Diabetes and hypertension in britain's ethnic minorities: implications for the future of renal services

Diabetes and hypertension are much more prevalent among Britain's 2.5 million Asian and African-Caribbean population than among the white population and are major contributors to end stage renal failure. Asians and African-Caribbeans have threefold to fourfold higher acceptance rates on to rena...

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Bibliographic Details
Published in:BMJ 1997-01, Vol.314 (7075), p.209-213
Main Author: Raleigh, Veena Soni
Format: Article
Language:English
Subjects:
Asians
Associated diseases and complications
Biological and medical sciences
Comparison
Delivery of Health Care
Diabetes
Diabetes complications
Diabetes mellitus
Diabetes Mellitus - economics
Diabetes Mellitus - ethnology
Diabetes. Impaired glucose tolerance
Diabetic nephropathies
Education and Debate
Endocrine pancreas. Apud cells (diseases)
Endocrinopathies
Ethnic groups
Female
Health care
Health education
Health Expenditures
Humans
Hypertension
Hypertension - economics
Hypertension - ethnology
Kidney diseases
Kidney failure
Kidney Failure, Chronic - economics
Kidney Failure, Chronic - ethnology
Male
Medical sciences
Minority & ethnic groups
Mortality
Relationship
Type 1 diabetes mellitus
Type 2 diabetes mellitus
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Summary:Diabetes and hypertension are much more prevalent among Britain's 2.5 million Asian and African-Caribbean population than among the white population and are major contributors to end stage renal failure. Asians and African-Caribbeans have threefold to fourfold higher acceptance rates on to renal replacement therapy than white people, and in some districts they comprise up to half of all patients receiving such treatment. Their greater need for renal replacement treatment is accompanied by difficulties of tissue matching in cross racial transplants and a shortage of donor organs. The aging of ethnic minority populations will increase local need for renal services significantly. Measures to control diabetes, hypertension, and secondary complications in Asian and African-Caribbean communities will contribute both to safeguarding health and to economies in spending on renal services. Education about diabetes and hypertension, modification of behavioural risk factors, early diagnosis, effective glycaemic and blood pressure control, and early referral for signs of renal impairment are essential preventive measures. Primary and community health care professionals have a critical role to play here.
ISSN:0959-8138
0959-8146
0959-535X
1468-5833
1756-1833
DOI:10.1136/bmj.314.7075.209