Prediabetes Prevalence by Adverse Social Determinants of Health in Adolescents
Authors' conclusion
Adverse SDOH were associated with higher prediabetes prevalence, across and within racial and ethnic categories. Consideration of adverse SDOH may offer a more actionable alternative to race- and ethnicity-based screening to evaluate T2D risk in youth.
Study context
- Population
- Youths aged 12 to 18 years with body mass index (BMI) ≥85th percentile without known diabetes, NHANES 2011–2018; mean age 15.5 years, 50.5% femalerepresenting 10,178,400 US youths
- Participants
- 1,563 participants
- Exposure
- Adverse social determinants of health (SDOH) present vs absent
- Outcome
- Elevated hemoglobin A1c (HbA1c) ≥5.7% (prediabetes or undiagnosed presumed T2D)
Methodological detailssurvey-weighted logistic regression, adjusted for age, sex and BMI z score, Data from 2011 to 2018 NHANES cycles, analysed June 1, 2023, to April 5, 2024
- Survey-weighted logistic regression
- Adjusted for age, sex and BMI z score
- Data from 2011 to 2018 NHANES cycles, analysed June 1, 2023, to April 5, 2024
Main finding
As reported in the abstract
Food insecurity independently associated with higher prediabetes prevalence
4.1%
95% CI 0.7%–7.5%
Public insurance independently associated with higher prediabetes prevalence
5.3%
95% CI 1.6%–9.1%
Low income independently associated with higher prediabetes prevalence
5.7%
95% CI 3.0%–8.3%
Observational data: associations, not effects.
Further findings
Prediabetes prevalence by race and ethnicity
- Asian, Black and Hispanic youths had higher prediabetes prevalence overall
Original publication
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