Determinants of health and mortality in undiagnosed diabetes: A nationally representative US adult, 2011–2020
Authors' conclusion
Targeted public health approaches should address sociodemographic and clinical factors to reduce the burden of undiagnosed diabetes.
Study context
- Population
- Nationally representative sample of US adults, NHANES 2011–2012 to 2019–2020
- Exposure
- Undiagnosed diabetes vs diagnosed diabetes vs no diabetes
- Outcome
- Determinants of undiagnosed diabetes (sociodemographic, health behavioral, clinical factors) and excess mortality risk
Methodological detailsnationally representative, National Health and Nutrition Examination Survey 2011–2020, Multiple logistic regression for determinants; Cox proportional hazards models for mortality
- Nationally representative
- National Health and Nutrition Examination Survey 2011–2020
- Multiple logistic regression for determinants; Cox proportional hazards models for mortality
Main finding
As reported in the abstract
- Young adults, racial minorities, the foreign-born and those with limited access to health care more likely to be unaware of their diabetes
- Adults without a family history of diabetes and chronic conditions have a higher chance of undiagnosed diabetes
- No health behavioral factors associated with undiagnosed diabetes
- Undiagnosed diabetes: lower risk of all-cause and CVD mortality vs diagnosed diabetes
- Undiagnosed diabetes: higher risk of all-cause mortality vs no diabetes
Observational data: associations, not effects.
Original publication
Determinants of health and mortality in undiagnosed diabetes: A nationally representative US adult, 2011–2020. Diabetes Res Clin Pract. Published 22 March 2024. doi:10.
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