Age Disparities Among Patients With Type 2 Diabetes and Associated Rates of Hospital Use and Diabetic Complications
| Autor: | David C. Lee, Christopher J. Shim, Stephen P. Wall, Joseph Ravenell, Andrew J. Vinson, Ta’Loria Young, Christian A. Koziatek, Marcela Osorio |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Pediatrics Cross-sectional study Prevalence Type 2 diabetes 01 natural sciences Diabetes Complications 03 medical and health sciences 0302 clinical medicine Diabetes mellitus Epidemiology medicine Humans 030212 general & internal medicine Age of Onset 0101 mathematics Original Research business.industry Health Policy 010102 general mathematics Age Factors Public Health Environmental and Occupational Health Health Status Disparities Hispanic or Latino Emergency department Middle Aged medicine.disease Obesity 3. Good health Black or African American Hospitalization Cross-Sectional Studies Early Diagnosis Diabetes Mellitus Type 2 Female New York City Age of onset business Needs Assessment |
| Zdroj: | Preventing Chronic Disease |
| ISSN: | 1545-1151 |
| DOI: | 10.5888/pcd16.180681 |
| Popis: | Introduction Although screening for diabetes is recommended at age 45, some populations may be at greater risk at earlier ages. Our objective was to quantify age disparities among patients with type 2 diabetes in New York City. Methods Using all-payer hospital claims data for New York City, we performed a cross-sectional analysis of patients with type 2 diabetes identified from emergency department visits during the 5-year period 2011-2015. We estimated type 2 diabetes prevalence at each year of life, the age distribution of patients stratified by decade, and the average age of patients by sex, race/ethnicity, and geographic location. Results We identified 576,306 unique patients with type 2 diabetes. These patients represented more than half of all people with type 2 diabetes in New York City. Patients in racial/ethnic minority groups were on average 5.5 to 8.4 years younger than non-Hispanic white patients. At age 45, type 2 diabetes prevalence was 10.9% among non-Hispanic black patients and 5.2% among non-Hispanic white patients. In our geospatial analyses, patients with type 2 diabetes were on average 6 years younger in hotspots of diabetes-related emergency department use and inpatient hospitalizations. The average age of patients with type 2 diabetes was also 1 to 2 years younger in hotspots of microvascular diabetic complications. Conclusion We identified profound age disparities among patients with type 2 diabetes in racial/ethnic minority groups and in neighborhoods with poor health outcomes. The younger age of these patients may be due to earlier onset of diabetes and/or earlier death from diabetic complications. Our findings demonstrate the need for geographically targeted interventions that promote earlier diagnosis and better glycemic control. |
| Databáze: | OpenAIRE |
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