Cargando…
Prevalence and predictors of stroke among individuals with prediabetes and diabetes in Florida
BACKGROUND: The prevalence of both prediabetes and diabetes have been increasing in Florida. These increasing trends will likely result in increases of stroke burden since both conditions are major risk factors of stroke. However, not much is known about the prevalence and predictors of stroke among...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8818177/ https://www.ncbi.nlm.nih.gov/pubmed/35125102 http://dx.doi.org/10.1186/s12889-022-12666-3 |
_version_ | 1784645776898523136 |
---|---|
author | Khan, Md Marufuzzaman Roberson, Shamarial Reid, Keshia Jordan, Melissa Odoi, Agricola |
author_facet | Khan, Md Marufuzzaman Roberson, Shamarial Reid, Keshia Jordan, Melissa Odoi, Agricola |
author_sort | Khan, Md Marufuzzaman |
collection | PubMed |
description | BACKGROUND: The prevalence of both prediabetes and diabetes have been increasing in Florida. These increasing trends will likely result in increases of stroke burden since both conditions are major risk factors of stroke. However, not much is known about the prevalence and predictors of stroke among adults with prediabetes and diabetes and yet this information is critical for guiding health programs aimed at reducing stroke burden. Therefore, the objectives of this study were to estimate the prevalence and identify predictors of stroke among persons with either prediabetes or diabetes in Florida. METHODS: The 2019 Behavioral Risk Factor Surveillance System (BRFSS) survey data were obtained from the Florida Department of Health and used for the study. Weighted prevalence estimates of stroke and potential predictor variables as well as their 95% confidence intervals were computed for adults with prediabetes and diabetes. A conceptual model of predictors of stroke among adults with prediabetes and diabetes was constructed to guide statistical model building. Two multivariable logistic models were built to investigate predictors of stroke among adults with prediabetes and diabetes. RESULTS: The prevalence of stroke among respondents with prediabetes and diabetes were 7.8% and 11.2%, respectively. The odds of stroke were significantly (p ≤ 0.05) higher among respondents with prediabetes that were ≥ 45 years old (Odds ratio [OR] = 2.82; 95% Confidence Interval [CI] = 0.74, 10.69), had hypertension (OR = 5.86; CI = 2.90, 11.84) and hypercholesterolemia (OR = 3.93; CI = 1.84, 8.40). On the other hand, the odds of stroke among respondents with diabetes were significantly (p ≤ 0.05) higher if respondents were non-Hispanic Black (OR = 1.79; CI = 1.01, 3.19), hypertensive (OR = 3.56; CI = 1.87, 6.78) and had depression (OR = 2.02; CI = 1.14, 3.59). CONCLUSIONS: Stroke prevalence in Florida is higher among adults with prediabetes and diabetes than the general population of the state. There is evidence of differences in the importance of predictors of stroke among populations with prediabetes and those with diabetes. These findings are useful for guiding health programs geared towards reducing stroke burden among populations with prediabetes and diabetes. |
format | Online Article Text |
id | pubmed-8818177 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-88181772022-02-07 Prevalence and predictors of stroke among individuals with prediabetes and diabetes in Florida Khan, Md Marufuzzaman Roberson, Shamarial Reid, Keshia Jordan, Melissa Odoi, Agricola BMC Public Health Research BACKGROUND: The prevalence of both prediabetes and diabetes have been increasing in Florida. These increasing trends will likely result in increases of stroke burden since both conditions are major risk factors of stroke. However, not much is known about the prevalence and predictors of stroke among adults with prediabetes and diabetes and yet this information is critical for guiding health programs aimed at reducing stroke burden. Therefore, the objectives of this study were to estimate the prevalence and identify predictors of stroke among persons with either prediabetes or diabetes in Florida. METHODS: The 2019 Behavioral Risk Factor Surveillance System (BRFSS) survey data were obtained from the Florida Department of Health and used for the study. Weighted prevalence estimates of stroke and potential predictor variables as well as their 95% confidence intervals were computed for adults with prediabetes and diabetes. A conceptual model of predictors of stroke among adults with prediabetes and diabetes was constructed to guide statistical model building. Two multivariable logistic models were built to investigate predictors of stroke among adults with prediabetes and diabetes. RESULTS: The prevalence of stroke among respondents with prediabetes and diabetes were 7.8% and 11.2%, respectively. The odds of stroke were significantly (p ≤ 0.05) higher among respondents with prediabetes that were ≥ 45 years old (Odds ratio [OR] = 2.82; 95% Confidence Interval [CI] = 0.74, 10.69), had hypertension (OR = 5.86; CI = 2.90, 11.84) and hypercholesterolemia (OR = 3.93; CI = 1.84, 8.40). On the other hand, the odds of stroke among respondents with diabetes were significantly (p ≤ 0.05) higher if respondents were non-Hispanic Black (OR = 1.79; CI = 1.01, 3.19), hypertensive (OR = 3.56; CI = 1.87, 6.78) and had depression (OR = 2.02; CI = 1.14, 3.59). CONCLUSIONS: Stroke prevalence in Florida is higher among adults with prediabetes and diabetes than the general population of the state. There is evidence of differences in the importance of predictors of stroke among populations with prediabetes and those with diabetes. These findings are useful for guiding health programs geared towards reducing stroke burden among populations with prediabetes and diabetes. BioMed Central 2022-02-06 /pmc/articles/PMC8818177/ /pubmed/35125102 http://dx.doi.org/10.1186/s12889-022-12666-3 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Khan, Md Marufuzzaman Roberson, Shamarial Reid, Keshia Jordan, Melissa Odoi, Agricola Prevalence and predictors of stroke among individuals with prediabetes and diabetes in Florida |
title | Prevalence and predictors of stroke among individuals with prediabetes and diabetes in Florida |
title_full | Prevalence and predictors of stroke among individuals with prediabetes and diabetes in Florida |
title_fullStr | Prevalence and predictors of stroke among individuals with prediabetes and diabetes in Florida |
title_full_unstemmed | Prevalence and predictors of stroke among individuals with prediabetes and diabetes in Florida |
title_short | Prevalence and predictors of stroke among individuals with prediabetes and diabetes in Florida |
title_sort | prevalence and predictors of stroke among individuals with prediabetes and diabetes in florida |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8818177/ https://www.ncbi.nlm.nih.gov/pubmed/35125102 http://dx.doi.org/10.1186/s12889-022-12666-3 |
work_keys_str_mv | AT khanmdmarufuzzaman prevalenceandpredictorsofstrokeamongindividualswithprediabetesanddiabetesinflorida AT robersonshamarial prevalenceandpredictorsofstrokeamongindividualswithprediabetesanddiabetesinflorida AT reidkeshia prevalenceandpredictorsofstrokeamongindividualswithprediabetesanddiabetesinflorida AT jordanmelissa prevalenceandpredictorsofstrokeamongindividualswithprediabetesanddiabetesinflorida AT odoiagricola prevalenceandpredictorsofstrokeamongindividualswithprediabetesanddiabetesinflorida |