Tags

Type your tag names separated by a space and hit enter

Prevalence of self-reported diagnosis of diabetes mellitus and associated risk factors in a national survey in the US population: SHIELD (Study to Help Improve Early evaluation and management of risk factors Leading to Diabetes).

Abstract

BACKGROUND

Studies derived from continuous national surveys have shown that the prevalence of diagnosed diabetes mellitus in the US is increasing. This study estimated the prevalence in 2004 of self-reported diagnosis of diabetes and other conditions in a community-based population, using data from the Study to Help Improve Early evaluation and management of risk factors Leading to Diabetes (SHIELD).

METHODS

The initial screening questionnaire was mailed in 2004 to a stratified random sample of 200,000 households in the US, to identify individuals, age > or = 18 years of age, with diabetes or risk factors associated with diabetes. Follow-up disease impact questionnaires were then mailed to a representative, stratified random sample of individuals (n = 22,001) in each subgroup of interest (those with diabetes or different numbers of risk factors for diabetes). Estimated national prevalence of diabetes and other conditions was calculated, and compared to prevalence estimates from the National Health and Nutrition Examination Survey (NHANES) 1999-2002.

RESULTS

Response rates were 63.7% for the screening, and 71.8% for the follow-up baseline survey. The SHIELD screening survey found overall prevalence of self-reported diagnosis of diabetes (either type 1 or type 2) was 8.2%, with increased prevalence with increasing age and decreasing income. In logistic regression modeling, individuals were more likely to be diagnosed with type 2 diabetes if they had abdominal obesity (odds ratio [OR] = 3.50; p < 0.0001), BMI > or =28 kg/m2 (OR = 4.04; p < 0.0001), or had been diagnosed with dyslipidemia (OR = 3.95; p < 0.0001), hypertension (OR = 4.82; p < 0.0001), or with cardiovascular disease (OR = 3.38; p < 0.0001).

CONCLUSION

The SHIELD design allowed for a very large, community-based sample with broad demographic representation of the population of interest. When comparing results from the SHIELD screening survey (self-report only) to those from NHANES 1999-2002 (self-report, clinical and laboratory evaluations), the prevalence of diabetes was similar. SHIELD allows the identification of respondents with and without a current diagnosis of the illness of interest, and potential longitudinal evaluation of risk factors for future diagnosis of that illness.

Links

  • PMC Free PDF
  • PMC Free Full Text
  • FREE Publisher Full Text
  • Authors+Show Affiliations

    ,

    Louisville Metabolic and Atherosclerosis Research Center, Louisville, KY, USA. hbaysmd@aol.com

    , , , , , , , , ,

    Source

    BMC public health 7: 2007 Oct 03 pg 277

    MeSH

    Adult
    Aged
    Body Mass Index
    Diabetes Mellitus
    Dyslipidemias
    Early Diagnosis
    Female
    Health Surveys
    Humans
    Hypertension
    Male
    Middle Aged
    Population Surveillance
    Prevalence
    Risk Factors
    Self Disclosure
    Surveys and Questionnaires
    United States

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    17915014

    Citation

    Bays, Harold E., et al. "Prevalence of Self-reported Diagnosis of Diabetes Mellitus and Associated Risk Factors in a National Survey in the US Population: SHIELD (Study to Help Improve Early Evaluation and Management of Risk Factors Leading to Diabetes)." BMC Public Health, vol. 7, 2007, p. 277.
    Bays HE, Bazata DD, Clark NG, et al. Prevalence of self-reported diagnosis of diabetes mellitus and associated risk factors in a national survey in the US population: SHIELD (Study to Help Improve Early evaluation and management of risk factors Leading to Diabetes). BMC Public Health. 2007;7:277.
    Bays, H. E., Bazata, D. D., Clark, N. G., Gavin, J. R., Green, A. J., Lewis, S. J., ... Grandy, S. (2007). Prevalence of self-reported diagnosis of diabetes mellitus and associated risk factors in a national survey in the US population: SHIELD (Study to Help Improve Early evaluation and management of risk factors Leading to Diabetes). BMC Public Health, 7, p. 277.
    Bays HE, et al. Prevalence of Self-reported Diagnosis of Diabetes Mellitus and Associated Risk Factors in a National Survey in the US Population: SHIELD (Study to Help Improve Early Evaluation and Management of Risk Factors Leading to Diabetes). BMC Public Health. 2007 Oct 3;7:277. PubMed PMID: 17915014.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Prevalence of self-reported diagnosis of diabetes mellitus and associated risk factors in a national survey in the US population: SHIELD (Study to Help Improve Early evaluation and management of risk factors Leading to Diabetes). AU - Bays,Harold E, AU - Bazata,Debbra D, AU - Clark,Nathaniel G, AU - Gavin,James R,3rd AU - Green,Andrew J, AU - Lewis,Sandra J, AU - Reed,Michael L, AU - Stewart,Walter, AU - Chapman,Richard H, AU - Fox,Kathleen M, AU - Grandy,Susan, Y1 - 2007/10/03/ PY - 2007/04/13/received PY - 2007/10/03/accepted PY - 2007/10/5/pubmed PY - 2008/3/6/medline PY - 2007/10/5/entrez SP - 277 EP - 277 JF - BMC public health JO - BMC Public Health VL - 7 N2 - BACKGROUND: Studies derived from continuous national surveys have shown that the prevalence of diagnosed diabetes mellitus in the US is increasing. This study estimated the prevalence in 2004 of self-reported diagnosis of diabetes and other conditions in a community-based population, using data from the Study to Help Improve Early evaluation and management of risk factors Leading to Diabetes (SHIELD). METHODS: The initial screening questionnaire was mailed in 2004 to a stratified random sample of 200,000 households in the US, to identify individuals, age > or = 18 years of age, with diabetes or risk factors associated with diabetes. Follow-up disease impact questionnaires were then mailed to a representative, stratified random sample of individuals (n = 22,001) in each subgroup of interest (those with diabetes or different numbers of risk factors for diabetes). Estimated national prevalence of diabetes and other conditions was calculated, and compared to prevalence estimates from the National Health and Nutrition Examination Survey (NHANES) 1999-2002. RESULTS: Response rates were 63.7% for the screening, and 71.8% for the follow-up baseline survey. The SHIELD screening survey found overall prevalence of self-reported diagnosis of diabetes (either type 1 or type 2) was 8.2%, with increased prevalence with increasing age and decreasing income. In logistic regression modeling, individuals were more likely to be diagnosed with type 2 diabetes if they had abdominal obesity (odds ratio [OR] = 3.50; p < 0.0001), BMI > or =28 kg/m2 (OR = 4.04; p < 0.0001), or had been diagnosed with dyslipidemia (OR = 3.95; p < 0.0001), hypertension (OR = 4.82; p < 0.0001), or with cardiovascular disease (OR = 3.38; p < 0.0001). CONCLUSION: The SHIELD design allowed for a very large, community-based sample with broad demographic representation of the population of interest. When comparing results from the SHIELD screening survey (self-report only) to those from NHANES 1999-2002 (self-report, clinical and laboratory evaluations), the prevalence of diabetes was similar. SHIELD allows the identification of respondents with and without a current diagnosis of the illness of interest, and potential longitudinal evaluation of risk factors for future diagnosis of that illness. SN - 1471-2458 UR - https://www.unboundmedicine.com/medline/citation/17915014/Prevalence_of_self_reported_diagnosis_of_diabetes_mellitus_and_associated_risk_factors_in_a_national_survey_in_the_US_population:_SHIELD__Study_to_Help_Improve_Early_evaluation_and_management_of_risk_factors_Leading_to_Diabetes__ L2 - https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-7-277 DB - PRIME DP - Unbound Medicine ER -