Marketable Diabetes Fact Sheet for Asian Americans *Information Gathered from three sources included down below.
Asian Americans are at greater risk of getting diabetes than Caucasians.
Diabetes affects 10% of Asian Americans.
95% of Asian Americans have Type II diabetes.
Genetic, lifestyle, and environmental factors and influences cause diabetes in Asian Americans.
Chinese Americans have higher rates of diabetes than Chinese residents in rural China.
Japanese Americans have higher rates of diabetes than Japanese residents in Japan.
Diabetes spreads more rapidly in Asia than anywhere else in the globe.
Because Asian descents develop diabetes at a relatively healthy weight, it was found out that obesity is not an
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They have higher body fat at almost all levels of BMI. Their composition is different which leads to grater risk metabolic related diseases.
Asians Percent Body Fat BMI=15 (lean) BMI=25(normal) BMI=35(obese)
Male 10.0 23.6 37.2
Female 20.4 36.8 53.0 There needs to be different BMI thresholds for Asian Americans because their bodies differ from those of Caucasians.
Culturally sensitive care and nutrition therapy would acknowledge the differences between Asian Americans and Caucasians.
Asian American Perspective on Diabetes Care and Treatment o Misconception about following a regimen for a temporary time to cure diabetes. o Belief that Chinese medicines and herbs would cure diabetes. o Belief that Western medicine only contributes to the relief of symptoms of diabetes. o Asian Americans believe in alternative medicine and consuming large amounts of a certain type of food such as pumpkin and bitter melon, while also taking consideration of the consumption of prescribed
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o The age adjusted prevalence among Asian Americans increased by 74% among males and 41% among females from 1997 to 2007. o Criteria for Overweight and Obesity for Asian Populations
Underweight <18.5
Normal Range 18.5-22.9
Overweight ≥ 23
Obese ≥ 25 o There are interesting physiologic differences in Asian Americans, but their health risk associated with obesity occur at a lower BMI. o Asian Americans have higher insulin resistance and the lowest insulin sensitivity than other ethnic populations in the United States. o Different ratio and ethnic groups have different levels of insurance coverage. o About 77% of Asians living in the U.S. spoke a language other than English at home. That means that greater language translation/interpretive services are needed. o Chinese immigrants who speak limited English or no English may encounter more barriers in achieving optimal diabetes outcomes than English speaking Chinese American immigrants. o Culturally appropriate diabetes education materials are important for the health of Asian Americans.
Sources:
Castro, F., Shaibi, G. Q., & Boehm-Smith, E. (2009). Ecodevelopmental contexts for preventing type 2 diabetes in Latino and other racial/ethnic minority populations. Journal of Behavioral Medicine, 32(1), 89-105.
Diabetes Mellitus (Type 2 diabetes/adult onset diabetes) is an epidemic in American Indian and Alaska Natives communities.7 AI/AN have the highest morbidity and mortality rates in the United States.7 American Indian/Alaska Native adults are 2.3 more times likely to be diagnosed with Diabetes Mellitus than non-Hispanic Whites.7 More importantly, AI/AN adolescent ages 10-14 are 9 times likely to be diagnosed with Diabetes Mellitus than non-Hispanic Whites.7 Type 2 diabetes is high blood glucose levels due to lack of insulin and/or inability to use it efficiently.8 Type 2 diabetes usually affects older adults; 8 however, the incident rate is rising quicker amongst AI/AN youth than non-Hispanic Whites.7 This is foreshadowing of earlier serious complications that will be effecting the AI/AN communitie...
16Scientist have found trends in ethnic groups and ages begin to occur in today’s day and age. Type 2 diabetes has been found to be more
According to the Center for Disease Control and Prevention (CDC) (2012), the diabetes rate has more than tripled since 1980 from about 5.6 million people affected, to nearly 21 million people. And, of the 2.9 million Native Americans, approximately 16% have been afflicted with type-2 diabetes (U.S. Census Bureau, 2010). These rates were more than twice the rates for the white population and strongly correlated with income level. One factor that is believed to have contributed to the high rates of non-insulin-dependent diabetes is dietary changes from traditional foods to processed foods (Reinhard et al., 2012).
McBean, A. M., Li, S., Gilbertson, D. T., & Collins, A. J. (2004). Differences in diabetes prevalence, incidence, and mortality among the elderly of four racial/ethnic groups: whites, blacks, Hispanics, and Asians. Diabetes care, 27(10), 2317-2324.
The American Public Health Association. (2003). The obesity epidemic in U.S. minority communities (Issue Brief ). Retrieved from : : .
American Diabetes Association, “Native Americans and Diabetes”; available from http://www.diabetes.org/communityprograms-and-localevents/nativeamericans.jsp; Internet; accessed 11 November 2004.
Obesity in America is a very serious problem affecting many Americans currently and is a problem that continues to grow each year. “Over the past 40 years, the prevalence of obesity has more than doubled in the United States” (Wimalawansa). This issue is known to many but believed not be an issue to care much about but this is not true. Obesity in America affects everyone regardless if they are obese or not. In order to resolve the problem, we can slaughter all the adults that are currently obese in America.
Over 60 million people are obese in the world today. The socioeconomic statuses of the Americans play a major part in the obesity rates across the country. People with higher incomes are less likely to be obese than people with lower incomes. One in every seven preschool-aged children living in lower income areas are obese (Center for Disease Control and Prevention). A 2008 study showed that obesity is highest among American Indian and Alaska Native (21.2 percent) and Hispanic Americans (18.5 percent) children, and it is lowest among white (12.6 percent), Asian or Pacific Islander (12.3 percent), and black (11.8 percent) children (Get America Fit).
In conclusion, cultural competence is especially relevant in the treatment of diabetes. Disease and symptom control in diabetes is interdependent on effective lifestyle management, which can only be realized when the health care provider understands, acknowledges, and responds to each individuals cultural and diversity needs.
Obesity is a leading health problem in the United States because of its increasing prevalence and etiology role in many chronic health conditions (Wee et al. 2011). Chronic health conditions that tend to have high rates of weight related chronic condition in the African American population are cardiovascular disease, cancer, diabetes and as a result of hypertension, chronic renal failure. Americans has increased its restaurant portions, number of fast food restaurants and has gotten away from home cooked meals served in normal portions. Seven out of 10 African Americans ages 18 to 64 are obese or overweight, and African Americans are 15% more likely to suffer from obesity than the general population (Healthreform.gov). According to Newton, R., Cromwell, R. & Rogers, H. (2009), contributing factors of obesity are inactivity, poor eating behaviors, gender, race, education and ...
...9). Different in prevalence of obesity among black, white, and Hispanic adults-United States, 2006-2008. Morb. Mort. Weekly. Rep. 58, 740-744.
Various factors are said to increase the chances of developing type II diabetes. These factors fall under two categories-genetics and medical/lifestyle risk factors, which include impaired glucose tolerance, gestational diabetes, hyperinsulinemia and insulin resistance, obesity and physical activity (6). Although studies have shied away from making direct correlations between obesity/physical activity and the susceptibility of developing type II diabetes, researchers suspect, however, that a lack of exercise and obesity, as well as other unidentifiable factors, may be contributing to the high diabetes rates in African American and Hispanic American communities. The NHANES III survey indicated that "50 percent of African American men/65 percent of Mexican American men, and 67 percent of African American women/74 percent of Mexican American women participated in little or no exercise" (7).
Understanding cultural differences not only improves the effectiveness of the treatment the patient receives, it is also help the nurse to prevent negliency of care. It is impostant to maintain a curiosity about each patient no matter how much we know abouth that person's culture.
INTRODUCTION Worldwide, “Overweight/obesity is the major contributor to the burden of disease and disability” [1]. Nowadays, over 1.5 billion and 500 million adults are suffering from overweight/obesity respectively. It leads to almost 3 million related death per year which is more than the number of deaths due to underweight [2]. In Vietnam, overweight prevalence in adult is 15.3% in urban areas and 5.3% in rural areas if using Caucasian Body Mass Index (BMI) cut-off ; 32.5% and 13.8% respectively while using Asian BMI cut-off [3]. Recent evidences showed that at the same age, sex and BMI, Asians have higher percentage of body fat and risk of type 2 diabetes and cardiovascular disease than Caucasians [4]. That is why using Asian BMI cut-off is more recommended in order to reveal the real burden of overweight/obesity in Vietnam. The fact that every one out of three urban residence (32.5%) is overweight [3] while they account for approximately 30% Vietnamese population [5] made a considerable warning situation. In addition, the situation is more alarming while looking at the increasing trend of overweight/obesity through years.