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American Journal of Epidemiology Vol. 129, No. 2: 295-311
Copyright © 1989 by The Johns Hopkins University School of Hygiene and Public Health

research-article

METHODS AND PREVALENCE OF NON-INSULIN-DEPENDENT DIABETES MELLITUS IN A BIETHNIC COLORADO POPULATION

THE SAN LUIS VALLEY DIABETES STUDY1

RICHARD F. HAMMAN, JULIE A. MARSHALL, JUDITH BAXTER, LOUISE B. KAHN, ELIZABETH J. MAYER, MIRIAM ORLEANS, JAMES R. MURPHY and DENNIS C. LEZOTT

Reprint requests to Dr. Richard F. Hamman, Department of Preventive Medicine and Biometrics, University of Colorado School of Medicine, Box C-245, Denver, CO 80262

The San Luis Valley Diabetes Study was undertaken to determine the prevalence, risk factors, and complications of non-insulin-dependent diabetes mellitus in Hispanics and Anglos (non-Hispanic whites), using a geographically based case-control design. The study was conducted in two southern Colorado counties that include 43.6% Hispanic and 54.9% Anglo persons. Medical practice records were reviewed to identify medically diagnosed diabetics. Controls without diabetes were identified by a two-stage random sample of households. Diabetics (n = 343) and controls (n = 607) attended a clinic where an oral glucose tolerance test or current hypoglycemic therapy confirmed or diagnosed non-insulin-dependent diabetes mellitus. The age-adjusted prevalence of confirmed non-insulin-dependent diabetes mellitus was 21/1,000 in Anglo males and 44/1,000 in Hispanic males, accounting for non-response. For Anglo females, the prevalence was 13/1,000 compared with 62/1,000 for Hispanic females, accounting for nonresponse. Previously undiagnosed non-insulin-dependent diabetes mellitus was also higher among Hispanics. There was a 2.1-fold excess of confirmed non insulin-dependent diabetes mellitus among Hispanic males and a 4.8-fold excess among Hispanic females, consistent with the excess non-insulin-dependent diabetes mellitus among Hispanics reported from comparable studies. Non-insulin-dependent diabetes mellitus is a major chronic disease problem for persons of Hispanic ethnicity

diabetes mellitus; non-insulin-dependent; Hispanic Americans; retrospective studies

1Department of Preventive Medicine and Biometrics, University of Colorado School of Medicine Denver, CO


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