Journal article
Health insurance is associated with decreased odds for undiagnosed prediabetes and type 2 diabetes in American adults
International Journal of Environmental Research and Public Health, Vol.17(13), Article 4706
2020
Abstract
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.
Details
- Title
- Health insurance is associated with decreased odds for undiagnosed prediabetes and type 2 diabetes in American adults
- Authors/Creators
- S. Mahoney (Author/Creator) - North Dakota State UniversityA. Bradley (Author/Creator) - North Dakota State UniversityL. Pitts (Author/Creator) - North Dakota State UniversityS. Waletzko (Author/Creator) - North Dakota State UniversityS.G. Robinson-Lane (Author/Creator) - University of MichiganT. Fairchild (Author/Creator) - Murdoch UniversityD.J. Terbizan (Author/Creator) - North Dakota State UniversityR. McGrath (Author/Creator) - North Dakota State University
- Publication Details
- International Journal of Environmental Research and Public Health, Vol.17(13), Article 4706
- Publisher
- MDPI
- Identifiers
- 991005544862607891
- Copyright
- © 2020 by the authors
- Murdoch Affiliation
- Centre for Molecular Medicine and Innovative Therapeutics
- Language
- English
- Resource Type
- Journal article
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- Collaboration types
- Domestic collaboration
- International collaboration
- Citation topics
- 1 Clinical & Life Sciences
- 1.26 Diabetes
- 1.26.42 Diabetes Management
- Web Of Science research areas
- Environmental Sciences
- Public, Environmental & Occupational Health
- ESI research areas
- Environment/Ecology