Health Care Access and Use Among Adults with Diabetes During the COVID-19 Pandemic — U.S. February–March 2021

Details

• Journal Article:
  Morbidity and Mortality Weekly Report (MMWR)
• Personal Author:
  Czeisler, Mark É. ; Barrett, Catherine E. ; Siegel, Karen R. ; Weaver, Matthew D. ; Czeisler, Charles A. ; Rajaratnam, Shantha M.W. ; Howard, Mark E. ; Bullard, Kai McKeever
• Description:
  Diabetes affects approximately one in 10 persons in the U.S.| and is a risk factor for severe COVID-19 (1), especially when a patient's diabetes is not well managed (2). The extent to which the COVID-19 pandemic has affected diabetes care and management, and whether this varies across age groups, is currently unknown. To evaluate access to and use of health care, as well as experiences, attitudes, and behaviors about COVID-19 Prevention and vaccination, a nonprobability, Internet-based survey was administered to 5,261 U.S. adults aged ≥18 years during February-March 2021. Among respondents, 760 (14%) adults who reported having diabetes currently managed with medication were included in the Analysis. Younger adults (aged 18-29 years) with diabetes were more likely to report having missed medical care during the past 3 months (87%; 79) than were those aged 30-59 years (63%; 372) or ≥60 years (26%; 309) (p<0.001). Overall, 44% of younger adults reported difficulty accessing diabetes medications. Younger adults with diabetes also reported lower intention to receive COVID-19 vaccination (66%) compared with adults aged ≥60 years| (85%; p = 0.001). During the COVID-19 pandemic, efforts to enhance access to diabetes care for adults with diabetes and deliver public health messages emphasizing the importance of diabetes management and COVID-19 Prevention, including vaccination, are warranted, especially in younger adults.
• Subjects:
  Adolescent Adult Aged CoronaVirus Infections COVID-19 Diabetes Mellitus Female Health Services Accessibility Humans Male Middle Aged Pandemics Patient Acceptance Of Health Care Young Adult

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• Source:
  MMWR Morbidity Mortal Weekly Rep. 70(46):1597-1602
• Series:
  Weekly Report: Morbidity and Mortality Weekly Report (MMWR)
• DOI:
  http://dx.doi.org/10.15585/MMWRmm7046a2
• ISSN:
  0149-2195 (print) ; 1545-861X (digital)
• Pubmed ID:
  34793416
• Pubmed Central ID:
  PMC8601412
• Document Type:
  Journal Article
• Place as Subject:
  United States
• Pages in Document:
  6 pdf pages
• Volume:
  70
• Issue:
  46
• Collection(s):
  Morbidity and Mortality Weekly Report (MMWR)
• Main Document Checksum:
  urn:sha-512:562d5ed40b389ddf648b809e32f243cf74eb7b1ac468faf79514533c95e440d1602407ca8f782c507574ff8bcc578d434eeac22a96dfd62bdd8772ec0e0c77a5
• Download URL:
  https://stacks.cdc.gov/view/cdc/112210/cdc_112210_DS1.pdf
• File Type:
  [PDF - 294.03 KB ]