Thread by @NonHumanMedia1

The Immigrant Health Differential in the Context of Racial and Ethnic Disparities: The Case of Diabetes 🧵1/9
ncbi.nlm.nih.gov/pmc/articles/P…

"The unadjusted prevalence of diabetes is higher among Native American (15.1%), Asian (8.0%), non-Hispanic Black (12.7%) and
Hispanic (12.1%) adults than among non-Hispanic whites (7.4%)"

30.2 million adults have diabetes and an additional 84.1 million have pre-diabetes

"Diabetes ranks as the seventh leading cause of death in the United States, and it substantially increases the risk of blindness, cardiovascular disease, end stage renal disease, hypertension, stroke, neuropathy, lower limb amputations, and premature death"

"The factors thought to contribute to better health and greater health equity among the foreign born include the self-selection of healthy immigrants, immigrants’ favorable health behaviors and the strong familial ties and social supports among immigrants"

"Black immigrants from Africa and the Caribbean tend to report better health and lower rates of functional limitations, though those born in the Caribbean see greater health declines over time"

"...black immigrants experience less diabetes than their native-born counterparts, an advantage largely attributable to lower rates of obesity among the foreign born."

"The biggest nativity gap in educational attainment [and smoking and obesity] is seen among Black adults"

"Black immigrants who have been in the U.S. for more than 15 years have large and significant disadvantages. Hispanic immigrants overall enjoy a health advantage, and the advantage seems to be stronger for relatively recent arrivals"

"..high levels of undiagnosed diabetes..financial and other barriers to accessing healthcare..suggest that many may be disproportionately less likely to know about their diabetes status, rendering our results conservative underestimates of true racial/ethnic differentials.."

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