Cumulative social risk and type 2 diabetes in US adults: The National Health and Nutrition Examination Survey (NHANES) 1999-2006

Justin Echouffo Tcheugui, Rishi Caleyachetty, Peter A. Muennig, K. M. Narayan, Sherita Hill Golden

Research output: Contribution to journalReview articlepeer-review

Abstract

Background The cumulative effects of adverse social factors on the diabetes risk remains to be clarified. Design Cross-sectional analysis of the US National Health and Nutrition Examination Survey (NHANES) 1999-2006. Methods We included 10,276 adults aged ≥20 years. Diabetes mellitus was defined by physician diagnosis or fasting plasma glucose (≥126 mg/dl) or glycated hemoglobin (≥6.5%). Social risk factors (low family income, low education level, minority racial/ethnic group status, and single-living status) and health-related behaviors (physical activity and dietary intake) were self-reported. Social risk factors were combined in a cumulative social risk index (range 0 to ≥3) and logistic regression used to assess the association of cumulative social risk and diabetes, taking into account complex survey design and sampling weights. Results Of 10,276 participants, 1515 (weighted proportion - 10%) had diabetes, 3295 (32.3%) and 1830 (9.0%) were exposed to ≥1 adverse social risk factor and ≥3 social risk factors, respectively. Diabetes was associated with increasing cumulative social risk in a graded manner (p for trend

Original languageEnglish (US)
Pages (from-to)1282-1288
Number of pages7
JournalEuropean Journal of Preventive Cardiology
Volume23
Issue number12
DOIs
StatePublished - Aug 1 2016

Keywords

  • cumulative risk
  • diabetes
  • health disparities
  • Social risk factor

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Epidemiology

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