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 and Nutrition Examination Survey, NHANES

Age-adjusted percentages of physician-diagnosed diabetes among persons 20 years of age and over, 1999-2000
Not available at this time.

National Health Interview Survey, NHIS

**Age-adjusted percentages of persons 18 years of age and over with diabetes, 2005**
Asians	Non-Hispanic White	Asians / White Ratio
8.4	6.7	1.3

Source: CDC 2007. Summary Health Statistics for U.S. Adults: 2006. Table 8.
http://www.cdc.gov/nchs/data/series/sr_10/sr10_235.pdf

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

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

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

At a glance – Death Rate:

**Age-Adjusted Diabetes Death Rates per 100,000 (2004)**
Asians/Pacific Islanders	Non-Hispanic White	Asians/Pacific Islanders/Non-Hispanic White Ratio
16.6	21.5	0.8

Source: CDC, 2007. Health United States, 2007. Table 29.
http://www.cdc.gov/nchs/data/hus/hus07.pdf

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

At a Glance – Risk Factors:

Overweight

National Health and Nutrition Examination Survey, NHANES
Not available at this time.

National Health Interview Survey, NHIS

**Age-adjusted percentage of persons 18 years of age and over who are overweight but not obese, 2005. (Persons are considered overweight if they have a Body Mass Index (BMI) of 25 or greater.)**
Asians	Non-Hispanic White	Asians / White Ratio
27.6	34.5	0.8

Source: CDC 2007. Summary Health Statistics for U.S. Adults: 2006. Table 31.
http://www.cdc.gov/nchs/data/series/sr_10/sr10_235.pdf

Obesity

National Health and Nutrition Examination Survey, NHANES
Not available at this time.

National Health Interview Survey, NHIS

**Age-adjusted percentage of persons 18 years of age and over who are obese, 2006. (Persons are considered obese if they have a Body Mass Index (BMI) of 30 or greater.)**
Asians	Non-Hispanic White	Asians / White Ratio
8.3	24.7	0.3

Source: CDC 2007. Summary Health Statistics for U.S. Adults: 2006. Table 31.
http://www.cdc.gov/nchs/data/series/sr_10/sr10_235.pdf

Hypertension

National Health and Nutrition Examination Survey, NHANES
Not available at this time.

National Health Interview Survey, NHIS

**Age-adjusted percentage of persons 18 years of age and over who have high blood pressure, 2006.**
Asians	Non-Hispanic White	Asians / White Ratio
18.6	22.4	0.8

Source: CDC 2007. Summary Health Statistics for U.S. Adults: 2006. Table 2.
http://www.cdc.gov/nchs/data/series/sr_10/sr10_235.pdf

National Healthcare Quality Report
Percent of adults age 18 and over with hypertension whose blood pressure is under control, 1999-2000
Not available at this time.

BRFSS, REACH 2010 Surveys

**Age-adjusted percentage of adults (men and women) diagnosed with hypertension, 2001-2002**
Population	% diagnosed with hypertension	Ratio vs. General Population
Asians	20.9	0.8
U.S. General Public	26.5	--
Cambodians (Lowell, MA)	17.0	0.6
Vietnamese (LA, Orange, and Santa Clara Counties, CA)	18.9	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

High Cholesterol

National Health and Nutrition Examination Survey, NHANES
Age-adjusted percentage of persons 20 years of age and over who have high cholesterol, 1999-2002.
Not available at this time.

BRFSS, REACH 2010 Surveys

**Age-adjusted percentage of adults (men and women) with high cholesterol, 2001-2002**
Population	% diagnosed with high cholesterol	Ratio vs. General Population
Asians	28.5	1.0
U.S. General Public	29.7	--
Cambodians (Lowell, MA)	24.5	0.8
Vietnamese (LA, Orange, and Santa Clara Counties, CA)	24.8	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

**Age-adjusted percentage of adults (men and women) who had their blood cholesterol checked, 2001-2002**
Population	% checked blood cholesterol	Ratio vs. General Population
Asians	70.1	0.9
U.S. General Public	77.4	--
Cambodians (Lowell, MA)	47.7	0.6
Vietnamese (LA, Orange, and Santa Clara Counties, CA)	68.3	0.9

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

Cigarette Smoking

National Health Interview Survey, NHIS

**Age-adjusted percentage of persons 18 years of age and over who are current cigarette smokers, 2006.**
Asian	Non-Hispanic White	Asian/White Ratio
10.7	22.6	0.5

Source: CDC 2007. Summary Health Statistics for U.S. Adults: 2006. Table 26.
http://www.cdc.gov/nchs/data/series/sr_10/sr10_235.pdf

National Healthcare Quality Report
Percentage of current smokers age 18 and over with a checkup who reported receiving advice to quit smoking, 2001
Not available at this time.

**Percentage of heart attack patients given smoking cessation counseling while hospitalized, 2005**
Asian	White	Hispanic/White Ratio
85.9	92.8	0.9

Source: 2007 National Healthcare Disparities Report. Table 48.
http://www.ahrq.gov/qual/nhdr07/index.html

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

**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

**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

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

**% 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

**% 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

You will need Adobe Acrobat® Reader™ to view PDF files located on this site. If you do not already have Adobe Acrobat® Reader™, you can download here for free.

Content Last Modified: 6/27/2008 10:07:00 AM