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Author Notes:

Jeannette M. Beasley, Email: jeannette.beasley@nyulangone.org

NI, MS, and JMB conceived of the study. NI and JMB developed the study protocol and the overall research plan. JMB, JC, and SC performed the data analysis. JMB wrote the manuscript. All authors assisted with editing the manuscript. All authors read and approved the final manuscript.

We would like to gratefully acknowledge the contributions of Drs. Islam, Lauderdale, and Shah for contributing South Asian surnames to make this analysis possible. We also appreciate Agnes Park’s assistance with compiling the surnames into a master list, and Victoria Lam’s contributions in generating the NYC EHR data.

The authors declare that they have no competing interests.

Subjects:

Research Funding:

This study was supported by the Centers for Disease Control and Prevention (grant U48DP001904) and the National Institutes of Health (Grant 3U54MD00053817S1). JMB’s time is partially supported by the National Institute of Diabetes and Digestive Kidney Diseases (Grant R01DK127916). NI’s time is partially supported by the National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases (Grants R01DK110048-01A1, R18DK110740 and P30 DK111022R01DK11048), National Institute on Minority Health and Health Disparities (Grant U54MD000538), National Heart, Lung, and Blood Institute (Grant 1UG3HL151310), and National Center for Advancing Translational Science (Grant UL1TR001445). JH’s time is partially supported by the National Library of Medicine (Grant 5K01LM012924). MS’s time is partially supported by the National Institute on Minority Health and Health Disparities (K23 MD015088). UPG was funded in part by the National Institute of Diabetes and Digestive and Kidney Diseases grant number P30DK111024.

Keywords:

  • Science & Technology
  • Life Sciences & Biomedicine
  • Endocrinology & Metabolism
  • Hypertension
  • Diabetes
  • South Asian
  • Co-morbidity
  • Electronic health record
  • UNITED-STATES
  • RISK-FACTORS
  • PREVALENCE
  • INDIANS
  • INTERVENTION
  • COMMUNITY
  • AMERICANS
  • HEART

Diabetes and hypertension among South Asians in New York and Atlanta leveraging hospital electronic health records

Tools:

Journal Title:

DIABETOLOGY & METABOLIC SYNDROME

Volume:

Volume 13, Number 1

Publisher:

, Pages 146-146

Type of Work:

Article | Final Publisher PDF

Abstract:

Background: Diabetes and hypertension disparities are pronounced among South Asians. There is regional variation in the prevalence of diabetes and hypertension in the US, but it is unknown whether there is variation among South Asians living in the US. The objective of this study was to compare the burden of diabetes and hypertension between South Asian patients receiving care in the health systems of two US cities. Methods: Cross-sectional analyses were performed using electronic health records (EHR) for 90,137 South Asians receiving care at New York University Langone in New York City (NYC) and 28,868 South Asians receiving care at Emory University (Atlanta). Diabetes was defined as having 2 + encounters with a diagnosis of diabetes, having a diabetes medication prescribed (excluding Acarbose/Metformin), or having 2 + abnormal A1C levels (≥ 6.5%) and 1 + encounter with a diagnosis of diabetes. Hypertension was defined as having 3 + BP readings of systolic BP ≥ 130 mmHg or diastolic BP ≥ 80 mmHg, 2 + encounters with a diagnosis of hypertension, or having an anti-hypertensive medication prescribed. Results: Among South Asian patients at these two large, private health systems, age-adjusted diabetes burden was 10.7% in NYC compared to 6.7% in Atlanta. Age-adjusted hypertension burden was 20.9% in NYC compared to 24.7% in Atlanta. In Atlanta, 75.6% of those with diabetes had comorbid hypertension compared to 46.2% in NYC. Conclusions: These findings suggest differences by region and sex in diabetes and hypertension risk. Additionally, these results call for better characterization of race/ethnicity in EHRs to identify ethnic subgroup variation, as well as intervention studies to reduce lifestyle exposures that underlie the elevated risk for type 2 diabetes and hypertension development in South Asians.

Copyright information:

© The Author(s) 2021

This is an Open Access work distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4.0/).
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