ProCite
RefWorks
Reference Manager
BibTeX
Zotero
EndNote
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Ogurtsova K et al. 2017. IDF diabetes atlas: global estimates for the prevalence of diabetes for 2015 and 2040. Diabetes Res Clin Pract 128: 40–50.
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WHO, 2016. Global Report on Diabetes. Geneva, Switzerland: World Health Organization.
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Dagenais G et al. 2016. Variations in diabetes prevalence in low-, middle-, and high-income countries: results from the Prospective Urban and Rural Epidemiological Study. Diabetes Care 39: 780–787.
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Fisher-Hoch SP, Vatcheva KP, Rahbar MH, McCormick JB, 2015. Undiagnosed diabetes and pre-diabetes in health disparities. PLoS One 10: e0133135.
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Peek M, Cargill A, Huang E, 2007. Diabetes health disparities. Med Care Res Rev 64: 101S–156S.
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Suwannaphant K, Laohasiriwong W, Puttanapong N, Saengsuwan J, Phajan T, 2017. Association between Socioeconomic Status and Diabetes Mellitus: the National Socioeconomics Survey, 2010 and 2012. J Clin Diagn Res 11: LC18–LC22.
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Aschnera P et al. 2014. Diabetes in South and Central America: an update. Diabetes Res Clin Pract 103: 238–243.
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Vellakkal S, Subramanian SV, Millett C, Basu S, Stuckler D, Ebrahim S, 2013. Socioeconomic inequalities in non-communicable diseases prevalence in India: disparities between self-reported diagnoses and standardized measures. PLoS One 8: e68219.
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Wu H, Meng X, Wild SH, Gasevic D, Jackson CA, 2017. Socioeconomic status and prevalence of type 2 diabetes in mainland China, Hong Kong and Taiwan: a systematic review. J Glob Health 7: 011103.
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Mendenhall E, Kohrt B, Norris S, Ndetei D, Prabhakaran D, 2017. Non-communicable disease syndemics: poverty, depression, and diabetes among low-income populations. Lancet 389: 951–963.
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Keys H, Gonzales M, Beau De Rochars M, Blount S, Noland G, 2018. Building trust through lymphatic filariasis elimination: a platform to address social exclusion and human rights in the Dominican Republic. Health and Human Rights Journal. 20: 41–52.
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25.
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| Past two years | Past Year | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 1786 | 972 | 160 |
| Full Text Views | 590 | 34 | 1 |
| PDF Downloads | 357 | 28 | 1 |
Prevalence of Diabetes, Prediabetes, and Associated Risk Factors Among Agricultural Village Residents in the Dominican Republic
Valery E. Madsen Beau De Rochars
Valery E. Madsen Beau De Rochars
Department of Health Services Research, Management, and Policy, University of Florida, Gainesville, Florida;
Emerging Pathogens Institute, University of Florida, Gainesville, Florida;
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Emerging Pathogens Institute, University of Florida, Gainesville, Florida;
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Hunter Keys
Hunter Keys
Department of Anthropology, University of Amsterdam, Amsterdam, The Netherlands;
The Carter Center, Atlanta, Georgia;
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The Carter Center, Atlanta, Georgia;
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Shenae K. Samuels
Shenae K. Samuels
Memorial Healthcare System, Office of Human Research, Hollywood, Florida;
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Ara Jo
Ara Jo
Department of Health Services Research, Management, and Policy, University of Florida, Gainesville, Florida;
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Gregory S. Noland
Gregory S. Noland
The Carter Center, Atlanta, Georgia;
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Manuel Gonzales
Manuel Gonzales
Centro Nacional para el Control de Enfermedades Tropicales (CENCET), Santo Domingo, Dominican Republic;
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Stephen Blount
Stephen Blount
The Carter Center, Atlanta, Georgia;
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Arch G. Mainous III
Arch G. Mainous III
Department of Health Services Research, Management, and Policy, University of Florida, Gainesville, Florida;
Department of Community Health and Family Medicine, University of Florida, Gainesville, Florida
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Department of Community Health and Family Medicine, University of Florida, Gainesville, Florida
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Abstract.
This study examined the prevalence and risk factors of prediabetes and type 2 diabetes among residents of agricultural settlement villages (bateyes) in the Dominican Republic. From March to April 2016, a cross-sectional, multi-stage cluster survey was conducted across the country’s three agricultural regions (southwest, east, and north). At selected households, an adult completed a questionnaire to assess demographics, diabetes knowledge, and care, and two household residents of any age provided finger-prick blood samples that were analyzed for hemoglobin A1c (HbA1c). HbA1c was categorized as normal (< 5.7%), prediabetic (5.7–6.4%), or diabetic (≥ 6.5%). The prevalence rates of diabetes and prediabetes were 8.6% (95% confidence interval [CI], 6.2–11.8%) and 20.4% (95% CI, 17.9–23.2%), respectively, among all participants (N = 1293; median age, 35 years; range, 2–96 years), and 10.0% (95% CI, 7.2–13.8%) and 20.0% (95% CI, 17.4–23.0%), respectively, among adults 18 years or older (N = 730). The average age of participants with diabetes was 47.2 years. The average age of participants with prediabetes was 40.7 years. Among adult questionnaire respondents, 64.8% of all participants and 39.4% of patients with diabetes had not been tested for diabetes previously. Among patients with diabetes, 28.4% were previously diagnosed; 1.2% of prediabetes patients were previously diagnosed. Half (50.7%) of the respondents had heard of diabetes. The majority (94.1%) of patients previously diagnosed with diabetes reported using diabetes medication. Among both undiagnosed and previously diagnosed patients with diabetes, diabetes knowledge, previous diabetes testing, and diabetes care-seeking were lowest among Haitian-born participants. A high burden of undiagnosed diabetes and deficiencies in diabetes knowledge, access to care, and diagnosis exist among all batey inhabitants, but most acutely among Haitians. Improvements will require a multi-sectoral approach.
Author Notes
Financial support: Portions of this work were supported by startup funds from the College of Public Health and Health Professions of University of Florida to VMBDR, a Research Talent Award funded by the Netherlands Organization for Scientific Research (to HK), and a PAHO/TDR Small Grant Programme grant (number SCON2016-02343 to GSN). The funders had no role in the design, analysis, or interpretation of the study or its results.
Authors’ addresses: Valery E. Madsen Beau De Rochars, Ara Jo, and Arch G. Mainous III, Department of Health Services Research, Management, and Policy, University of Florida, Gainesville, FL, E-mails: madsenbeau@phhp.ufl.edu, ara13j@phhp.ufl.edu, and arch.mainous@phhp.ufl.edu. Hunter Keys, Department of Anthropology, University of Amsterdam, Amsterdam, The Netherlands, E-mail: hunter.keys@cartercenter.org. Shenae K. Samuels, Memorial Healthcare System, Office of Human Research, Hollywood, FL, E-mail: shsamuels@mhs.net. Gregory S. Noland and Stephen Blount, The Carter Center, Atlanta, GA, E-mails: gregory.noland@cartercenter.org and stephen.blount@cartercenter.org. Manuel Gonzales, Centro Nacional para el Control de Enfermedades Tropicales (CENCET), Santo Domingo, Dominican Republic, E-mail: manuelgonpe@gmail.com.
These authors contributed equally to this work.
ProCite
RefWorks
Reference Manager
BibTeX
Zotero
EndNote
-
1.
Ogurtsova K et al. 2017. IDF diabetes atlas: global estimates for the prevalence of diabetes for 2015 and 2040. Diabetes Res Clin Pract 128: 40–50.
-
2.
WHO, 2016. Global Report on Diabetes. Geneva, Switzerland: World Health Organization.
-
3.
Wild S, Roglic G, Green A, Sicree R, King H, 2004. Global prevalence of diabetes: estimates for the year 2000 and projections for 2030. Diabetes Care 27: 1047–1053.
-
4.
Dagenais G et al. 2016. Variations in diabetes prevalence in low-, middle-, and high-income countries: results from the Prospective Urban and Rural Epidemiological Study. Diabetes Care 39: 780–787.
-
5.
Fisher-Hoch SP, Vatcheva KP, Rahbar MH, McCormick JB, 2015. Undiagnosed diabetes and pre-diabetes in health disparities. PLoS One 10: e0133135.
-
6.
Peek M, Cargill A, Huang E, 2007. Diabetes health disparities. Med Care Res Rev 64: 101S–156S.
-
7.
CDC, 2018. Addressing Health Disparities in Diabetes 2018. Available at: https://www.cdc.gov/diabetes/disparities.html.
-
8.
Suwannaphant K, Laohasiriwong W, Puttanapong N, Saengsuwan J, Phajan T, 2017. Association between Socioeconomic Status and Diabetes Mellitus: the National Socioeconomics Survey, 2010 and 2012. J Clin Diagn Res 11: LC18–LC22.
-
9.
Aschnera P et al. 2014. Diabetes in South and Central America: an update. Diabetes Res Clin Pract 103: 238–243.
-
10.
Vellakkal S, Subramanian SV, Millett C, Basu S, Stuckler D, Ebrahim S, 2013. Socioeconomic inequalities in non-communicable diseases prevalence in India: disparities between self-reported diagnoses and standardized measures. PLoS One 8: e68219.
-
11.
Wu H, Meng X, Wild SH, Gasevic D, Jackson CA, 2017. Socioeconomic status and prevalence of type 2 diabetes in mainland China, Hong Kong and Taiwan: a systematic review. J Glob Health 7: 011103.
-
12.
Mendenhall E, Kohrt B, Norris S, Ndetei D, Prabhakaran D, 2017. Non-communicable disease syndemics: poverty, depression, and diabetes among low-income populations. Lancet 389: 951–963.
-
13.
Balakrishnan S et al. 2012. High diabetes prevalence among tuberculosis cases in Kerala, India. PLoS One 7: e46502.
-
14.
Singer M, 2009. An Introduction to Syndemics: A Systems Approach to Pand Community Health. San Francisco, CA: Jossey-Bass.
-
15.
Singer M, Bulled N, Ostrach B, Mendenhall E, 2017. Syndemics and the biosocial conception of health. Lancet 389: 941–950.
-
16.
Central Intelligence Agency (CIA), 2018. World Factbook: Dominican Republic 2018. Available at: https://www.cia.gov/library/publications/the-world-factbook/geos/dr.html.
-
17.
Mattei J et al. 2015. Reducing the global burden of type 2 diabetes by improving the quality of staple foods: the Global Nutrition and Epidemiologic Transition Initiative. Global Health 11: 23.
-
18.
WHO, 2019. Diabetes Country Profile, Dominican Republic 2016. Available at: https://www.who.int/diabetes/country-profiles/dom_en.pdf?ua=1.
-
19.
WHO, 2019. Noncommunicable Diseases (NCD) Country Profiles 2018. Available at: https://www.who.int/nmh/publications/ncd-profiles-2018/en/.
-
20.
Rathe M, Moliné A, 2011. Sistema de salud de Republica Dominicana. Salud Publica Mex 53: S197–S206.
-
21.
Castro B, Ing LYP, Abrams J, Ryan M, 2018. Addressing noncommunicable disease in Dominican Republic: barriers to hypertension and diabetes care. Ann Glob Health 84: 625–629.
-
22.
Simmons D, 2010. Structural violence as social practice: Haitian agricultural workers, anti-Haitianism, and health in the Dominican Republic. Hum Organ 69: 10–18.
-
23.
Rojas P, Malow R, Ruffin B, Rothe E, Rosenberg R, 2011. The HIV/AIDS epidemic in the Dominican Republic: key contributing factors. J Int Assoc Physicians AIDS Care (Chic) 10: 306–315.
-
24.
Keys H, Gonzales M, Beau De Rochars M, Blount S, Noland G, 2018. Building trust through lymphatic filariasis elimination: a platform to address social exclusion and human rights in the Dominican Republic. Health and Human Rights Journal. 20: 41–52.
-
25.
Kaiser B, Keys H, Foster J, Kohrt B, 2015. Social stressors, social support, and mental health among Haitian migrants in the Dominican Republic. Pan-American Journal of Public Health. 38: 157–162.
-
26.
Keys H, Noland G, Beau De Rochars M, Blount S, Gonzales M, 2019. Prevalence of malaria and lymphatic filariasis in bateyes of the Dominican Republic. Infect Dis Poverty 8: 1–13.
-
27.
Rodriguez A, 2012. Identificación Exhaustiva de bateyes en República Dominicana [Complete Identification of bateyes in the Dominican Republic]. Santo Domingo, Dominican Republic: OBMICA.
-
28.
American Diabetes Association, 2010. Diagnosis and classification of diabetes mellitus. Diabetes Care 33: S62–S9.
-
29.
Menke A, Casagrande S, Geiss L, Cowie CC, 2015. Prevalence of and trends in diabetes among adults in the United States, 1988–2012. JAMA 314: 1021–1029.
-
30.
National Health and Nutrition Examination Survey 2015–2016, 2017. Available at: https://wwwn.cdc.gov/Nchs/Nhanes/2015-2016/DIQ_I.htm.
-
31.
Shen J et al. 2016. A multiethnic study of pre-diabetes and diabetes in LMIC. Glob Heart 11: 61–70.
-
32.
Wang R, Zhang P, Li Z, Lv X, Cai H, Gao C, Song Y, Yu Y, Li B, Cui Y, 2019. The prevalence of pre-diabetes and diabetes and their associated factors in northeast China: a cross-sectional study. Sci Rep 9: 1–8.
-
33.
Keys HM, Noland GS, De Rochars MB, Taylor TH, Blount S, Gonzales M, 2019. Perceived discrimination in bateyes of the Dominican Republic: results from the Everyday Discrimination Scale and implications for public health programs. BMC Public Health 19: 1513.
-
34.
Leventhal S, 2013. A gap between ideals and reality: the right to health and the inaccessibility of healthcare for Haitian migrant workers in the Dominican Republic. Emory Int Law Rev 27: 1249–1289.
-
35.
USAID/PAHO, 2007. Health Systems Profile, Dominican Republic. Washington, DC: PAHO.
-
36.
Geiss L, Bullard KM, Brinks R, Gregg E, 2018. Considerations in epidemiologic definitions of undiagnosed diabetes. Diabetes Care 41: 1835–1838.
-
37.
Seligman HK, Bindman AB, Vittinghoff E, Kanaya AM, 2007. MB. K. Food insecurity is associated with diabetes mellitus: results from the National Health Examination and Nutrition Examination Survey (NHANES) 1999–2002. J Gen Intern Med 22: 1018–1023.
-
38.
Popkin B, Reardon T, 2018. Obesity and the food system transformation in Latin America. Obes Rev 19: 1028–1064.
-
39.
Popkin B, Adair LS, Wen Ng S, 2012. Now and then: the global nutrition transition: the pandemic of obesity in developing countries. Nutr Rev 70: 3–21.
| Past two years | Past Year | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 1786 | 972 | 160 |
| Full Text Views | 590 | 34 | 1 |
| PDF Downloads | 357 | 28 | 1 |