Census Data Over the past two decades, numerous studies have clearly demonstrated that both racial

and ethnic disparities exist in healthcare delivery and outcomes in the United States ( Bulger, Shubrook, Snow, 2012). Previous studies have shown that there are disparities related to race and ethnicity in the adequacy of diabetes care and management (Kim, Ford, Chiriboga, Sorkin, 2012). In 2010, diabetes mellitus affected 8.3% of the U.S. population, which translates into approximately 25.8 million Americans (Kim, Ford, Chiriboga, Sorkin, 2012). To evaluate the disparities in mortality rates between African Americans and Caucasians in the United States, census data for 10 years will be extracted and reviewed. The U.S. census data acquired from 2000 to 2010 shows that there has been a gradual increase in both the African American population and the Caucasian population. According to the CDC, from 2000 to 2010, the age adjusted percentage of persons with diagnosed diabetes increased from 4.1% to 6.0% for whites and from 7.3% to 9.4% for blacks (CDC, 2014). From 2000 to 2010, the age adjusted percentage of individuals diagnosed with diabetes remained higher among blacks than the percentages for whites (CDC, 2014). The number of deaths related to diabetes among whites saw a slight increase between 2000 and 2004, however from 2004 to 2010 there was a steady decline in the number of deaths among whites diagnosed with diabetes from 52,101 to 47,746 (CDC, 2014). The number of deaths related to diabetes among blacks saw steady increase from 2000 to 2004, and then from 2006 to 2010 the number of deaths declined from 12,671 to 11,996 (CDC, 2014).

Total Population for U.S.

2000 281,421,906 2002 287,726,647 2004 292,892,127 2006 298,362,973 2008 304,059,724 2010 309,326,295

Population

Intercensal Estimates of Resident Population by Race for U.S.

RACE white black 2000 228,106,498 35,814,706 2002 231,446,915 36,684,650 2004 234,120,447 37,510,582 2006 236,954,818 38,443,048 2008 239,783,014 39,429,414 2010 242,295,420 40,357,516

http://www.census.gov/popest/data/intercensal/national/nat2010.html

Age Adjusted Percentage of Civilians with Diagnosed Diabetes by Race for U.S.
RACE white black 2000 4.1 7.3 2002 4.5 7.4 2004 4.8 7.9 2006 5.2 8.7 2008 5.6 9.0 2010 6.0 9.4

http://www.cdc.gov/diabetes/statistics/prev/national/figbyrace.htm

Number of Deaths Related to Diabetes by Race for U.S.

RACE white black 2000 50,163 11,918 2002 52,463 12,583 2004 52,101 12,685 2006 50,950 12,671 2008 49,388 11,934 2010 47,746 11,996

http://wonder.cdc.gov/controller/datarequest/D76;jsessionid=028E3218F42AB68D52773D

In a study conducted by Kim, Ford, Chiriboga, Sorkin, they examined the racial and ethnic differences in healthcare use, delayed care and management of care amongst older adults with self reported diabetes mellitus (2012). The results from the study showed that African Americans were less likely than whites to see a doctor and to have a usual source of care, were more likely to visit the emergency department for diabetes mellitus (Kim, Ford, Chiriboga, Sorkin, 2012). The results suggest the need for racial and ethnic specific interventions for

managing diabetes mellitus to help reduce existing racial and ethnic disparities (Kim, Ford, Chiriboga, Sorkin, 2012).

References Bulger, J. B., Shubrook, J. H., & Snow, R. (2012). Racial Disparities in African Americans With Diabetes: Process and Outcome Mismatch. American Journal Of Managed Care, 18(8), 407-413.

Center for Disease Control, (2014). Age Adjusted percentage of Civilian Noninstitiutionalized Population with Diagnosed Diabetes, by Race, United States, 1980-2011. (n.d.). Retrieved March 2014, from www.cdc.gov/diabetes/statisitics/prev/national/figbyrace.htm

Center for Disease Control, (2014). Underlying Cause of Death, 1999-2010 Results Form. (n.d.). Retrieved March 2014, from wonder.cdc.gov/controller/datarequest/D76;jsessionid=028E3218F42AB68D52773D Kim, G., Ford, K. L., Chiriboga, D. A., & Sorkin, D. H. (2012). Racial and Ethnic Disparities in Healthcare Use, Delayed Care, and Management of Diabetes Mellitus in Older Adults in California. Journal Of The American Geriatrics Society, 60(12), 2319-2325. doi:10.1111/jgs.12003