title: Ethnic Differences in Geriatric Conditions and Diabetes Complications Among Older, Insured Adults With Diabetes: The Diabetes and Aging Study.
abstract: OBJECTIVE
  The aim of this study was to evaluate ethnic differences in burden of prevalent geriatric conditions and diabetic complications among older, insured adults with diabetes.
  
  
  METHODS
  An observational study was conducted among 115,538 diabetes patients, aged ≥60, in an integrated health care system with uniform access to care.
  
  
  RESULTS
  Compared with Whites, Asians and Filipinos were more likely to be underweight but had substantively lower prevalence of falls, urinary incontinence, polypharmacy, depression, and chronic pain, and were least likely of all groups to have at least one geriatric condition. African Americans had significantly lower prevalence of incontinence and falls, but higher prevalence of dementia; Latinos had a lower prevalence of falls. Except for end-stage renal disease (ESRD), Whites tended to have the highest rates of prevalent diabetic complications.
  
  
  CONCLUSIONS
  Among these insured older adults, ethnic health patterns varied substantially; differences were frequently small and rates were often better among select minority groups, suggesting progress toward the Healthy People 2020 objective to reduce health disparities.
authors: Kaiser Permanente Division of Research, Oakland, CA, USA andy.j.karter@kp.org.
authors: Andrew J
authors: AJ
authors: Karter
authors: University of Chicago, Chicago, IL, USA.
authors: Neda
authors: N
authors: Laiteerapong
authors: University of Chicago, Chicago, IL, USA.
authors: Marshall H
authors: MH
authors: Chin
authors: Kaiser Permanente Division of Research, Oakland, CA, USA.
authors: Howard H
authors: HH
authors: Moffet
authors: Kaiser Permanente Division of Research, Oakland, CA, USA.
authors: Melissa M
authors: MM
authors: Parker
authors: University of California-San Francisco, USA.
authors: Rebecca
authors: R
authors: Sudore
authors: Kaiser Permanente Division of Research, Oakland, CA, USA.
authors: Alyce S
authors: AS
authors: Adams
authors: University of California-San Francisco, USA.
authors: Dean
authors: D
authors: Schillinger
authors: University of California-San Francisco, USA.
authors: Nancy S
authors: NS
authors: Adler
authors: Kaiser Permanente Division of Research, Oakland, CA, USA.
authors: Rachel A
authors: RA
authors: Whitmer
authors: University of Michigan, Ann Arbor, USA.
authors: John D
authors: JD
authors: Piette
authors: University of Chicago, Chicago, IL, USA.
authors: Elbert S
authors: ES
authors: Huang
mesh_terms: D001741:Black or African American / Q000706:statistics & numerical data; D000368:Aged; D000369:Aged, 80 and over; D044466:Asian People / Q000706:statistics & numerical data; D048909:Diabetes Complications / Q000208:ethnology*; D005006:Ethnicity / Q000706:statistics & numerical data*; D005260:Female; D005500:Follow-Up Studies; D054624:Health Status Disparities; D006630:Hispanic or Latino / Q000706:statistics & numerical data; D006801:Humans; D007348:Insurance, Health / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D064887:Observational Studies as Topic; D010679:Philippines / Q000208:ethnology; D011446:Prospective Studies; D044465:White People / Q000706:statistics & numerical data
keywords: diabetes mellitus; diabetic complications; ethnicity; geriatric conditions; race