{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T03:52:28Z","timestamp":1787025148571,"version":"build-2736575974"},"reference-count":40,"publisher":"American Diabetes Association","issue":"6","license":[{"start":{"date-parts":[[2016,12,1]],"date-time":"2016-12-01T00:00:00Z","timestamp":1480550400000},"content-version":"vor","delay-in-days":227,"URL":"http:\/\/www.diabetesjournals.org\/site\/license"}],"funder":[{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["N01-HC65233"],"award-info":[{"award-number":["N01-HC65233"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["N01-HC65234"],"award-info":[{"award-number":["N01-HC65234"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["N01-HC65235"],"award-info":[{"award-number":["N01-HC65235"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["N01-HC65236"],"award-info":[{"award-number":["N01-HC65236"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["N01-HC65237"],"award-info":[{"award-number":["N01-HC65237"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["diabetesjournals.org"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2016,6,1]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>To determine whether, after adjustment for glycemia and other selected covariates, hemoglobin A1c (HbA1c) differed among adults from six Hispanic\/Latino heritage groups (Central American, Cuban, Dominican, Mexican, Puerto Rican, and South American) and between Hispanic\/Latino and non-Hispanic white adults without self-reported diabetes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESEARCH DESIGN AND METHODS<\/jats:title>\n                    <jats:p>We performed a cross-sectional analysis of data from 13,083 individuals without self-reported diabetes from six Hispanic\/Latino heritage groups, enrolled from 2008 to 2011 in the Hispanic Community Health Study\/Study of Latinos, and 2,242 non-Hispanic white adults enrolled during the 2007\u20132012 cycles of the National Health and Nutrition Examination Survey. We compared HbA1c levels among Hispanics\/Latinos and between Hispanics\/Latinos and non-Hispanic whites before and after adjustment for age, sex, fasting (FPG) and 2-h post\u2013oral glucose tolerance test (2hPG) glucose, anthropometric measurements, and selected biochemical and hematologic variables and after stratification by diabetes status: unrecognized diabetes (FPG \u22657.1 mmol\/L or 2hPG \u226511.2 mmol\/L), prediabetes (FPG 5.6\u20137.0 mmol\/L or 2hPG 7.8\u201311.1 mmol\/L), and normal glucose tolerance (FPG &amp;lt;5.6 mmol\/L and 2hPG &amp;lt;7.8 mmol\/L).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Adjusted mean HbA1c differed significantly across all seven groups (P &amp;lt; 0.001). Non-Hispanic whites had significantly lower HbA1c (P &amp;lt; 0.05) than each individual Hispanic\/Latino heritage group. Upon stratification by diabetes status, statistically significant differences (P &amp;lt; 0.001) in adjusted mean HbA1c persisted across all seven groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>HbA1c differs among Hispanics\/Latinos of diverse heritage groups and between non-Hispanic whites and Hispanics\/Latinos after adjustment for glycemia and other covariates. The clinical significance of these differences is unknown.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2337\/dc15-2579","type":"journal-article","created":{"date-parts":[[2016,4,18]],"date-time":"2016-04-18T22:49:43Z","timestamp":1461019783000},"page":"1010-1017","update-policy":"https:\/\/doi.org\/10.2337\/ada-journal-policies","source":"Crossref","is-referenced-by-count":24,"title":["Differences in Hemoglobin A1c Between Hispanics\/Latinos and Non-Hispanic Whites: An Analysis of the Hispanic Community Health Study\/Study of Latinos and the 2007\u20132012 National Health and Nutrition Examination Survey"],"prefix":"10.2337","volume":"39","author":[{"given":"M. Larissa","family":"Avil\u00e9s-Santa","sequence":"first","affiliation":[{"name":"Division of Cardiovascular Sciences, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucy L.","family":"Hsu","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Sciences, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mario","family":"Arredondo","sequence":"additional","affiliation":[{"name":"Columbia University Mailman School of Public Health, New York, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andy","family":"Menke","sequence":"additional","affiliation":[{"name":"Social & Scientific Systems, Inc., Silver Spring, MD"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ellen","family":"Werner","sequence":"additional","affiliation":[{"name":"Division of Blood Diseases and Resources, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bharat","family":"Thyagarajan","sequence":"additional","affiliation":[{"name":"Department of Laboratory Medicine and Pathology, University of Minnesota, Minneapolis, MN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerardo","family":"Heiss","sequence":"additional","affiliation":[{"name":"Collaborative Studies Coordinating Center, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanping","family":"Teng","sequence":"additional","affiliation":[{"name":"Collaborative Studies Coordinating Center, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neil","family":"Schneiderman","sequence":"additional","affiliation":[{"name":"Miller School of Medicine, University of Miami, Miami, FL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aida L.","family":"Giachello","sequence":"additional","affiliation":[{"name":"Northwestern University Feinberg School of Medicine, Chicago, IL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda C.","family":"Gallo","sequence":"additional","affiliation":[{"name":"Department of Psychology, San Diego State University, San Diego, CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory A.","family":"Talavera","sequence":"additional","affiliation":[{"name":"Institute for Behavioral and Community Health, Graduate School of Public Health, San Diego State University, San Diego, CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine C.","family":"Cowie","sequence":"additional","affiliation":[{"name":"National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1167","published-online":{"date-parts":[[2016,4,18]]},"reference":[{"key":"2022031219372238800_B1","doi-asserted-by":"crossref","first-page":"S13","DOI":"10.2337\/dc16-S005","article-title":"2. 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