Age- and deprivation-related inequalities in identification of people at high risk of type 2 diabetes in England
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| Title: | Age- and deprivation-related inequalities in identification of people at high risk of type 2 diabetes in England |
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| Authors: | Ruth Watkinson, Emma McManus, Rachel Meacock, Matt Sutton |
| Source: | BMC Public Health BMC Public Health, Vol 24, Iss 1, Pp 1-11 (2024) Watkinson, R, Mcmanus, E, Meacock, R & Sutton, M 2024, 'Age-and deprivation-related inequalities in identification of people at high risk of type-2 diabetes in England', BMC Public Health, vol. 24, 2166. https://doi.org/10.1186/s12889-024-19571-x |
| Publisher Information: | Springer Science and Business Media LLC, 2024. |
| Publication Year: | 2024 |
| Subject Terms: | Male, Adult, State Medicine, Young Adult, inequalities, Risk Factors, Humans, 10. No inequality, Aged, Aged, 80 and over, Non-diabetic hyperglycaemia, Research, Age Factors, Health Status Disparities, Middle Aged, Type 2 Diabetes, 3. Good health, Early Diagnosis, Diabetes Mellitus, Type 2, England, Socioeconomic Factors, Intermediate hyperglycaemia, Hyperglycemia, intermediate hyperglycaemia, Female, Social Deprivation, Inequalities, Public aspects of medicine, RA1-1270, Prediabetes |
| Description: | Background Early detection of intermediate hyperglycaemia, otherwise known as non-diabetic hyperglycaemia (NDH) is crucial to identify people at high risk of developing type 2 diabetes mellitus (T2DM) who could benefit from preventative interventions. Failure to identify NDH may also increase the risks of T2DM-related complications at the time of T2DM diagnosis. We investigate sociodemographic inequalities in identification of NDH in England. Methods We used nationwide data from the English National Health Service (NHS) National Diabetes Audit, which includes all people who were newly identified with NDH (N = 469,910) or diagnosed with T2DM (N = 222,795) between 1st April 2019 and 31st March 2020. We used regression models to explore inequalities in the under identification of NDH by area-level deprivation and age group. Results Of those with a new T2DM diagnosis, 67.3% had no previous record of NDH. The odds of no previous NDH being recorded were higher amongst people living in more deprived areas (Odds ratio (OR) 1.15 (95% confidence intervals (CI) [1.12, 1.19]) most deprived (Q1) compared to least deprived (Q5) quintile) and younger individuals (OR 4.02 (95% CI [3.79, 4.27] under 35s compared to age 75–84)). Deprivation-related inequalities persisted after stratification by age group, with the largest inequalities amongst middle and older age groups. People living in more deprived areas and younger people also had shorter recorded NDH duration before progression to T2DM, and higher T2DM severity at the time of diagnosis. Conclusions There is under identification of NDH relative to diagnosis of T2DM amongst people living in more deprived areas and particularly amongst younger people, resulting in missed opportunities for targeted T2DM prevention efforts and potentially contributing to inequalities in T2DM prevalence and severity. More active NDH case-finding amongst these groups may be an important first step in helping to reduce inequalities in T2DM. |
| Document Type: | Article Other literature type |
| Language: | English |
| ISSN: | 1471-2458 |
| DOI: | 10.1186/s12889-024-19571-x |
| Access URL: | https://pubmed.ncbi.nlm.nih.gov/39127639 https://doaj.org/article/9d968d103f0c45d7b7d78f71b8e2314c https://research.manchester.ac.uk/en/publications/506d33d6-c75f-4f1f-842d-e7c277617b9e https://doi.org/10.1186/s12889-024-19571-x |
| Rights: | CC BY URL: http://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (http://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (http://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
| Accession Number: | edsair.doi.dedup.....f9a819154b7ee9ae7c66b64c306bf5b6 |
| Database: | OpenAIRE |
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Nájsť tento článok vo Web of Science | Abstract: | Background Early detection of intermediate hyperglycaemia, otherwise known as non-diabetic hyperglycaemia (NDH) is crucial to identify people at high risk of developing type 2 diabetes mellitus (T2DM) who could benefit from preventative interventions. Failure to identify NDH may also increase the risks of T2DM-related complications at the time of T2DM diagnosis. We investigate sociodemographic inequalities in identification of NDH in England. Methods We used nationwide data from the English National Health Service (NHS) National Diabetes Audit, which includes all people who were newly identified with NDH (N = 469,910) or diagnosed with T2DM (N = 222,795) between 1st April 2019 and 31st March 2020. We used regression models to explore inequalities in the under identification of NDH by area-level deprivation and age group. Results Of those with a new T2DM diagnosis, 67.3% had no previous record of NDH. The odds of no previous NDH being recorded were higher amongst people living in more deprived areas (Odds ratio (OR) 1.15 (95% confidence intervals (CI) [1.12, 1.19]) most deprived (Q1) compared to least deprived (Q5) quintile) and younger individuals (OR 4.02 (95% CI [3.79, 4.27] under 35s compared to age 75–84)). Deprivation-related inequalities persisted after stratification by age group, with the largest inequalities amongst middle and older age groups. People living in more deprived areas and younger people also had shorter recorded NDH duration before progression to T2DM, and higher T2DM severity at the time of diagnosis. Conclusions There is under identification of NDH relative to diagnosis of T2DM amongst people living in more deprived areas and particularly amongst younger people, resulting in missed opportunities for targeted T2DM prevention efforts and potentially contributing to inequalities in T2DM prevalence and severity. More active NDH case-finding amongst these groups may be an important first step in helping to reduce inequalities in T2DM. |
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| ISSN: | 14712458 |
| DOI: | 10.1186/s12889-024-19571-x |