Risk Factors for Underdiagnosis of Diabetes Based on the Korean National Health and Nutrition Examination Survey 2013-2015

Deulle Min, Eunhee Cho

Research output: Contribution to journalArticle

Abstract

We included 11 298 subjects aged 30 years or older without diagnosis of diabetes by doctors who had undergone A1C screening. The diagnostic criterion for diabetes was A1C ≥6.5% (48 µmol/mol). This cross-sectional study was performed by reflecting weight of the sample in Korean National Health and Nutrition Examination Survey to represent South Korea. Risk factors were age (odds ratio [OR] = 1.06, 95% confidence interval [CI] = 1.04-1.08), Medicaid beneficiary (OR = 2.77, 95% CI = 1.25-6.14), presence of family history of diabetes (OR = 1.97, 95% CI = 1.36-2.84), serum triglyceride level (OR = 1.01, 95% CI = 1.01-1.03), serum high-density lipoprotein level (OR = 0.96, 95% CI = 0.95-0.98), currently smoking (OR = 1.85, 95% CI = 1.20-2.85), and the presence of regular checkup (OR = 1.41, 95% CI = 1.01-2.00). To prevent diabetes with a healthy life, it is necessary to establish a diabetes prevention program for vulnerable people and implement health-related policies such as smoking cessation and regular checkups.

Original languageEnglish
Pages (from-to)404-412
Number of pages9
JournalAsia-Pacific Journal of Public Health
Volume31
Issue number5
DOIs
Publication statusPublished - 2019 Jul 1

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Nutrition Surveys
Odds Ratio
Confidence Intervals
Republic of Korea
Medicaid
Smoking Cessation
HDL Lipoproteins
Health Policy
Serum
Triglycerides
Cross-Sectional Studies
Smoking
Weights and Measures

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health

Cite this

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title = "Risk Factors for Underdiagnosis of Diabetes Based on the Korean National Health and Nutrition Examination Survey 2013-2015",
abstract = "We included 11 298 subjects aged 30 years or older without diagnosis of diabetes by doctors who had undergone A1C screening. The diagnostic criterion for diabetes was A1C ≥6.5{\%} (48 µmol/mol). This cross-sectional study was performed by reflecting weight of the sample in Korean National Health and Nutrition Examination Survey to represent South Korea. Risk factors were age (odds ratio [OR] = 1.06, 95{\%} confidence interval [CI] = 1.04-1.08), Medicaid beneficiary (OR = 2.77, 95{\%} CI = 1.25-6.14), presence of family history of diabetes (OR = 1.97, 95{\%} CI = 1.36-2.84), serum triglyceride level (OR = 1.01, 95{\%} CI = 1.01-1.03), serum high-density lipoprotein level (OR = 0.96, 95{\%} CI = 0.95-0.98), currently smoking (OR = 1.85, 95{\%} CI = 1.20-2.85), and the presence of regular checkup (OR = 1.41, 95{\%} CI = 1.01-2.00). To prevent diabetes with a healthy life, it is necessary to establish a diabetes prevention program for vulnerable people and implement health-related policies such as smoking cessation and regular checkups.",
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