Diabetes and Asians and Pacific Islanders

Asians, in general, have the same rate of diabetes as non-Hispanic whites. However, there are differences within this population.

In Hawaii, Native Hawaiians have more than twice the rate of diabetes as Whites.
Asians are 20% less likely than non-Hispanic whites to die from diabetes.
In Hawaii, Native Hawaiians are more than 5.7 times as likely as Whites living in Hawaii to die from diabetes.
Filipinos living in Hawaii have more than 3 times the death rate as Whites living in Hawaii.

At a glance – Diagnosed Cases of Diabetes:

National Health Interview Survey, NHIS

**Age-adjusted percentages of persons 18 years of age and over with diabetes, 2007**
Asians	Non-Hispanic White	Asians / White Ratio
8.9	6.4	1.4

**Age-adjusted percentages of persons 18 years of age and over with diabetes, 2007**
Native Hawaiian/Pacific Islanders	Non-Hispanic White	Native Hawaiian Or Pacific Islanders/ White Ratio
20.6*	6.4	3.2

Source: CDC 2009. Summary Health Statistics for U.S. Adults: 2007. Table 8.
http://www.cdc.gov/nchs/data/series/sr_10/sr10_240.pdf[PDF | 8.43MB]

BRFSS, REACH 2010 Surveys

**Age-adjusted percentage of adults (men and women) diagnosed with diabetes, 2001-2002**
Population	% diagnosed with diabetes	Ratio vs. General Population
Asians	7.8	1.1
U.S. General Public	7.0	--
Cambodians (Lowell, MA)	5.1	0.7
Vietnamese (LA, Orange, and Santa Clara Counties, CA)	5.3	0.8

Source: CDC, 2004. Morbidity and Mortality Weekly Report: 53(33): 760-765, Table 1.
http://www.cdc.gov/mmwr/PDF/wk/mm5333.pdf[PDF | 358.8 KB]

Hawaii State BRFSS

**% of adults diagnosed with diabetes, 2000-2002**
Hawaiian	Filipino	Japanese	White
7.9	7.5	6.6	3.4

Source: Hawaii State Department of Health, 2004. Hawaii Diabetes Report, 2004.
http://www.hawaii.gov/health/family-child-health/chronic-disease/diabetes/pdf/diabetesreport.pdf[PDF | 3.7 MB]

At a glance – Prevalence Rate:

National Diabetes Surveillance System

Age-adjusted prevalence of diagnosed diabetes per 100 population (2003).
Not available at this time.

Age-adjusted prevalence of visual impairment per 100 adults with diabetes (2003)
Not available at this time.

Rate of initiation of treatment for end-stage renal disease related to diabetes per 100,000 diabetic population (2001)
Not available at this time.

Age-adjusted rate of hospitalization per 1,000 diabetic population, 2002
Not available at this time.

Age-adjusted rate for lower extremity amputation per 1,000 diabetic population, 2002
Not available at this time.available at this time.

Hawaii State BRFSS

**% of retinopathy among adults with diabetes, 2000-2002**
Population	% with retinopathy	Ratio vs. State General Public
State population	21.9	--
Hawaiian	28.7	1.3
Filipino	18.3	0.8
Japanese	19.8	0.9
White	16.5	0.75

Source: Hawaii State Department of Health, 2004. Hawaii Diabetes Report, 2004. Figure 12.
http://www.hawaii.gov/health/family-child-health/chronic-disease/diabetes/pdf/diabetesreport.pdf [PDF | 4MB]

At a glance – Death Rate:

**Age-Adjusted Diabetes Death Rates per 100,000 (2006)**
Asians/Pacific Islanders	Non-Hispanic White	Asians/Pacific Islanders/Non-Hispanic White Ratio
15.8	20.4	0.8

Source: CDC, 2009. Health United States, 2008. Table 28.
http://www.cdc.gov/nchs/data/hus/hus08.pdf [PDF | 8.4MB]

**Age-Adjusted Diabetes Death Rates per 100,000 (2006)**
	Asian American/Pacific Islanders	Non-Hispanic White	Asian American/Pacific Islanders/Non- Hispanic White Ratio
Male	18.0	24.7	0.7
Female	14.1	17.0	0.8
Total	15.8	20.4	0.8

Source: CDC, 2009. National Vital Statistic Report. Vol.56, 10, Table 17 and Table 16.
http://www.cdc.gov/nchs/data/nvsr/nvsr57/nvsr57_14.pdf [PDF | 1.7 MB]

Hawaii State BRFSS

**Age-adjusted diabetes death rates per 100,000, 2000-2002**
Hawaiian	Filipino	Japanese	White
216	116	100	38

Source: Hawaii State Department of Health, 2004. Hawaii Diabetes Report, 2004. Figure 9.
http://www.hawaii.gov/health/family-child-health/chronic-disease/diabetes/pdf/diabetesreport.pdf [PDF | 3.7 MB]

At a Glance – Risk Factors:

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

Obesity and Overweight – See Obesity and Asians and Pacific Islanders

Hypertension – See Heart Disease and Asians and Pacific Islanders

High Cholesterol – See Heart Disease and Asians and Pacific Islanders

Cigarette Smoking – See Heart Disease and Asians and Pacific Islanders

At a Glance – Treatment:

National Healthcare Quality Report
Age-adjusted percentage of persons 18 years of age and over with diabetes who had their cholesterol checked, 2001.
Not available at this time.

Age-adjusted percentage of persons 18 years of age and over with diabetes who had received an influenza immunization, 2001.
Not available at this time.

Age-adjusted percentage of persons 18 years of age and over with diabetes who had a foot examination, 2001.
Not available at this time.

Age-adjusted percentage of persons 18 years of age and over with diabetes who had a retinal eye examination, 2001.
Not available at this time.

BRFSS, REACH 2010 Surveys

**Age-adjusted percentage of diabetics (men and women) who had received an influenza immunization in the past year, 2001-2002 (BRFSS, REACH 2010 Surveys)**
Population	% Received Influenza Vaccination	Ratio vs. General Population
Asians	75.2	1.1
U.S. General Public	66.4	--
Cambodians (Lowell, MA)	77.2	1.2
Vietnamese (LA, Orange, and Santa Clara Counties, CA)	82.5	1.2

Source: CDC, 2004. Morbidity and Mortality Weekly Report: 53(33): 760-765, Table 1.
http://www.cdc.gov/mmwr/PDF/wk/mm5333.pdf[PDF | 358.8 KB]

**Age-adjusted percentage of diabetics who had a foot exam, 2001-2002 (BRFSS, REACH 2010 Surveys)**
Population	% received foot exam	Ratio vs. General Population
Asians	57.9	0.9
U.S. General Public	65.6	--
Cambodians (Lowell, MA)	59.5	0.9
Vietnamese (LA, Orange, and Santa Clara Counties, CA)	46.0	0.7

Source: CDC, 2004. Morbidity and Mortality Weekly Report: 53(33): 760-765, Table 1.
http://www.cdc.gov/mmwr/PDF/wk/mm5333.pdf[PDF | 358.8 KB]

**Age-adjusted percentage of diabetics who had an eye exam, 2001-2002 (BRFSS, REACH 2010 Surveys)**
Population	% received eye exam	Ratio vs. General Population
Asians	52.2	0.9
U.S. General Public	61.4	--
Cambodians (Lowell, MA)	65.3	1.1
Vietnamese (LA, Orange, and Santa Clara Counties, CA)	69.5	1.1

Source: CDC, 2004. Morbidity and Mortality Weekly Report: 53(33): 760-765, Table 1.
http://www.cdc.gov/mmwr/PDF/wk/mm5333.pdf[PDF | 358.8 KB]

Hawaii State BRFSS

**% of diabetic adults receiving diabetes management education, 2000-2002**
Population	% receiving diabetes management education	Ratio vs. State General Public
State population	53.0	--
Hawaiian	58.5	1.1
Filipino	53.9	1.0
Japanese	42.5	0.8
White	56.0	1.1

Source: Hawaii State Department of Health, 2004. Hawaii Diabetes Report, 2004. Figure 18.
http://www.hawaii.gov/health/family-child-health/chronic-disease/diabetes/pdf/diabetesreport.pdf[PDF | 3.7 MB]

**% of diabetic adults who check their feet daily, 2000-2002**
Population	% who check their feet	Ratio vs. State General Public
State population	69.4	--
Hawaiian	65.1	0.9
Filipino	68.7	1.0
Japanese	63.6	0.9
White	79.4	1.1

Source: Hawaii State Department of Health, 2004. Hawaii Diabetes Report, 2004. Figure 19.
http://www.hawaii.gov/health/family-child-health/chronic-disease/diabetes/pdf/diabetesreport.pdf[PDF | 3.7 MB]

**% of diabetic adults who check their blood glucose levels daily, 2000-2002**
Population	% who check blood glucose levels daily	Ratio vs. State General Public
State population	45.4	--
Hawaiian	54.8	1.2
Filipino	43.5	1.0
Japanese	32.8	0.7
White	58.6	1.3

Source: Hawaii State Department of Health, 2004. Hawaii Diabetes Report, 2004. Figure 20.
http://www.hawaii.gov/health/family-child-health/chronic-disease/diabetes/pdf/diabetesreport.pdf[PDF | 3.7 MB]

* Estimates are considered unreliable. Data shown have a relative standard error of greater than 30%.

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Content Last Modified: 12/7/2009 11:51:00 AM