The prevalence of self-reported chronic conditions among Arab, Chaldean, and African Americans in southeast Michigan.
OBJECTIVE
While there is a plethora of research on the prevalence of individual chronic conditions, studies that examine the clustering of these conditions are lacking, especially among immigrant, minority groups.


METHODS
Cross-sectional, convenience sample.


METHODS
A self-administered survey was distributed at churches, mosques, and small businesses.


METHODS
Arabs (n = 1383), Chaldeans (n = 868), Blacks (n = 809) and Whites (n = 220) in southeast Michigan.


METHODS
We estimated the prevalence of hypertension, high cholesterol, heart disease, diabetes, asthma, and depression. Using a logistic regression model, we estimated odds ratios and 95% confidence intervals for the association between ethnicity and reporting one or more chronic conditions before and after adjusting for demographic, socioeconomic status, health care, chronic conditions, and health behavior variables.


RESULTS
The overall age and sex-adjusted prevalence of having one or more chronic conditions was 44%. Estimates were lower for Chaldeans (32%) compared to Arabs (44%), Whites and Blacks (50% for each group). In the fully adjusted model, Chaldeans were less likely (OR = 0.62; 95% CI = 0.43-0.89) to report having one more chronic conditions compared to Whites.


CONCLUSIONS
Future studies should employ probability samples, and should collect more detailed sociodemographic and acculturation data, which influence the relationship between race/ethnicity and the prevalence of chronic conditions.
Jamil
Hikmet
H
Arab American & Chaldean Council, Michigan, USA. hjamil@med.wayne.edu
Dallo
Florence
F
Fakhouri
Monty
M
Templin
Thomas
T
Khoury
Radwan
R
Fakhouri
Haifa
H
D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data; D018912:Arabs / Q000208:ethnology; D001249:Asthma / Q000208:ethnology*; D002908:Chronic Disease; D003430:Cross-Sectional Studies; D003863:Depression / Q000208:ethnology*; D003920:Diabetes Mellitus / Q000208:ethnology*; D005260:Female; D006306:Health Surveys; D006331:Heart Diseases / Q000208:ethnology*; D006801:Humans; D006937:Hypercholesterolemia / Q000208:ethnology*; D006973:Hypertension / Q000208:ethnology*; D007493:Iraq / Q000208:ethnology; D007730:Kuwait / Q000208:ethnology; D008297:Male; D008824:Michigan / Q000453:epidemiology; D008875:Middle Aged; D015995:Prevalence; D055815:Young Adult