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Language barrier and its relationship to diabetes and diabetic retinopathy.

Publication ,  Journal Article
Zheng, Y; Lamoureux, EL; Chiang, P-CP; Anuar, AR; Ding, J; Wang, JJ; Mitchell, P; Tai, E-S; Wong, TY
Published in: BMC Public Health
September 13, 2012

BACKGROUND: Language barrier is an important determinant of health care access and health. We examined the associations of English proficiency with type-2 diabetes (T2DM) and diabetic retinopathy (DR) in Asian Indians living in Singapore, an urban city where English is the predominant language of communication. METHODS: This was a population-based, cross-sectional study. T2DM was defined as HbA1c ≥6.5%, use of diabetic medication or a physician diagnosis of diabetes. Retinal photographs were graded for the severity of DR including vision-threatening DR (VTDR). Presenting visual impairment (VI) was defined as LogMAR visual acuity > 0.30 in the better-seeing eye. English proficiency at the time of interview was assessed. RESULTS: The analyses included 2,289 (72.1%) English-speaking and 885 (27.9%) Tamil-speaking Indians. Tamil-speaking Indians had significantly higher prevalence of T2DM (46.2 vs. 34.7%, p < 0.001) and, among those with diabetes, higher prevalence of DR (36.0 vs. 30.6%, p < 0.001), VTDR (11.0 vs. 6.5%, p < 0.001), and VI (32.4 vs. 14.6%) than English speaking Indians. Oaxaca decomposition analyses showed that the language-related discrepancies (defined as the difference in prevalence between persons speaking different languages) in T2DM, DR, and VTDR could not be fully explained by socioeconomic measures. CONCLUSIONS: In an English dominant society, Tamil-speaking Indians are more likely to have T2DM and diabetic retinopathy. Social policies and health interventions that address language-related health disparities may help reduce the public health impact of T2DM in societies with heterogeneous populations.

Duke Scholars

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Published In

BMC Public Health

DOI

EISSN

1471-2458

Publication Date

September 13, 2012

Volume

12

Start / End Page

781

Location

England

Related Subject Headings

  • Visually Impaired Persons
  • Transients and Migrants
  • Surveys and Questionnaires
  • Social Class
  • Singapore
  • Severity of Illness Index
  • Public Health
  • Middle Aged
  • Male
  • Logistic Models
 

Citation

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Zheng, Y., Lamoureux, E. L., Chiang, P.-C., Anuar, A. R., Ding, J., Wang, J. J., … Wong, T. Y. (2012). Language barrier and its relationship to diabetes and diabetic retinopathy. BMC Public Health, 12, 781. https://doi.org/10.1186/1471-2458-12-781
Zheng, Yingfeng, Ecosse L. Lamoureux, Pei-Chia Peggy Chiang, Ainur Rahman Anuar, Jie Ding, Jie Jin Wang, Paul Mitchell, E-Shyong Tai, and Tien Y. Wong. “Language barrier and its relationship to diabetes and diabetic retinopathy.BMC Public Health 12 (September 13, 2012): 781. https://doi.org/10.1186/1471-2458-12-781.
Zheng Y, Lamoureux EL, Chiang P-CP, Anuar AR, Ding J, Wang JJ, et al. Language barrier and its relationship to diabetes and diabetic retinopathy. BMC Public Health. 2012 Sep 13;12:781.
Zheng, Yingfeng, et al. “Language barrier and its relationship to diabetes and diabetic retinopathy.BMC Public Health, vol. 12, Sept. 2012, p. 781. Pubmed, doi:10.1186/1471-2458-12-781.
Zheng Y, Lamoureux EL, Chiang P-CP, Anuar AR, Ding J, Wang JJ, Mitchell P, Tai E-S, Wong TY. Language barrier and its relationship to diabetes and diabetic retinopathy. BMC Public Health. 2012 Sep 13;12:781.
Journal cover image

Published In

BMC Public Health

DOI

EISSN

1471-2458

Publication Date

September 13, 2012

Volume

12

Start / End Page

781

Location

England

Related Subject Headings

  • Visually Impaired Persons
  • Transients and Migrants
  • Surveys and Questionnaires
  • Social Class
  • Singapore
  • Severity of Illness Index
  • Public Health
  • Middle Aged
  • Male
  • Logistic Models