Reach and Use of Diabetes Prevention Services in the United States, 2016-2017

作者：Mohammed K. Ali, Kai McKeever Bullard, Giuseppina Imperatore, Stephen R. Benoit, Deborah B. Rolka, Ann L. Albright, Edward W. Gregg · 发表于：JAMA Network Open · 年份：2019 · DOI：10.1001/jamanetworkopen.2019.3160 · 被引用次数：165 · 研究领域：Diabetes, Cardiovascular Risks, and Lipoproteins、Diabetes Management and Education、Diabetes Treatment and Management

Importance: Coordinated efforts by national organizations in the United States to implement evidence-based lifestyle modification programs are under way to reduce type 2 diabetes (hereinafter referred to as diabetes) and cardiovascular risks. Objective: To provide a status report on the reach and use of diabetes prevention services nationally. Design, Setting, and Participants: This nationally representative, population-based cross-sectional analysis of 2016 and 2017 National Health Interview Survey data was conducted from August 3, 2017, through November 15, 2018. Nonpregnant, noninstitutionalized, civilian respondents 18 years or older at high risk for diabetes, defined as those with no self-reported diabetes diagnosis but with diagnosed prediabetes or an elevated American Diabetes Association (ADA) risk score (>5), were included in the analysis. Analyses were conducted for adults with (and in sensitivity analyses, for those without) elevated body mass index. Main Outcomes and Measures: Absolute numbers and proportions of adults at high risk with elevated body mass index receiving advice about diet, physical activity guidance, referral to weight loss programs, referral to diabetes prevention programs, or any of these, and those affirming engagement in each (or any) activity in the past year were estimated. To identify where gaps exist, a prevention continuum diagram plotted existing vs desired goal achievement. Variation in risk-reducing activities by age, sex, race/ethnici...