ArticleDiabetes research and clinical practice2024
Determinants of health and mortality in undiagnosed diabetes: A nationally representative US adult, 2011-2020.
Article in Diabetes research and clinical practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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4 citing papers in PubMed.
- Association of Urine Heavy Metals with Prevalence of Type 1 Diabetes and Poor Glycaemic Control.Biological trace element research · 2026Article
- Diabetes trends and determinants among Thai adults from 2004 to 2020.Scientific reports · 2025Article
- Diagnosis of chronic disease during admission for emergency general surgery: a portal to healthcare.Trauma surgery & acute care open · 2025Article
- Socio-behavioral determinants of undiagnosed type 2 diabetes in middle-aged adults: a cross-sectional analysis.Frontiers in public health · 2025Article
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Authors and funding
3 authors.
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Abstract
aimThis study examines the determinants of health and mortality associated with undiagnosed diabetes among a nationally representative sample of US adults.
methodsData are from the National Health and Nutrition Examination Survey between 2011 and 2012 and 2019-2020. Diabetes status is categorized into three groups: undiagnosed diabetes, diagnosed diabetes, and no diabetes. Multiple logistic regression is used to estimate the association between undiagnosed diabetes and three domains of risk factors, including sociodemographic and health behavioral and clinical factors. Cox proportional hazards models are performed to compare excess mortality risk between the three groups.
resultsYoung adults, racial minorities, the foreign-born, and individuals with limited access to health care are more likely to be unaware of their diabetes. Moreover, adults without a family history of diabetes and chronic conditions have a higher chance of undiagnosed diabetes. No health behavioral factors are found to be associated with undiagnosed diabetes. Adults with undiagnosed diabetes have a lower risk of all-cause and cardiovascular disease mortality compared to those with diagnosed diabetes, but a higher risk of all-cause mortality than those with no diabetes.
conclusionTargeted public health approaches should address sociodemographic and clinical factors to reduce the burden of undiagnosed diabetes.
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