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Health Insurance Is Associated with Decreased Odds for Undiagnosed Prediabetes and Type 2 Diabetes in American Adults

Over a third of adults in the United States have prediabetes, and many of those with prediabetes will progress to type 2 diabetes within 3–5 years. Health insurance status may factor into a proper diagnosis of prediabetes and diabetes. This study sought to determine the associations between health i...

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Autores principales: Mahoney, Sean, Bradley, Adam, Pitts, Logan, Waletzko, Stephanie, Robinson-Lane, Sheria G., Fairchild, Timothy, Terbizan, Donna J., McGrath, Ryan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7369944/
https://www.ncbi.nlm.nih.gov/pubmed/32629937
http://dx.doi.org/10.3390/ijerph17134706
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author Mahoney, Sean
Bradley, Adam
Pitts, Logan
Waletzko, Stephanie
Robinson-Lane, Sheria G.
Fairchild, Timothy
Terbizan, Donna J.
McGrath, Ryan
author_facet Mahoney, Sean
Bradley, Adam
Pitts, Logan
Waletzko, Stephanie
Robinson-Lane, Sheria G.
Fairchild, Timothy
Terbizan, Donna J.
McGrath, Ryan
author_sort Mahoney, Sean
collection PubMed
description Over a third of adults in the United States have prediabetes, and many of those with prediabetes will progress to type 2 diabetes within 3–5 years. Health insurance status may factor into a proper diagnosis of prediabetes and diabetes. This study sought to determine the associations between health insurance and undiagnosed prediabetes and diabetes in a national sample of American adults. Publicly available data from 13,029 adults aged 18–64 years from the 2005–2016 waves of the National Health and Nutrition Examination Survey were analyzed. Health insurance type (Medicaid, Private, Other, None) was self-reported. Prediabetes and diabetes status were assessed with measures of self-report, glycohemoglobin, fasting plasma glucose, and two-hour glucose. Covariate-adjusted logistic models were used for the analyses. Overall, 5976 (45.8%) participants had undiagnosed prediabetes, while 897 (6.8%) had undiagnosed diabetes. Having health insurance was associated with decreased odds ratios for undiagnosed prediabetes: 0.87 (95% confidence interval (CI: 0.79, 0.95)) for private insurance, 0.84 (CI: 0.73, 0.95) for other insurance, and 0.78 (CI: 0.67, 0.90) for Medicaid. Moreover, having private health insurance was associated with 0.82 (CI: 0.67, 0.99) decreased odds for undiagnosed diabetes. Health insurance coverage and screening opportunities for uninsured individuals may reduce prediabetes and diabetes misclassifications.
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spelling pubmed-73699442020-07-21 Health Insurance Is Associated with Decreased Odds for Undiagnosed Prediabetes and Type 2 Diabetes in American Adults Mahoney, Sean Bradley, Adam Pitts, Logan Waletzko, Stephanie Robinson-Lane, Sheria G. Fairchild, Timothy Terbizan, Donna J. McGrath, Ryan Int J Environ Res Public Health Article Over a third of adults in the United States have prediabetes, and many of those with prediabetes will progress to type 2 diabetes within 3–5 years. Health insurance status may factor into a proper diagnosis of prediabetes and diabetes. This study sought to determine the associations between health insurance and undiagnosed prediabetes and diabetes in a national sample of American adults. Publicly available data from 13,029 adults aged 18–64 years from the 2005–2016 waves of the National Health and Nutrition Examination Survey were analyzed. Health insurance type (Medicaid, Private, Other, None) was self-reported. Prediabetes and diabetes status were assessed with measures of self-report, glycohemoglobin, fasting plasma glucose, and two-hour glucose. Covariate-adjusted logistic models were used for the analyses. Overall, 5976 (45.8%) participants had undiagnosed prediabetes, while 897 (6.8%) had undiagnosed diabetes. Having health insurance was associated with decreased odds ratios for undiagnosed prediabetes: 0.87 (95% confidence interval (CI: 0.79, 0.95)) for private insurance, 0.84 (CI: 0.73, 0.95) for other insurance, and 0.78 (CI: 0.67, 0.90) for Medicaid. Moreover, having private health insurance was associated with 0.82 (CI: 0.67, 0.99) decreased odds for undiagnosed diabetes. Health insurance coverage and screening opportunities for uninsured individuals may reduce prediabetes and diabetes misclassifications. MDPI 2020-06-30 2020-07 /pmc/articles/PMC7369944/ /pubmed/32629937 http://dx.doi.org/10.3390/ijerph17134706 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Mahoney, Sean
Bradley, Adam
Pitts, Logan
Waletzko, Stephanie
Robinson-Lane, Sheria G.
Fairchild, Timothy
Terbizan, Donna J.
McGrath, Ryan
Health Insurance Is Associated with Decreased Odds for Undiagnosed Prediabetes and Type 2 Diabetes in American Adults
title Health Insurance Is Associated with Decreased Odds for Undiagnosed Prediabetes and Type 2 Diabetes in American Adults
title_full Health Insurance Is Associated with Decreased Odds for Undiagnosed Prediabetes and Type 2 Diabetes in American Adults
title_fullStr Health Insurance Is Associated with Decreased Odds for Undiagnosed Prediabetes and Type 2 Diabetes in American Adults
title_full_unstemmed Health Insurance Is Associated with Decreased Odds for Undiagnosed Prediabetes and Type 2 Diabetes in American Adults
title_short Health Insurance Is Associated with Decreased Odds for Undiagnosed Prediabetes and Type 2 Diabetes in American Adults
title_sort health insurance is associated with decreased odds for undiagnosed prediabetes and type 2 diabetes in american adults
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7369944/
https://www.ncbi.nlm.nih.gov/pubmed/32629937
http://dx.doi.org/10.3390/ijerph17134706
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