Age Disparities Among Patients With Type 2 Diabetes and Associated Rates of Hospital Use and Diabetic Complications

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Lee, David C. ; Young, Ta’Loria ; Koziatek, Christian A. ; Shim, Christopher J. ; Osorio, Marcela ; Vinson, Andrew J. ; Ravenell, Joseph E. ; Wall, Stephen P.
• Description:
  Introduction
  
  Although screening for diabetes is recommended at age 45, some populations may be at greater risk at earlier ages. Our objective was to quantify age disparities among patients with type 2 diabetes in New York City.
  
  Methods
  
  Using all-payer hospital claims data for New York City, we performed a cross-sectional analysis of patients with type 2 diabetes identified from emergency department visits during the 5-year period 2011–2015. We estimated type 2 diabetes prevalence at each year of life, the age distribution of patients stratified by decade, and the average age of patients by sex, race/ethnicity, and geographic location.
  
  Results
  
  We identified 576,306 unique patients with type 2 diabetes. These patients represented more than half of all people with type 2 diabetes in New York City. Patients in racial/ethnic minority groups were on average 5.5 to 8.4 years younger than non-Hispanic white patients. At age 45, type 2 diabetes prevalence was 10.9% among non-Hispanic black patients and 5.2% among non-Hispanic white patients. In our geospatial analyses, patients with type 2 diabetes were on average 6 years younger in hotspots of diabetes-related emergency department use and inpatient hospitalizations. The average age of patients with type 2 diabetes was also 1 to 2 years younger in hotspots of microvascular diabetic complications.
  
  Conclusion
  
  We identified profound age disparities among patients with type 2 diabetes in racial/ethnic minority groups and in neighborhoods with poor health outcomes. The younger age of these patients may be due to earlier onset of diabetes and/or earlier death from diabetic complications. Our findings demonstrate the need for geographically targeted interventions that promote earlier diagnosis and better glycemic control.
  
  
• Subjects:
  Original Research
• Source:
  Prev Chronic Dis. 16
• ISSN:
  1545-1151
• Pubmed ID:
  31370917
• Pubmed Central ID:
  PMC6716392
• Document Type:
  Journal Article
• Volume:
  16
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:7fca241f37581996c045867d7faffca44b2405cdccc87c319fa24a6d209d3f9c4b506952f42d2777f2f6d8679ec93fe807c23e847e63b4c0d63fd6ba6835688e
• Download URL:
  https://stacks.cdc.gov/view/cdc/81270/cdc_81270_DS1.pdf
• File Type:
  [PDF - 590.55 KB ]