Diabetes and Diabetes Care among Nonobese Japanese-Americans: Findings from a Population-Based Study

Date

2019

Authors

Kobayashi, Karen
Chan, Keith Tsz-Kit
Roy, Adity
Khan, Mushira Mohsin
Fuller-Thomson, Esme

Journal Title

Journal ISSN

Volume Title

Publisher

Advances in Preventive Medicine

Abstract

Objectives. The objectives of this study are as follows: (1) to determine the prevalence of diabetes among nonobese Japanese-Americans and to determine the adjusted odds of diabetes among nonobese Japanese-Americans compared to non-Hispanic Whites (NHWs); (2) to identify the risk factors associated with having diabetes in a large sample of nonobese Japanese-Americans; and (3) to determine the prevalence and adjusted odds of diabetes management behaviors among nonobese Japanese-Americans with diabetes in comparison to NHWs with diabetes. Methods. The combined 2007-2016 waves of the adult California Health Interview Survey (CHIS) were used to analyze a nonobese (BMI<30) sample of 2,295 Japanese-Americans and 119,651 NHWs. Chi-square and logistic regression analyses were performed using Stata. Results. The findings of this representative community study of nonobese Californians indicate that the prevalence of diabetes among Japanese-American respondents was higher than their NHW counterparts (8.0% versus 4.5%). Prevalence increased markedly with age; one-quarter of nonobese Japanese Americans aged 80 and older had diabetes. Conclusions. The prevalence of diabetes among nonobese Japanese-Americans is significantly higher than that among NHWs. There is an urgent need to develop appropriate intervention and prevention approaches with lifestyle modification specifically targeted towards nonobese Japanese-Americans.

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Citation

Kobayashi, K., Chan, K.T., Roy, A., Khan, M.M. & Fuller-Thomson, E. (2019). Diabetes and Diabetes Care among Nonobese Japanese-Americans: Findings from a Population-Based Study. Advances in Preventive Medicine, Vol. 2019, Article ID 3650649. https://doi.org/10.1155/2019/3650649