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
• Download URL:
  https://stacks.cdc.gov/view/cdc/81270/cdc_81270_DS1.pdf
• File Type:
  [PDF - 590.55 KB]
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:7fca241f37581996c045867d7faffca44b2405cdccc87c319fa24a6d209d3f9c4b506952f42d2777f2f6d8679ec93fe807c23e847e63b4c0d63fd6ba6835688e