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Diabetes and African Americans

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.
http://www.cdc.gov/diabetes/statistics/dmany/fig6.htm

 

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

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