Trends in Preventive Care Services Among U.S. Adults With Diagnosed Diabetes, 2008–2020
Authors' conclusion
Other than influenza vaccination, we observed no improvement in preventive care service use among U.S. adults with diabetes. These data highlight services and specific subgroups that could be targeted to improve preventive care among adults with diabetes.
Study context
- Population
- U.S. adults ≥18 years with diagnosed diabetes
- Participants
- 25,616 adults
- Outcome
- Receipt of 6 ADA-recommended preventive care services in past year (≥1 dental exam, dilated-eye exam, foot exam, cholesterol test; ≥2 A1C tests; influenza vaccine)
- Follow-up
- 2008–2020
Methodological detailsjoinpoint regression trend analysis, Medical Expenditures Panel Survey 2008–2020
- Joinpoint regression trend analysis
- Medical Expenditures Panel Survey 2008–2020
Main finding
As reported in the abstract
Receipt of preventive care services
Proportion receiving any individual preventive care service ranged
32.6% to 89.9%
Overall trends 2008–2019 flat except increase in influenza vaccination; average annual percent change
2.6%
95% CI 1.1%, 4.2%
Observational data: associations, not effects.
Further findings
Subgroup trends · 2008–2019
- Influenza vaccination and A1C testing improved among several subgroups
- Cholesterol testing declined (aged 45-64 years; less than high school education; Medicaid insurance)
- Dental visits declined (uninsured)
Received none of the recommended preventive care services · 2020
- Proportion receiving none
- 8.2% (95% CI 4.5%, 11.9%)
Original publication
Trends in Preventive Care Services Among U.S. Adults With Diagnosed Diabetes, 2008–2020. Diabetes Care. Published 16 October 2023. doi:10.
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