Background: Uranium (U) exposure may increase risk of developing Diabetes Mellitus (DM). U-miners may be at increased risk of DM due to occupational U exposure. American Indians (AI) are a vulnerable population with a high rate of DM and may be at greater risk of developing DM due to U exposure than are U-miners of other races/ethnicities. Our aim is to assess DM prevalence in U-miners among different races/ethnicities.
Methods: This was a retrospective cohort study using survey data from former U-Miners in the Radiation Exposure Screening & Education Program at University of New Mexico (UNM) from 4/1/2005-9/30/2022. Age, gender, race/ethnicity, educational attainment, body mass index, history of cancer diagnosis, smoking history, and DM diagnosis were determined by self-report and medication history. DM prevalence by race/ethnicity was assessed with adjusted logistic regression and interpreted using odds ratio (OR) and 95% confidence interval (CI) with Stata-17. Statistical significance was defined as p<0.05.
Results: The study included 746 U-Miners. Mean age was 70 years. The population was 96.5% male, 3.5% female; 25% white, 43% non-white; 49.2% AI and 31% non-AI. Statistical analysis showed higher DM prevalence in white (25%) vs. non-white (43%) (OR 2.7; CI, 1.7-4.1; p<0.01); and in AI (49.2%) vs non-AI (31%) (OR 2.4; CI, 1.6-3.6; P<0.01).
Conclusion: U-miner DM prevalence differed by race/ethnicity. Further research is needed to evaluate how race/ethnicity affects DM prevalence following U exposure.
Public Health Implications: AI U-miners are a vulnerable population with high prevalence of DM. U exposure may further increase DM risk. Many AI U-miners and their families live near active or abandoned mines with ongoing environmental U exposure. Better understanding of U exposure’s health risks will enable delivery of more comprehensive, culturally-competent preventive and medical care to vulnerable populations.
Data source: UNM – REDCap (Research electronic data capture).
Lobo, Laila; Kevin Vlahovich; Maria Johana Zambrano; Sher Ali Khan; Asma Qamruddin; and Hossein Azadi. "Racial and Ethnic Influence on Diabetes Mellitus Prevalence in Uranium Miners." (2023). https://digitalrepository.unm.edu/hsc_qips/79
Poster Presented at UNM Health Sciences Center Quality Improvement & Patient Safety Symposium 2023