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This report is the first to provide state-specific estimates of self-reported, diagnosed diabetes prevalence among Asians and NHPIs in the United States.
These findings are consistent with earlier studies that reported a higher prevalence of diabetes among Asians (2-4) and NHPIs (2) compared with whites in the United States, and a higher rate of diabetes in NHPIs than in Asians (2,5).
([section]) Third, 18 states lacked sufficient data for estimating diabetes prevalence for Asians, and 45 states lacked sufficient data to estimate prevalence for NHPIs. Thus, the six jurisdictions used for the analyses comparing Asians and NHPIs are not representative of the United States.
Because Asians and NHPIs are growing minority populations that are at increased risk for developing type 2 diabetes, continued surveillance for diabetes and its risk factors among Asians and NHPIs is an important component in monitoring progress toward reducing their burden of diabetes.
Previous national studies have shown that the prevalence of diabetes among Asians and Native Hawaiians and other Pacific Islanders (NHPIs) is higher than that among non-Hispanic whites.
However, this is the first study to provide state-specific prevalences of diabetes for Asians and NHPIs for those states and territory with sufficient data for analysis.
In addition to permitting the reporting of two or more races for each record, the revised standards separated the "Asian or Pacific Islander" category into two categories: "Asian" and "Native Hawaiian or other Pacific Islander" (NHPI).
Washington had the third-largest NHPI community in the United States (43,000 single or multiracial NHPI persons), after Hawaii (283,000) and California (221,000), according to U.S.
Combining data from 2003-2008, King County recorded 142,350 births, ofwhich 2,442 were to NHPI mothers (79.2% NHPI only and 20.8% NHPI in combination with another race).
In King County, NHPI mothers were significantly more likely than Asian mothers to be overweight (23.9% versus 19.5%; p<0.001) or obese (49.9% versus 7.6%; p<0.001) before pregnancy.
Revised federal standards for collecting race and ethnicity information disaggregate the Native Hawaiian and Pacific Islander (NHPI) category from Asians, but reported data often aggregate the two categories.
Disaggregated maternal and child health assessment data for King County, Washington, show high percentages of maternal overweight and obesity before pregnancy, maternal smoking, younger maternal age, late or no prenatal care, preterm birth, and high birth weight in the local Native Hawaiian and Pacific Islander population, compared with the local Asian population, leading to the identification of important health concerns in the NHPI community.
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- NHP2 non-histone chromosome protein 2-like 1
- NHP2-like protein 1