Examining the relationship between social risk factors, diabetes prevention recommendations, and behaviors among US adults with prediabetes.
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| Název: | Examining the relationship between social risk factors, diabetes prevention recommendations, and behaviors among US adults with prediabetes. |
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| Autoři: | Egede C; University of Maryland Medical Center, 22 S. Greene Street, Baltimore, MD, USA., Campbell JA; Division of Population Health, Department of Medicine, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY, USA., Wang X; Division of Population Health, Department of Medicine, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY, USA., Thorgerson A; Center for Advancing Population Science, Medical College of Wisconsin, Milwaukee, WI, USA., Walker RJ; Division of Population Health, Department of Medicine, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY, USA., Egede LE; Division of Population Health, Department of Medicine, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY, USA. legede@buffalo.edu.; Buffalo General Medical Center, 100 High Street, D2-76, Buffalo, NY, USA. legede@buffalo.edu. |
| Zdroj: | BMC public health [BMC Public Health] 2025 Sep 30; Vol. 25 (1), pp. 3183. Date of Electronic Publication: 2025 Sep 30. |
| Způsob vydávání: | Journal Article |
| Jazyk: | English |
| Informace o časopise: | Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: London : BioMed Central, [2001- |
| Výrazy ze slovníku MeSH: | Prediabetic State*/epidemiology , Prediabetic State*/psychology , Diabetes Mellitus*/prevention & control , Health Behavior*, Humans ; Male ; Female ; Middle Aged ; United States/epidemiology ; Risk Factors ; Adult ; Health Surveys ; Aged ; Social Factors ; Exercise ; Cross-Sectional Studies |
| Abstrakt: | Competing Interests: Declarations. Ethics approval and consent to participate: IRB review and ethics approval was not required as data was publicly available and non-identifiable. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests. Background: Among US adults with prediabetes, only half engage in recommended prevention behaviors and little has been done to examine the role of multiple social risk factors. Methods: Data from 4,310 adults with prediabetes (weighted 34,442,989) in the National Health Interview Survey 2016-2017 was used. Predictor variables included six social risk factors. Outcome variables included (1) receiving counseling for lifestyle change and (2) engaging in lifestyle change behaviors. Multiple logistic regression (glm function with poisson family and log link) models were run to estimate prevalence ratios, adjusting for relevant covariates. Results: In the fully adjusted models, inadequate access to care was associated with lower prevalence of receiving all forms of counseling for physical activity (PR = 0.63; CI 0.51; 0.78), fat/calories (PR = 0.70; CI 0.56; 0.86) and weight loss program (PR = 0.33; CI 0.19; 0.59). Lack of community was associated with lower prevalence of increasing physical activity (PR = 0.94; CI 0.88; 1.00). Educational deficit was associated with lower prevalence of increasing physical activity (PR = 0.88; CI 0.82; 0.94), reducing fat/calories (PR = 0.89; CI 0.83; 0.95) and being in a weight loss program (PR = 0.66; CI 0.51; 0.87). Food insecurity was associated with lower prevalence of reducing fat/calories (PR = 0.91; CI 0.84; 0.98). Inadequate access to care was associated with lower prevalence of being in a weight loss program (PR = 0.43; CI 0.23; 0.81). Conclusion: This study underscores the role of social risk factors in limiting diabetes prevention at a national level. To effectively address the barriers to diabetes prevention adoption in the US, social risk factors need to be accounted for as a part of a holistic care plan. (© 2025. The Author(s).) |
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| Grant Information: | K01 DK131319 United States DK NIDDK NIH HHS; R01MD017574 United States MD NIMHD NIH HHS; R01 MD017574 United States MD NIMHD NIH HHS; R01DK118038 United States DK NIDDK NIH HHS; R01MD013826 United States MD NIMHD NIH HHS; K01DK131319 United States DK NIDDK NIH HHS; R01 MD013826 United States MD NIMHD NIH HHS; R01 DK118038 United States DK NIDDK NIH HHS |
| Contributed Indexing: | Keywords: Diabetes prevention; Population health; Pre-diabetes; Social risk factors |
| Entry Date(s): | Date Created: 20251001 Date Completed: 20251001 Latest Revision: 20251004 |
| Update Code: | 20251004 |
| PubMed Central ID: | PMC12487274 |
| DOI: | 10.1186/s12889-025-24551-w |
| PMID: | 41029724 |
| Databáze: | MEDLINE |
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