Type 2 & other diabetes

Incidence and Risk Factors of Diagnosed Young-Adult-Onset Type 2 Diabetes in the U.S.: The National Health Interview Survey 2016–2022

Diabetes CarePublished Cross-sectional study

Authors' conclusion

This study quantified the incidence of diagnosed young-adult-onset T2D in U.S. adults and identified its distinct risk factor profile. Targeted prevention strategies for young-adult-onset T2D are needed for minority and socioeconomically disadvantaged people and those with cardiometabolic diseases.

Study context

Population
Adults aged 18–79 years with self-reported diabetes type, National Health Interview Survey 2016–2022, noninstitutionalized U.S. civilian population
Participants
142,884 adults
Exposure
Young-adult onset vs Middle-age onset vs Older-adult onset
Outcome
Incidence of diagnosed young-adult-onset T2D and its risk factors
Methodological detailsnationally representative survey, multivariable logistic regression
  • Nationally representative survey
  • Multivariable logistic regression

Main finding

As reported in the abstract

Incidence of diagnosed young-adult-onset T2D

Young-adult onset

3.0 per 1,000 adults

95% CI 2.6–3.5

Observational data: associations, not effects.

Further findings

Risk factors for young-adult-onset T2D

aOR (95% CI)
Lipid-lowering medication useStrongest risk factors13.15 (8.85–19.55)
Antihypertensive medication useStrongest risk factors11.89 (7.97–17.73)
OutcomeaOR (95% CI)
Risk factors for young-adult-onset T2DObesity (BMI ≥30 kg/m²)vs BMI <25 kg/m²Strongest risk factors10.89 (6.69–17.7)
Risk factors for young-adult-onset T2D — These risk factors, plus hypertension, hyperlipidemia and coronary heart disease, more strongly associated with young-adult-onset than later-onset T2D
up to 4.5 times higher aORs

Original publication

Incidence and Risk Factors of Diagnosed Young-Adult-Onset Type 2 Diabetes in the U.S.: The National Health Interview Survey 2016–2022. Diabetes Care. Published 3 January 2025. doi:10.2337/dc24-1699

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