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Luisa N. Borrell, DDS, PhD, Florence J. Dallo, PhD, MPH and Kellee White, MPH

Luisa N. Borrell is with the Department of Epidemiology, Mailman School of Public Health and College of Dentistry, Columbia University, New York, NY. Florence J. Dallo is with the Institute for Social Research, University of Michigan, Ann Arbor. Kellee White is with the Department of Epidemiology, Mailman School of Public Health, Columbia University.

Correspondence: Requests for reprints should be sent to Luisa N. Borrell, DDS, PhD, Department of Epidemiology, Mailman School of Public Health, School of Dental and Oral Surgeons, Columbia University, 722 West 168th St, New York, NY 10032 (e-mail: lnb2{at}columbia.edu).

Objectives. We used data from the National Health Interview Survey (1997–2002) to examine the association between education and the prevalence of diabetes in US adults and whether this relation differs by race/ethnicity.

Methods. The analyses were limited to non-Hispanic Blacks, non-Hispanic Whites, and Hispanics. SUDAAN was used to account for the complex sampling design.

Results. Educational attainment was inversely associated with the prevalence of diabetes. Individuals with less than a high-school diploma were 1.6 (95% confidence interval [CI]=1.4, 1.8) times more likely to have diabetes than those with at least a bachelor’s degree. Whites and Hispanics exhibited a significant relation between diabetes and having less than a high-school education (odds ratio [OR]=1.7; 95% CI=1.5, 2.0; and OR=1.6; 95% CI=1.1, 2.3, respectively). In addition, the odds of having diabetes was stronger for women (OR=1.9; 95% CI=1.6, 2.4) than for men (OR=1.4; 95% CI=1.1, 1.6)

Conclusions. Educational attainment was inversely associated with diabetes prevalence among Whites, Hispanics, and women but not among Blacks. Education may have a different effect on diabetes health among different racial/ethnic groups.

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