Suggested citation for this article: Hosler AS, Pratt DS, Sen KA, Buckenmeyer EM, Simao A Jr, Back EE, et al. PEER REVIEWED Introduction The Indo-Guyanese population is the largest immigrant minority population in Schenectady, New York.High Prevalence of Diabetes Among Indo-Guyanese Adults, Schenectady, New York. A clinic-based study in Schenectady and surveillance reports from Guyana found high diabetes prevalence and mortality among Guyanese of Indian descent.Almost 60% of Indo-Guyanese had a high school diploma or the equivalent, and nearly half had an annual household income of less than ,000.Approximately 25% of Indo-Guyanese were uninsured, compared with 6.4% of non-Hispanic whites. The crude prevalence of diagnosed diabetes was 30.3% (95% confidence interval [CI], 25.4%–35.6%) for Indo-Guyanese and 16.1% (95% CI, 12.5%–20.5%) for non-Hispanic whites (P Table 3).Higher prevalence of eye or vision complications and less favorable ratings of general health suggest poor control of diabetes in Indo-Guyanese. BMI was assessed by self-reported height and weight, which may have resulted in underestimation of BMI.Our preliminary assessment of the Indo-Guyanese community indicated that lack of health insurance coverage, lack of a regular medical care provider, and low health literacy are likely barriers to diabetes control (D. The prevalence of diabetes complications was not adjusted for the duration of diabetes, treatment regimen, or medical care use.We do not know how age, sex, and socioeconomic characteristics differ between Indo-Guyanese and non-Hispanic white populations because of the lack of relevant census information.Given that random-digit–dialing telephone methods also have intrinsic limitations for reaching low SES immigrant minority groups like Indo-Guyanese (26), we believe our sampling strategy was appropriate for our study objective.
In general, Indian populations have higher levels of abdominal visceral fat regardless of their overall adiposity.It is likely that people affected by diabetes were more willing to participate in the survey, resulting in volunteer bias.High socioeconomic status of the non-Hispanic white sample could be an indication of selection bias as well.In particular, Indo-Guyanese had a higher prevalence of eye or vision complications (46.4% vs 21.1%, P = .004) and were more likely to report their general health status as fair or poor (43.6% vs 15.8%, P = .001).Indo-Guyanese who had diabetes had a significantly lower BMI than non-Hispanic whites who had diabetes (28.7 vs 31.2, P = .009).No community-based study has focused on diabetes among Indo-Guyanese immigrants in the United States.