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. 2018 Dec:146:258-266.
doi: 10.1016/j.diabres.2018.11.004. Epub 2018 Nov 9.

Factors associated with undiagnosed diabetes among adults with diabetes: Results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL)

Sarah Stark Casagrande  1 , Andy Menke  2 , Larissa Aviles-Santa  3 , Linda C Gallo  4 , Martha L Daviglus  5 , Gregory A Talavera  6 , Sheila F Castañeda  6 , Krista Perreira  7 , Matthew Shane Loop  8 , Wassim Tarraf  9 , Hector M González  10 , Catherine C Cowie  11
Affiliations

Factors associated with undiagnosed diabetes among adults with diabetes: Results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL)

Sarah Stark Casagrande et al. Diabetes Res Clin Pract. 2018 Dec.

Abstract

Aims: To investigate sociodemographic and health factors associated with undiagnosed diabetes among adults with diabetes in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL).

Methods: Among 3384 adults with self-reported diabetes or undiagnosed diabetes in the baseline HCHS/SOL, we estimated odds ratios (OR) of being undiagnosed for demographic, cultural, access to care, and health factors.

Results: Among individuals with diabetes, 37.0% were undiagnosed. After adjustment and compared to people of Mexican heritage, people of Cuban and South American heritage had 60% (OR = 1.60, 95% CI = 1.02-2.50) and 91% (OR = 1.91, 1.16-3.14) higher odds of being undiagnosed, respectively. Individuals with a higher odds of being undiagnosed were women (OR = 1.64, 1.26-2.13), those with no health insurance (OR = 1.31, 1.00-1.71), individuals who received no healthcare in the past year (OR = 3.59, 2.49-5.16), those who were overweight (vs. normal weight) (OR = 1.60, 1.02-2.50), and those with dyslipidemia (OR = 1.38, 1.10-1.74). Individuals with lower odds of being undiagnosed were those with a family history of diabetes (OR = 0.54, 0.43-0.68), and those with hypertension (OR = 0.46, 0.36-0.58).

Conclusions: Variation by Hispanic heritage group, sex, and access to medical care highlight where concentrated efforts are need to improve diabetes awareness. Our findings will inform clinical and public health practices to improve diabetes awareness among vulnerable populations.

Keywords: Hispanic Community Health Study/Study of Latinos; Hispanic/Latinos; Undiagnosed diabetes.

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Figures

Figure 1.
Figure 1.
The Weighted Percentage of Adults with Diabetes who were Undiagnosed Overall and by Age, Hispanic Heritage, and Sex, Hispanic Community Health Study/Study of Latinos 2008-2011
See this image and copyright information in PMC

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