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Keywords

Diabetes; Health and race; Hispanic Americans – Medical care; Nevada – Washoe County; Non-insulin-dependent diabetes – Diagnosis; Non-insulin-dependent diabetes – Treatment; Selective screening

Abstract

Hispanic Americans with unrecognized, asymptomatic diabetes are more likely to experience poor quality of life and diabetic complications such as heart, eye and kidney disease than non-Hispanic whites of similar age. Multiple factors, such as cultural beliefs, lack of knowledge and limited access to health care, contribute to the fact that one-third of total diabetes among Hispanic Americans is undiagnosed. For Washoe County, Nevada, the actual percentage of adult Hispanics with diabetes may be almost 12%. In 2003, the Defeat Diabetes Screening Project provided three screenings targeting the Hispanic population in Reno and Sparks. Seventy-one percent of 348 screened were Hispanic. The purpose of the screenings was to identify and provide persons at high risk for diabetes with early diagnosis and health care. Defeat Diabetes identified 11 new cases of diabetes, a 32% yield that is within the historical range of 5 to 40% for selective screening.