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APHA Scientific Session and Event Listing

Recorded presentation

Edith Kieffer, PhD¹, Brandy Sinco, MS¹, Ann Rafferty, PhD², Michael Spencer, PhD¹, Gloria Palmisano, BS, MA³, Earl Watt, PhD⁴, and Michele Heisler, MD, MPA⁵. (1) School of Social Work, University of Michigan, 1080 S. University St., Room 3747, Box 183, Ann Arbor, MI 48109-1106, 734-647-2739, ekieffer@umich.edu, (2) Michigan BRFSS Consultant, Michigan Department of Community Health, 201 Townsend Street, Lansing, MI 48933, (3) REACH-Detroit Partnership, 2727 Second Ave., Detroit, MI 48201, (4) Michigan Department of Community Health, Database Manager/Statistician, 201 Townsend Street, Lansing, MI 48933, (5) Division of General Medicine, Department of Internal Medicine, University of Michigan, VA HSR & D, PO Box 130170, Ann Arbor, MI 48113

Objectives: Compare patterns of diabetes-related behavior and health status for African American and Latino residents of two REACH 2010 Detroit communities, Michigan and the U.S. Examine ethnic group-specific correlates of these behaviors in REACH Detroit.

Methods: Prevalence estimates for selected indicators of health status and behaviors were calculated for Latinos and African Americans from the Behavioral Risk Factor Survey data for 2001-2003. All estimates were standardized to the 2000 age and sex distribution of the U.S. population. Ethnic group-specific correlates of physical activity and fruit and vegetable consumption were assessed using multiple logistic and linear regression.

Results: The average BMI of survey respondents in all regions was in the overweight category, 27.5 kg/m2 to 29.0 kg/m2. Nationally and in REACH Detroit, similar proportions of African Americans were overweight or obese. Within the Latino population, there was a higher incidence of overweight (45.0%) than obese (28.8%).

In Detroit, higher fruit and vegetable consumption was associated with increasing age (p<.05) and education (p<.05) among both Latinos and African Americans. Among African Americans, fruit and vegetable consumption was higher among non-smokers (p<.05), females (p<.01), and those meeting physical activity guidelines (p<.05). Increased physical activity was associated with younger age (p<.01), male gender (p<.001), and more fruit and vegetable consumption (p<.05) among African Americans, and with unemployment (p<.05) among Latinos.

Conclusions: Ongoing surveillance of health disparities and progress toward healthy behaviors in high risk communities will assist in planning future interventions and directing social policies for reducing disparities in racial and ethnic minority communities.

Learning Objectives: Participants will be able to

• Describe and discuss patterns and correlates of diabetes-related behavioral and health status for African American and Latino persons.
• Gain insight for planning future interventions aimed at reducing health disparities.

Keywords: Diabetes, Health Objectives

Related Web page: www.reachdetroit.org

Presenting author's disclosure statement:

Any relevant financial relationships? No

Recorded presentation