Prevalence and determinants of diagnosed and undiagnosed diabetes in Hungary based on the nationally representative cross-sectional H-UNCOVER study
Authors' conclusion
We report higher prevalence of diabetes and undiagnosed diabetes than previous Hungarian estimates. The finding that socioeconomic factors are not associated to uDM suggests that universal health care could provide equitable access to diabetes diagnosis.
Study context
- Population
- Nationally representative H-UNCOVER sample, Hungary, 11/19 counties with laboratory measurements; dDM by self-report, uDM as negative self-report and fasting glucose ≥7 mmol/l and/or HbA1c ≥48 mmol/molrepresenting 4,976,097 people
- Participants
- 5,673 participants
- Exposure
- Undiagnosed vs diagnosed diabetes
- Outcome
- Prevalence of diagnosed and undiagnosed diabetes
Methodological detailsnationally representative
- Nationally representative
Main finding
As reported in the abstract
| Group | Value | uDM |
|---|---|---|
| Women | 12.0 % (95% CI 10.7-13.4 %) | 2.2 % (1.7-2.8 %) |
| Men | 11.9 % (95% CI 10.7-13.2 %) | 2.8 % (2.2-3.6 %) |
Value
Women12.0 % (95% CI 10.7-13.4 %)
Men11.9 % (95% CI 10.7-13.2 %)
uDM
Women2.2 % (1.7-2.8 %)
Men2.8 % (2.2-3.6 %)
Observational data: associations, not effects.
Further findings
Determinants of uDM vs dDM (adjusted for age and BMI)
- Unemployment, women OR
- 0.58 [0.14-2.45]
- Unemployment, men OR
- 0.50 [0.13-1.92]
- Tertiary vs primary education, women OR
- 1.16 [0.53-2.56]
- Tertiary vs primary education, men OR
- 0.53 [0.24-1.18]
- Unemployment and education not associated with uDM
- uDM vs dDM proportion similar for women ≥40; men in their forties had highest odds of uDM
- Lower risk of uDM in both sexes with chronic morbidities
Original publication
Prevalence and determinants of diagnosed and undiagnosed diabetes in Hungary based on the nationally representative cross-sectional H-UNCOVER study. Diabetes Res Clin Pract. Published 19 August 2024. doi:10.
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