{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T01:45:07Z","timestamp":1773279907906,"version":"3.50.1"},"reference-count":26,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2018,8,10]],"date-time":"2018-08-10T00:00:00Z","timestamp":1533859200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>The objectives of the present study were to estimate the prevalence of co\u2010occurring diabetes and hypertension among older adults, examine predictors of co\u2010occurring diabetes and hypertension, and ascertain whether predictors varied by race.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective analysis was carried out using a statewide survey of Alabama community\u2010dwelling older adults (<jats:italic>n<\/jats:italic>\u2009=\u20091204). Measures of central tendency and frequency distributions were used for univariate analysis. Logistic regression was used to predict co\u2010occurring diabetes and hypertension.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The prevalence of co\u2010occurring diabetes and hypertension among older adults was 17%. African American race (OR 2.28, 95% CI 1.596\u20133.255), body mass index \u226530 (OR 2.45, 95% CI 1.732\u20133.463), heart disease (OR 1.93, 95% CI 1.355\u20132.756) and eye disease (OR 1.44, 95% CI 1.018\u20132.024) were associated positively with co\u2010occurring diabetes and hypertension.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The prevalence of co\u2010occurring diabetes and hypertension among older adults was alarmingly high. The notable difference in the likelihood of co\u2010occurring diabetes and hypertension is representative of a racial health disparity that largely disfavors African American older adults. Findings from the present study highlight a need for identification of older adults who have and who are at risk of co\u2010occurring diabetes and hypertension in the general population and in clinical settings, and the development and implementation of suitable interventions, particularly targeting older African American adults. <jats:bold>Geriatr Gerontol Int 2018; 18: 1356\u20131360<\/jats:bold>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ggi.13489","type":"journal-article","created":{"date-parts":[[2018,8,10]],"date-time":"2018-08-10T08:33:36Z","timestamp":1533890016000},"page":"1356-1360","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Prevalence and predictors of co\u2010occurring diabetes and hypertension in community\u2010dwelling older adults"],"prefix":"10.1111","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3207-2231","authenticated-orcid":false,"given":"Omar T.","family":"Sims","sequence":"first","affiliation":[{"name":"Department of Social Work, College of Arts and Sciences University of Alabama at Birmingham  Birmingham Alabama USA"},{"name":"Department of Health Behavior, School of Public Health University of Alabama at Birmingham  Birmingham Alabama USA"},{"name":"Comprehensive Center for Healthy Aging, School of Medicine University of Alabama at Birmingham  Birmingham Alabama USA"},{"name":"Center for AIDS Research, School of Medicine University of Alabama at Birmingham  Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hyejung","family":"Oh","sequence":"additional","affiliation":[{"name":"Department of Social Work, School of Social Sciences &amp; Education California State University Bakersfield  Bakersfield California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hyunjin","family":"Noh","sequence":"additional","affiliation":[{"name":"School of Social Work University of Alabama  Tuscaloosa Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pamela A.","family":"Melton","sequence":"additional","affiliation":[{"name":"Department of Social Work, Psychology and Counseling, College of Education, Humanities, and Behavioral Sciences Alabama A&amp;M University  Normal Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samantha","family":"Sheffield","sequence":"additional","affiliation":[{"name":"Department of Health Behavior, School of Public Health University of Alabama at Birmingham  Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kacey","family":"Ingram","sequence":"additional","affiliation":[{"name":"Department of Health Behavior, School of Public Health University of Alabama at Birmingham  Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricia","family":"Sawyer","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Gerontology, Geriatrics, and Palliative Care University of Alabama at Birmingham  Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,8,10]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2015.10029"},{"key":"e_1_2_7_3_1","first-page":"1","article-title":"Hypertension among adults in the United States: National Health and nutrition examination survey, 2011\u20102012","volume":"133","author":"Nwankwo T","year":"2013","journal-title":"NCHS Data Brief"},{"key":"e_1_2_7_4_1","doi-asserted-by":"crossref","DOI":"10.3402\/gha.v9.31440","article-title":"Urban and rural prevalence of diabetes and pre\u2010diabetes and risk factors associated with diabetes in Tanzania and Uganda","volume":"9","author":"Chiwanga FS","year":"2016","journal-title":"Glob Health Action"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/2456518"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0027-9684(15)30470-3"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1038\/jhh.2015.124"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.12805"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2015.04.008"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdi.12618"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/HJH.0000000000001145"},{"key":"e_1_2_7_12_1","doi-asserted-by":"crossref","first-page":"1527","DOI":"10.1111\/ggi.12910","article-title":"Relationship between chronic kidney disease with diabetes or hypertension and frailty in community\u2010dwelling Japanese older adults","volume":"17","author":"Lee S","year":"2016","journal-title":"Geriatr Gerontol Int"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.4330\/wjc.v6.i9.890"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.113.000155"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.114.010676"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.113.007699"},{"key":"e_1_2_7_17_1","first-page":"177","article-title":"Residential segregation and hypertension prevalence in black and white older adults","author":"Usher T","year":"2016","journal-title":"J Appl Gerontol"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.13813"},{"issue":"2","key":"e_1_2_7_19_1","first-page":"89","article-title":"Co\u2010occurrence of diabetes and hypertension: pattern and factors associated with order of diagnosis among nigerians","volume":"9","author":"Balogun WO","year":"2011","journal-title":"Ann Ib Postgrad Med"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3956(82)90033-4"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1038\/hr.2017.75"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCRESAHA.116.305697"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dsx.2016.06.017"},{"key":"e_1_2_7_24_1","unstructured":"States with the Highest Type 2 Diabetes Rates.Better Policies a Heal Am State Obes.[Cited 8 May 2018.] Available from URL:https:\/\/stateofobesity.org\/lists\/highest-rates-diabetes\/."},{"key":"e_1_2_7_25_1","unstructured":"Hypertension in the United States.Better Policies a Heal Am State Obes.2016. 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