Ethnic Differences in Diabetes Management in Patients With and Without Comorbid Medical Conditions
A cross-sectional study
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- Table 1
Mean difference in intermediate outcomes by ethnicity and number of comorbid conditions
Blood pressure (mmHg) Measure Systolic* Diastolic† A1C (%)† Cholesterol (mmol/L)† Ethnic group comorbidity White 0 (reference) 0 — — — 1 concordant 4.6 (3.0–6.1)‡ — — — ≥2 concordant 1.5 (−0.3 to 3.3) — — — ≥1 discordant −1.4 (−3.5 to 0.8) — — — Black 0 0.9 (−0.9 to 2.9) — — — 1 concordant 5.9 (4.3–7.6)‡ — — — ≥2 concordant 6.2 (3.8–8.5)‡ — — — ≥1 discordant −3.1 (−6.7 to 0.3) — — — South Asian 0 −2.3 (−4.2 to −0.3)§ — — — 1 concordant 2.6 (−0.5 to 5.3) — — — ≥2 concordant 1.4 (−0.8 to 3.6) — — — ≥1 discordant −4.2 (−7.5 to −0.9)§ — — — Ethnic group White (reference) — 0 0 0 Black — 1.3 (0.7–1.9)‡ 0.3 (0.1–0.4)‡ −0.04 (−0.1 to 0.02) South Asian — −0.5 (−1.2 to 0.2) 0.2 (0.04 to 0.3)‡ −0.2 (−0.2 to −0.1)‡ Comorbidities, number 0 (reference) — 0 0 0 1 concordant — 1.5 (0.9–2.1)‡ −0.2 (−0.3 to −0.1)‡ −0.1 (−0.2 to −0.1)‡ ≥2 concordant — −0.1 (−0.9 to 0.6) −0.2 (−0.4 to −0.1)|| −0.3 (−0.4 to −0.2)‡ ≥1 discordant — −1.0 (−2.0 to −0.6)§ −0.1 (−0.3 to 0.1) −0.0 (−0.1 to 0.0) Values are adjusted for age, sex, diabetes duration, BMI, socioeconomic status, and practice level clustering.
Mean values are presented with the 95% CI in parenthesis.
↵*Interaction between ethnicity and comorbidity (P = 0.03).
↵†Interaction between ethnicity and comorbidity (P > 0.05).
↵‡P < 0.001;
↵§P < 0.05;
||P < 0.01.