Evidence map›Paper›PMID 41029724›Full record

ArticleBMC public health2025

Examining the relationship between social risk factors, diabetes prevention recommendations, and behaviors among US adults with prediabetes.

Christine Egede, Jennifer A Campbell, Xuemeng Wang, Abigail Thorgerson, Rebekah J Walker, Leonard E Egede

Abstract read
In one paragraph

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Christine EgedeUniversity of Maryland Medical Center, 22 S. Greene Street, Baltimore, MD, USA.
Jennifer A CampbellDivision of Population Health, Department of Medicine, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY, USA.
Xuemeng WangDivision of Population Health, Department of Medicine, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY, USA.
Abigail ThorgersonCenter for Advancing Population Science, Medical College of Wisconsin, Milwaukee, WI, USA.
Rebekah J WalkerDivision of Population Health, Department of Medicine, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY, USA.
Leonard E EgedeDivision of Population Health, Department of Medicine, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY, USA. legede@buffalo.edu.

Funding

HOME DM-BAT: Home-based Diabetes-Modified Behavioral Activation Treatment for Low Income Seniors with T2DM Diversity SupplementR01DK118038 · NIDDK · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI EGEDE, LEONARD E. · 2019 to 2023
$3.5M
Lowering the Impact of Food insecurity in African American Adults with Type 2 Diabetes Mellitus (LIFT-DM) - Diversity SupplementR01MD013826 · NIMHD · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI EGEDE, LEONARD E., WALKER, REBEKAH J · 2019 to 2023
$3.4M
Structural Racism and Disparities in Social Risk, Human Capital, Health Care Resources, and Health Outcomes: A Multi-level Analysis of Pathways and Policy Levers for ChangeR01MD017574 · NIMHD · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI Leonard E. Egede, Sebastian Linde · 2023 to 2026
$2.5M
Impact of structural racism on hospital/clinic closures, community assets, and health outcomes in urban communitiesR01MD018012 · NIMHD · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI Leonard E. Egede, Sebastian Linde · 2023 to 2026
$2.4M
Cardiovascular Risk Reduction for Adults with Food Insecurity Using Structured Incentives (CVD-FIT)R01MD018721 · NIMHD · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI Rebekah J Walker · 2024 to 2026
$2.0M
Conditional Cash Transfer Intervention to Improve Health Outcomes among Inner-City African Americans with T2DMK01DK131319 · NIDDK · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI Jennifer Annette Campbell · 2022 to 2026
$682k
NIDDK NIH HHS K01 DK131319NIDDK NIH HHS K01DK131319NIDDK NIH HHS L30 DK130040NIDDK NIH HHS R01 DK118038NIDDK NIH HHS R01DK118038NIMHD NIH HHS R01 MD013826NIMHD NIH HHS R01MD013826NIMHD NIH HHS R01 MD017574NIMHD NIH HHS R01MD017574NIMHD NIH HHS R01 MD018012NIMHD NIH HHS R01 MD018721
6 · The paper itself

Abstract

backgroundAmong 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.

methodsData 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.

resultsIn 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).

conclusionThis 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.

Indexed as

Diabetes MellitusHealth BehaviorPrediabetic StateAdultAgedCross-Sectional StudiesExerciseFemaleHealth SurveysHumansMaleMiddle AgedRisk FactorsSocial FactorsUnited StatesDiabetes preventionPopulation healthPre-diabetesSocial risk factors

Identifiers

PMID41029724
PMCPMC12487274

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.