EPI/Lifestyle 2025 Scientific Sessions  /  PS03.04 Diabetes  /  Disparities in the Association Between Diabetes Mellitus and All-Cause Mortality Among Asian American Subgroups: Findings From the National Health Interview Survey (NHIS) (1997–2018)
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American Heart Association

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Final ID: P3053

Disparities in the Association Between Diabetes Mellitus and All-Cause Mortality Among Asian American Subgroups: Findings From the National Health Interview Survey (NHIS) (1997–2018)

Abstract Body: Introduction: The prevalence of diabetes mellitus (DM), a well-established mortality risk factor, is higher among Asian Americans collectively than non-Hispanic White (NHW) populations. Despite known racial/ethnic differences in diabetes-related outcomes, Asian Americans are often studied as a homogeneous group. This study investigates the disparities in the association between DM and all-cause mortality rates among different Asian American subgroups relative to NHWs.
Hypothesis: We assessed the hypothesis that the associations between diabetes mellitus and all-cause mortality rates differ among Asian American subgroups compared to NHWs.
Methods: Data from the National Health Interview Survey (NHIS) (1997–2018) was linked with the 2019 National Death Index (NDI). A total of n = 418,681 individuals were analyzed, with diabetes prevalence and all-cause mortality rates compared among Asian Indian (n = 5,478), Chinese (n = 5,848), Filipino (n = 6,419), and NHW (n = 400,936) groups. Hazard ratios (HRs) were calculated using weighted Cox proportional hazard modeling controlling for demographic and socioeconomic determinants of health.
Results: Compared to NHW individuals (8.3%, 95% CI [8.2-8.4]), the prevalence of diabetes was higher in Filipino individuals (9.7%, 95% CI [8.9-10.6]) and Asian Indian individuals (7.7%, 95% CI [6.9-8.6]) but lower in Chinese individuals (4.7%, 95% CI [4.1-5.4]). Among individuals with diabetes, the adjusted hazard ratios for all-cause mortality rates were lower for Chinese (HR = 0.85, 95% CI [0.76-0.96]), Filipino (HR = 0.75, 95% CI [0.71-0.79]), and Asian Indian (HR = 0.65, 95% CI [0.45-0.93]) populations compared to NHW individuals.
Conclusion: Asian Americans with diabetes experienced a lower mortality risk compared to NHW individuals with diabetes, despite some Asian subgroups having a higher prevalence of the disease. Variations in determinants of all-cause mortality, such as education, income, and nativity, likely contribute to these differences, underscoring the need for targeted interventions.
  • Szeto, Benjamin  ( Stanford University , Mountain View , California , United States )
  • Kim, Gloria  ( Stanford University , Stanford , California , United States )
  • Srinivasan, Malathi  ( Stanford University , Mountain View , California , United States )
  • Palaniappan, Latha  ( STANFORD UNIVERSITY , Stanford , California , United States )
  • Bacong, Adrian  ( Stanford University , Mountain View , California , United States )
  • Gujral, Unjali  ( Emory University Rollins School of Public Health , Atlanta , Georgia , United States )
  • Lam, Hin Lai Ivan  ( University of Hong Kong , Hong Kong , Hong Kong )
  • Gangaram, Sahithi  ( Emory University , Frisco , Texas , United States )
  • Kaur, Muskan  ( Stanford University , Mountain View , California , United States )
  • Sediqi, Sadaf  ( Stanford University , Mountain View , California , United States )
  • Uy, Lester Andrew  ( Stanford University , Mountain View , California , United States )
  • Jamal, Armaan  ( Stanford University , Baltimore , Maryland , United States )
  • Rajeshuni, Nitya  ( Stanford University , Mountain View , California , United States )
  • Huang, Robert  ( Stanford University , Mountain View , California , United States )
    • Author Disclosures:
    Benjamin Szeto: DO NOT have relevant financial relationships | Gloria Kim: DO NOT have relevant financial relationships | Malathi Srinivasan: DO NOT have relevant financial relationships | Latha Palaniappan: DO NOT have relevant financial relationships | Adrian Bacong: DO NOT have relevant financial relationships | Unjali Gujral: DO NOT have relevant financial relationships | Hin Lai Ivan Lam: DO NOT have relevant financial relationships | Sahithi Gangaram: DO NOT have relevant financial relationships | Muskan Kaur: No Answer | Sadaf Sediqi: DO NOT have relevant financial relationships | Lester Andrew Uy: No Answer | Armaan Jamal: DO NOT have relevant financial relationships | Nitya Rajeshuni: DO NOT have relevant financial relationships | Robert Huang: No Answer
Meeting Info:

EPI/Lifestyle 2025 Scientific Sessions

2025

New Orleans, LA

Session Info:

PS03.04 Diabetes

Saturday, 03/08/2025 , 05:00PM - 07:00PM

Poster Session

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