Racial/Ethnic Trends in Prevalence of Diabetic Kidney Disease in the United States

摘要

It is well-established that racial/ethnicminorities have a higher prevalence of diabetes andchronic kidney disease than white individuals.1 Racial/ethnic disparities in end-stage kidney disease are profound in the United States, with Hispanic individualshaving 2-fold, and non-Hispanic black individuals(NHBs) having 3- to 4-fold greater risk as comparedwith non-Hispanic white individuals (NHWs).2–4Multiple factors likely contribute to these disparities,including differential access to high-quality health careservices, health behaviors (e.g., dietary patterns) andgenetic factors, among others.5 Approximately 40% ofpersons with diabetes mellitus have diabetic kidneydisease (DKD),6 rendering diabetes the leading cause ofchronic kidney disease and end-stage kidney disease inthe United States.