socioeconomic Differences in Effectiveness of Care: Diabetes
| Measure |
Income Differencevi |
Educational Differencevii |
Insurance Differenceviii |
| <100% |
100-199% |
200-399% |
<HS |
HS Grad |
Uninsured |
| Management of Diabetesiii |
| Adults with diabetes who had a hemoglobin A1c measurement at least once in past year |
↓ |
= |
= |
↓ |
= |
|
| Adults with diabetes who had a lipid profile in past 2 years |
= |
= |
= |
↓ |
↓ |
↓ |
| Adults with diabetes who had a retinal eye examination in past year |
↓ |
↓ |
= |
↓ |
= |
↓ |
| Adults with diabetes who had a foot examination in past year |
= |
= |
= |
= |
= |
= |
| Adults with diabetes who had an influenza immunization in past year |
= |
= |
= |
= |
= |
= |
iCompared with whites.
iiCompared with non-Hispanic whites.
iiiSource: Medical Expenditure Panel Survey, 2001. This source did not collect information on Asians and NHOPIs separately but in aggregate as Asian or Pacific Islander. This source did not collect information for >1 race.
ivSource: HCUP State Inpatient Databases disparities analysis file, 2001. This source categorizes race/ethnicity very differently from other sources. Race/ethnicity information is categorized as a single item: non-hispanic white, non-hispanic black, Hispanic Asian or Pacific Islander. These contrasts compare each group with non-Hispanic whites.
vSource: National Hospital Discharge Survey, 1999-2001. This source did not collect information for >1 race. Missing rates preclude analysis by ethnicity.
viCompared with persons with family incomes 400% of Federal poverty thresholds or above.
viiCompared with persons with any college education.
viiiCompared with persons under 65 with any private health insurance.
Key: NHOPI=Native Hawaiian or Other Pacific Islander; AI/AN=American Indian or Alaska Native; HS=high school