Ethnic differences in lifestyle and screening behaviors among adults living in Flint, Michigan

Background: Racial health disparities in diabetes are evident between African Americans and Caucasians in Flint, Michigan. It is common knowledge that African Americans have higher incidence and prevalence rates of diabetes than the national level. Flint adults do not engage in enough physical activity or consume enough fruit and vegetables (Prevention Research Center, 2005). The common diabetes prevention message is to increase physical activity and lose weight. However, there are numerous factors that must be considered to make diabetes prevention messages more effective for minority populations. Survey questions that have clear language and ask detailed questions provide information that can be used to determine ethnic differences in the priority population. Culturally relevant diabetes prevention programs are needed for African American populations in Michigan to positively impact adverse lifestyle behaviors that lead to diabetes. The purpose of this research is to illustrate the ethnic differences of Flint adults in lifestyle behaviors and diabetes screening. Methods: A secondary analysis of Project EXPORT needs assessment data and the Prevention Research Center of Michigan Speak to Your Health Community Survey were used to compare the lifestyle and diabetes screening behaviors of African Americans and Caucasian adults. Results: Chi-square analysis revealed significant results for factors that influenced dietary practices. Health educators should consider ethnic differences in diet when developing diabetes prevention programs.