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Health Insurance Is Associated with Decreased Odds for Undiagnosed Prediabetes and Type 2 Diabetes in American Adults

Author

Listed:
  • Sean Mahoney

    (Department of Health, Nutrition, and Exercise Sciences, North Dakota State University, Fargo, ND 58108, USA)

  • Adam Bradley

    (Department of Health, Nutrition, and Exercise Sciences, North Dakota State University, Fargo, ND 58108, USA)

  • Logan Pitts

    (Department of Health, Nutrition, and Exercise Sciences, North Dakota State University, Fargo, ND 58108, USA)

  • Stephanie Waletzko

    (Department of Health, Nutrition, and Exercise Sciences, North Dakota State University, Fargo, ND 58108, USA)

  • Sheria G. Robinson-Lane

    (School of Nursing, University of Michigan, Ann Arbor, MI 48109, USA)

  • Timothy Fairchild

    (Centre for Molecular Medicine & Innovative Therapeutics, Murdoch University, 6150 Perth, Australia)

  • Donna J. Terbizan

    (Department of Health, Nutrition, and Exercise Sciences, North Dakota State University, Fargo, ND 58108, USA)

  • Ryan McGrath

    (Department of Health, Nutrition, and Exercise Sciences, North Dakota State University, Fargo, ND 58108, USA)

Abstract

Over a third of adults in the United States have prediabetes, and many of those with prediabetes will progress to type 2 diabetes within 3–5 years. Health insurance status may factor into a proper diagnosis of prediabetes and diabetes. This study sought to determine the associations between health insurance and undiagnosed prediabetes and diabetes in a national sample of American adults. Publicly available data from 13,029 adults aged 18–64 years from the 2005–2016 waves of the National Health and Nutrition Examination Survey were analyzed. Health insurance type (Medicaid, Private, Other, None) was self-reported. Prediabetes and diabetes status were assessed with measures of self-report, glycohemoglobin, fasting plasma glucose, and two-hour glucose. Covariate-adjusted logistic models were used for the analyses. Overall, 5976 (45.8%) participants had undiagnosed prediabetes, while 897 (6.8%) had undiagnosed diabetes. Having health insurance was associated with decreased odds ratios for undiagnosed prediabetes: 0.87 (95% confidence interval (CI: 0.79, 0.95)) for private insurance, 0.84 (CI: 0.73, 0.95) for other insurance, and 0.78 (CI: 0.67, 0.90) for Medicaid. Moreover, having private health insurance was associated with 0.82 (CI: 0.67, 0.99) decreased odds for undiagnosed diabetes. Health insurance coverage and screening opportunities for uninsured individuals may reduce prediabetes and diabetes misclassifications.

Suggested Citation

  • Sean Mahoney & Adam Bradley & Logan Pitts & Stephanie Waletzko & Sheria G. Robinson-Lane & Timothy Fairchild & Donna J. Terbizan & Ryan McGrath, 2020. "Health Insurance Is Associated with Decreased Odds for Undiagnosed Prediabetes and Type 2 Diabetes in American Adults," IJERPH, MDPI, vol. 17(13), pages 1-15, June.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:13:p:4706-:d:378384
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    References listed on IDEAS

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    1. Strauss, S.M. & Alfano, M.C. & Shelley, D. & Fulmer, T., 2012. "Identifying unaddressed systemic health conditions at dental visits: Patients who visited dental practices but not general health care providers in 2008," American Journal of Public Health, American Public Health Association, vol. 102(2), pages 253-255.
    2. Susan P Fisher-Hoch & Kristina P Vatcheva & Mohammad H Rahbar & Joseph B McCormick, 2015. "Undiagnosed Diabetes and Pre-Diabetes in Health Disparities," PLOS ONE, Public Library of Science, vol. 10(7), pages 1-10, July.
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    Cited by:

    1. Chaozhou Mou & Minlan Xu & Juncheng Lyu, 2021. "Predictors of Undiagnosed Diabetes among Middle-Aged and Seniors in China: Application of Andersen’s Behavioral Model," IJERPH, MDPI, vol. 18(16), pages 1-9, August.

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