The Association Between Educational Attainment and Diabetes Among Men in the United States

Am J Mens Health. 2014 Jul;8(4):349-56. doi: 10.1177/1557988313520034. Epub 2014 Jan 14.

Abstract

Few studies have examined the relationship between education and diabetes among men in the United States and whether this relationship differs by race/ethnicity. This study examined whether racial disparities in diabetes existed by educational attainment in 336,746 non-Hispanic White, non-Hispanic Black, and Hispanic men 18 years of age and older in the United States. Logistic regression models were specified to examine the odds of reporting diabetes by educational attainment. Within race/ethnicity, both White and Hispanic men who had less than a high school education (odds ratio [OR] = 1.42, 95% confidence interval [CI] = [1.19, 1.69], and OR = 1.64, 95% CI = [1.22, 2.21], respectively) had consistently higher odds of diabetes than men with a bachelor's degree or higher level of educational attainment. Educational attainment did not appear to be associated with reporting a diagnosis of diabetes in non-Hispanic Black men. Identifying why educational attainment is associated with diabetes outcomes in some racial/ethnic groups but not others is essential for diabetes treatment and management.

Keywords: diabetes; health inequality/disparity; quantitative research; social determinants of health.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Diabetes Mellitus / epidemiology*
  • Educational Status*
  • Health Surveys
  • Humans
  • Logistic Models
  • Male
  • Middle Aged
  • Racial Groups / statistics & numerical data*
  • United States / epidemiology
  • Young Adult