Trends in Obesity and Medical Expenditure among Women with Diabetes, 2008-2016: Differences by Race/Ethnicity

• DOI: 10.18865/ed.30.4.621
• Publication Date: 2020-09-24T16:00:13Z
• Authors: Joni S. Williams; Kaiwei Lu; Olaitan Akinboboye; Oluwatoyin Olukotun; Zhipeng Zhou; Sneha Nagavally; Leonard E. Egede
• Keywords: Marital status

Objectives: Diabetes results in $327 billion medical expenditures annually, while obesity, a risk factor for type 2 diabetes, leads to more than $147 expendi­ture annually. The aims of this study were: 1) evaluate racial/ethnic trends obesity and expenditures; 2) assess incremental among nationally representative sample women with diabetes.Methods: Nine years data (2008–2016) from the Medical Expenditure Panel Survey Full Year Consolidated File (unweighted = 11,755; weighted 10,685,090) were used. outcome variable was expenditure. primary independent race/ethnicity defined as non-Hispanic Black (NHB), Hispanic, or White (NHW). Covariates included age, education, marital status, income, insurance, employment, region, comorbidity, year. Cochran-Armitage tests determined statistical significance mean Two-part modeling using Probit gamma distribution used Data clustered 2008-2010, 2011-2013, 2014-2016.Results: Trends dif­fered significantly between NHB NHW 2008-2016 (P<.001). His­panic paid $1,291 less compared women, after adjusting rel­evant covariates. There no significant differences 2008- 2016 (P=.989) Hispanic diabetes (P=.938) diabetes.Conclusions: These findings suggest need further understand factors asso­ciated med­ical diabetes.Ethn Dis. 2020;30(4);621-628; doi:10.18865/ed.30.4.621