Missed Opportunities for Diagnosis and Treatment of Diabetes, Hypertension, and Hypercholesterolemia in a Mexican American Population, Cameron County Hispanic Cohort, 2003–2008

INTRODUCTION: Diabetes, hypertension, and hypercholesterolemia are common chronic diseases among Hispanics, a group projected to comprise 30% of the US population by 2050. Mexican Americans are the largest ethnically distinct subgroup among Hispanics. We assessed the prevalence of and risk factors f...

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Hauptverfasser:	Fisher-Hoch, Susan P., Vatcheva, Kristina P., Laing, Susan T., Hossain, M. Monir, Rahbar, M. Hossein, Hanis, Craig L., Brown, H. Shelton, Rentfro, Anne R., Reininger, Belinda M., McCormick, Joseph B.
Format:	Artigo
Sprache:	Inglês
Veröffentlicht:	Centers for Disease Control and Prevention 2012
Schlagworte:	Original Research
Online Zugang:	https://ncbi.nlm.nih.gov/pmc/articles/PMC3475522/ https://ncbi.nlm.nih.gov/pubmed/22863308 https://ncbi.nlm.nih.govhttp://dx.doi.org/10.5888/pcd9.110298
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spelling	pubmed-34755222012-11-13 Missed Opportunities for Diagnosis and Treatment of Diabetes, Hypertension, and Hypercholesterolemia in a Mexican American Population, Cameron County Hispanic Cohort, 2003–2008 Fisher-Hoch, Susan P. Vatcheva, Kristina P. Laing, Susan T. Hossain, M. Monir Rahbar, M. Hossein Hanis, Craig L. Brown, H. Shelton Rentfro, Anne R. Reininger, Belinda M. McCormick, Joseph B. Prev Chronic Dis Original Research INTRODUCTION: Diabetes, hypertension, and hypercholesterolemia are common chronic diseases among Hispanics, a group projected to comprise 30% of the US population by 2050. Mexican Americans are the largest ethnically distinct subgroup among Hispanics. We assessed the prevalence of and risk factors for undiagnosed and untreated diabetes, hypertension, and hypercholesterolemia among Mexican Americans in Cameron County, Texas. METHODS: We analyzed cross-sectional baseline data collected from 2003 to 2008 in the Cameron County Hispanic Cohort, a randomly selected, community-recruited cohort of 2,000 Mexican American adults aged 18 or older, to assess prevalence of diabetes, hypertension, and hypercholesterolemia; to assess the extent to which these diseases had been previously diagnosed based on self-report; and to determine whether participants who self-reported having these diseases were receiving treatment. We also assessed social and economic factors associated with prevalence, diagnosis, and treatment. RESULTS: Approximately 70% of participants had 1 or more of the 3 chronic diseases studied. Of these, at least half had had 1 of these 3 diagnosed, and at least half of those who had had a disease diagnosed were not being treated. Having insurance coverage was positively associated with having the 3 diseases diagnosed and treated, as were higher income and education level. CONCLUSIONS: Although having insurance coverage is associated with receiving treatment, important social and cultural barriers remain. Failure to provide widespread preventive medicine at the primary care level will have costly consequences. Centers for Disease Control and Prevention 2012-08-02 /pmc/articles/PMC3475522/ /pubmed/22863308 http://dx.doi.org/10.5888/pcd9.110298 Text en https://creativecommons.org/licenses/by/4.0/This is a publication of the U.S. Government. This publication is in the public domain and is therefore without copyright. All text from this work may be reprinted freely. Use of these materials should be properly cited.
institution	US NLM
collection	PubMed Central
language	Inglês
format	Artigo
topic	Original Research
spellingShingle	Original Research Fisher-Hoch, Susan P. Vatcheva, Kristina P. Laing, Susan T. Hossain, M. Monir Rahbar, M. Hossein Hanis, Craig L. Brown, H. Shelton Rentfro, Anne R. Reininger, Belinda M. McCormick, Joseph B. Missed Opportunities for Diagnosis and Treatment of Diabetes, Hypertension, and Hypercholesterolemia in a Mexican American Population, Cameron County Hispanic Cohort, 2003–2008
description	INTRODUCTION: Diabetes, hypertension, and hypercholesterolemia are common chronic diseases among Hispanics, a group projected to comprise 30% of the US population by 2050. Mexican Americans are the largest ethnically distinct subgroup among Hispanics. We assessed the prevalence of and risk factors for undiagnosed and untreated diabetes, hypertension, and hypercholesterolemia among Mexican Americans in Cameron County, Texas. METHODS: We analyzed cross-sectional baseline data collected from 2003 to 2008 in the Cameron County Hispanic Cohort, a randomly selected, community-recruited cohort of 2,000 Mexican American adults aged 18 or older, to assess prevalence of diabetes, hypertension, and hypercholesterolemia; to assess the extent to which these diseases had been previously diagnosed based on self-report; and to determine whether participants who self-reported having these diseases were receiving treatment. We also assessed social and economic factors associated with prevalence, diagnosis, and treatment. RESULTS: Approximately 70% of participants had 1 or more of the 3 chronic diseases studied. Of these, at least half had had 1 of these 3 diagnosed, and at least half of those who had had a disease diagnosed were not being treated. Having insurance coverage was positively associated with having the 3 diseases diagnosed and treated, as were higher income and education level. CONCLUSIONS: Although having insurance coverage is associated with receiving treatment, important social and cultural barriers remain. Failure to provide widespread preventive medicine at the primary care level will have costly consequences.
author	Fisher-Hoch, Susan P. Vatcheva, Kristina P. Laing, Susan T. Hossain, M. Monir Rahbar, M. Hossein Hanis, Craig L. Brown, H. Shelton Rentfro, Anne R. Reininger, Belinda M. McCormick, Joseph B.
author_facet	Fisher-Hoch, Susan P. Vatcheva, Kristina P. Laing, Susan T. Hossain, M. Monir Rahbar, M. Hossein Hanis, Craig L. Brown, H. Shelton Rentfro, Anne R. Reininger, Belinda M. McCormick, Joseph B.
author_sort	Fisher-Hoch, Susan P.
title	Missed Opportunities for Diagnosis and Treatment of Diabetes, Hypertension, and Hypercholesterolemia in a Mexican American Population, Cameron County Hispanic Cohort, 2003–2008
title_short	Missed Opportunities for Diagnosis and Treatment of Diabetes, Hypertension, and Hypercholesterolemia in a Mexican American Population, Cameron County Hispanic Cohort, 2003–2008
title_full	Missed Opportunities for Diagnosis and Treatment of Diabetes, Hypertension, and Hypercholesterolemia in a Mexican American Population, Cameron County Hispanic Cohort, 2003–2008
title_fullStr	Missed Opportunities for Diagnosis and Treatment of Diabetes, Hypertension, and Hypercholesterolemia in a Mexican American Population, Cameron County Hispanic Cohort, 2003–2008
title_full_unstemmed	Missed Opportunities for Diagnosis and Treatment of Diabetes, Hypertension, and Hypercholesterolemia in a Mexican American Population, Cameron County Hispanic Cohort, 2003–2008
title_sort	missed opportunities for diagnosis and treatment of diabetes, hypertension, and hypercholesterolemia in a mexican american population, cameron county hispanic cohort, 2003–2008
publisher	Centers for Disease Control and Prevention
publishDate	2012
url	https://ncbi.nlm.nih.gov/pmc/articles/PMC3475522/ https://ncbi.nlm.nih.gov/pubmed/22863308 https://ncbi.nlm.nih.govhttp://dx.doi.org/10.5888/pcd9.110298
_version_	1761587561271132160

Missed Opportunities for Diagnosis and Treatment of Diabetes, Hypertension, and Hypercholesterolemia in a Mexican American Population, Cameron County Hispanic Cohort, 2003–2008

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