{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,20]],"date-time":"2025-08-20T12:47:38Z","timestamp":1755694058360},"reference-count":24,"publisher":"American Diabetes Association","issue":"6","license":[{"start":{"date-parts":[[2021,8,28]],"date-time":"2021-08-28T00:00:00Z","timestamp":1630108800000},"content-version":"vor","delay-in-days":3753,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/3.0\/"}],"content-domain":{"domain":["diabetesjournals.org"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2011,6,1]]},"abstract":"<jats:sec>\n                  <jats:title>OBJECTIVE<\/jats:title>\n                  <jats:p>Ethnicity has been identified as a risk factor not only for having type 2 diabetes but for increased morbidity and mortality with the disease. Current American Diabetes Association (ADA) guidelines advocate screening high-risk minorities for diabetes. This study investigates the effect of minority status on diabetes screening practices in an ambulatory, insured population presenting for yearly health care.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESEARCH DESIGN AND METHODS<\/jats:title>\n                  <jats:p>This is a retrospective population\u2013based study of patients in a large, Midwestern, academic group practice. Included patients were insured, had \u22651 primary care visit yearly from 2003 to 2007, and did not have diabetes but met ADA criteria for screening. Odds ratios (ORs), 95% confidence intervals (CI), and predicted probabilities were calculated to determine the relationship between screening with fasting glucose, glucose tolerance test, or hemoglobin A1c and patient and visit characteristics.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>Of the 15,557 eligible patients, 607 (4%) were of high-risk ethnicity, 61% were female, and 86% were \u226545 years of age. Of the eight high-risk factors studied, after adjustment, ethnicity was the only factor not associated with higher diabetes screening (OR = 0.90 [95% CI 0.76\u20131.08]) despite more primary care visits in this group. In overweight patients &amp;lt;45 years, where screening eligibility is based on having an additional risk factor, high-risk ethnicity (OR 1.01 [0.70\u20131.44]) was not associated with increased screening frequency.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>In an insured population presenting for routine care, high-risk minority status did not independently lead to diabetes screening as recommended by ADA guidelines. Factors other than insurance or access to care appear to affect minority-preventive care.<\/jats:p>\n               <\/jats:sec>","DOI":"10.2337\/dc10-1785","type":"journal-article","created":{"date-parts":[[2011,5,12]],"date-time":"2011-05-12T06:04:00Z","timestamp":1305180240000},"page":"1289-1294","update-policy":"http:\/\/dx.doi.org\/10.2337\/ada-journal-policies","source":"Crossref","is-referenced-by-count":21,"title":["Minority Status and Diabetes Screening in an Ambulatory Population"],"prefix":"10.2337","volume":"34","author":[{"given":"Ann","family":"Sheehy","sequence":"first","affiliation":[{"name":"Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nancy","family":"Pandhi","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin"},{"name":"Department of Population Health Sciences, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Douglas B.","family":"Coursin","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin"},{"name":"Department of Anesthesiology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Grace E.","family":"Flood","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sally A.","family":"Kraft","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heather M.","family":"Johnson","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maureen A.","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin"},{"name":"Department of Population Health Sciences, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin"},{"name":"Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1167","published-online":{"date-parts":[[2011,5,20]]},"reference":[{"key":"2022031218555840300_B1"},{"key":"2022031218555840300_B2","unstructured":"U.S. Department of Health and Human Services. Healthy People 2010 Proposal [Internet]. Available from http:\/\/www.healthypeople.gov\/2010. Accessed 23 February 2011"},{"key":"2022031218555840300_B3","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1097\/MED.0b013e3282f5dbb8","article-title":"Ethnic disparities in diabetes care: myth or reality?","volume":"15","author":"Meneghini","year":"2008","journal-title":"Curr Opin Endocrinol Diabetes Obes"},{"key":"2022031218555840300_B4","volume-title":"Race, ethnicity and health. (Snapshots of American families III, No. 20)","author":"Finegold","year":"2004"},{"key":"2022031218555840300_B5","doi-asserted-by":"crossref","first-page":"S11","DOI":"10.2337\/dc10-S011","article-title":"Standards of medical care in diabetes\u20142010","volume":"33","author":"American Diabetes Association","year":"2010","journal-title":"Diabetes Care"},{"key":"2022031218555840300_B6","doi-asserted-by":"crossref","first-page":"27","DOI":"10.4065\/mcp.2009.0289","article-title":"Analysis of guidelines for screening diabetes mellitus in an ambulatory population","volume":"85","author":"Sheehy","year":"2010","journal-title":"Mayo Clin Proc"},{"key":"2022031218555840300_B7","first-page":"45","article-title":"Wisconsin Collaborative for Healthcare Quality (WCHQ): lessons learned","volume":"103","author":"Hatahet","year":"2004","journal-title":"WMJ"},{"key":"2022031218555840300_B8","volume-title":"International Classification of Diseases, 9th Revision (ICD-9)","author":"World Health Organization","year":"1977"},{"key":"2022031218555840300_B9","volume-title":"Stata Statistical Software","author":"StataCorp","year":"2007"},{"key":"2022031218555840300_B10","doi-asserted-by":"crossref","first-page":"1924","DOI":"10.2337\/dc05-2238","article-title":"Ethnic disparities and trends in glycemic control among adults with type 2 diabetes in the U.S. from 1988 to 2002","volume":"29","author":"Fan","year":"2006","journal-title":"Diabetes Care"},{"key":"2022031218555840300_B11","doi-asserted-by":"crossref","first-page":"403","DOI":"10.2337\/diacare.22.3.403","article-title":"Racial and ethnic differences in glycemic control of adults with type 2 diabetes","volume":"22","author":"Harris","year":"1999","journal-title":"Diabetes Care"},{"key":"2022031218555840300_B12","unstructured":"U.S. Department of Health and Human Services. 2008 National Healthcare Quality and Disparities Reports [Internet], 2008. Available from http:\/\/www.ahrq.gov\/qual\/qrdr08.htm. Accessed 6 November 2009"},{"key":"2022031218555840300_B13","doi-asserted-by":"crossref","first-page":"1748","DOI":"10.2337\/dc08-0527","article-title":"The missed patient with diabetes: how access to health care affects the detection of diabetes","volume":"31","author":"Zhang","year":"2008","journal-title":"Diabetes Care"},{"key":"2022031218555840300_B14","doi-asserted-by":"crossref","first-page":"846","DOI":"10.7326\/0003-4819-148-11-200806030-00007","article-title":"Screening for type 2 diabetes mellitus in adults: U.S. Preventive Services Task Force recommendation statement","volume":"148","author":"U.S. Preventive Services Task Force","year":"2008","journal-title":"Ann Intern Med"},{"key":"2022031218555840300_B15","doi-asserted-by":"crossref","first-page":"882","DOI":"10.1007\/s11606-007-0160-1","article-title":"Reducing racial bias among health care providers: lessons from social-cognitive psychology","volume":"22","author":"Burgess","year":"2007","journal-title":"J Gen Intern Med"},{"key":"2022031218555840300_B16","volume-title":"Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care","author":"Smedley","year":"2002"},{"key":"2022031218555840300_B17","doi-asserted-by":"crossref","first-page":"815","DOI":"10.7326\/0003-4819-152-12-201006150-00011","article-title":"Hemoglobin A1c: teaching a new dog old tricks","volume":"152","author":"Herman","year":"2010","journal-title":"Ann Intern Med"},{"key":"2022031218555840300_B18","doi-asserted-by":"crossref","first-page":"770","DOI":"10.7326\/0003-4819-152-12-201006150-00004","article-title":"Glucose-independent, black-white differences in hemoglobin A1c levels: a cross-sectional analysis of 2 studies","volume":"152","author":"Ziemer","year":"2010","journal-title":"Ann Intern Med"},{"key":"2022031218555840300_B19","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1590\/S1020-49892010000700008","article-title":"Comparison of three methods for diabetes screening in a rural clinic in Honduras","volume":"28","author":"Piette","year":"2010","journal-title":"Rev Panam Salud Publica"},{"key":"2022031218555840300_B20","doi-asserted-by":"crossref","first-page":"1145","DOI":"10.1001\/archinte.168.11.1145","article-title":"Physician performance and racial disparities in diabetes mellitus care","volume":"168","author":"Sequist","year":"2008","journal-title":"Arch Intern Med"},{"key":"2022031218555840300_B21","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1016\/j.diabres.2005.02.008","article-title":"Socio-economic status and undiagnosed diabetes","volume":"70","author":"Wilder","year":"2005","journal-title":"Diabetes Res Clin Pract"},{"key":"2022031218555840300_B22","doi-asserted-by":"crossref","first-page":"131","DOI":"10.2337\/diacare.29.01.06.dc05-1642","article-title":"Medical mistrust, diabetes self-management, and glycemic control in an indigent population with type 2 diabetes","volume":"29","author":"Egede","year":"2006","journal-title":"Diabetes Care"},{"key":"2022031218555840300_B23","doi-asserted-by":"crossref","first-page":"575","DOI":"10.1056\/NEJMsa040609","article-title":"Primary care physicians who treat blacks and whites","volume":"351","author":"Bach","year":"2004","journal-title":"N Engl J Med"},{"key":"2022031218555840300_B24","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1001\/archinternmed.2008.559","article-title":"Separate and unequal: clinics where minority and nonminority patients receive primary care","volume":"169","author":"Varkey","year":"2009","journal-title":"Arch Intern Med"}],"container-title":["Diabetes Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/diabetesjournals.org\/care\/article-pdf\/34\/6\/1289\/608249\/1289.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/diabetesjournals.org\/care\/article-pdf\/34\/6\/1289\/608249\/1289.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,3,12]],"date-time":"2022-03-12T20:06:12Z","timestamp":1647115572000},"score":1,"resource":{"primary":{"URL":"https:\/\/diabetesjournals.org\/care\/article\/34\/6\/1289\/27239\/Minority-Status-and-Diabetes-Screening-in-an"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,5,20]]},"references-count":24,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2011,5,20]]},"published-print":{"date-parts":[[2011,6,1]]}},"URL":"https:\/\/doi.org\/10.2337\/dc10-1785","relation":{},"ISSN":["0149-5992","1935-5548"],"issn-type":[{"value":"0149-5992","type":"print"},{"value":"1935-5548","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,5,20]]}}}