Abstract
Objective: This study investigated disparities in diabetes and prediabetes prevalence among US children and adolescents using 2019–2021 National Health Interview Survey (NHIS) data. With rising trends in diabetes, understanding prevalence rates and associated disparities is crucial for targeted interventions. Methods: Analyzing a cross-sectional sample of 19,490 participants aged 3–17, we employed NHIS data to calculate prevalence rates. Stratification by sociodemographic factors, race/ethnicity, and family income allowed for in-depth analyses. Results: Between 2019 and 2021, overall diabetes prevalence was 1.18%, comprising 0.87% prediabetes and 0.46% diabetes rates. Disparities were evident, with higher prediabetes rates in non-Hispanic black and Hispanic children and elevated diabetes rates in non-Hispanic white and Hispanic children. Subgroup analyses revealed associations within age, gender, education, and income strata. Conclusions: The study highlighted potential increases in diabetes prevalence from 2017 to 2021 and persistent racial/ethnic disparities. The 12–17 age subgroup exhibited significant disparities, emphasizing the need for early intervention. Targeted strategies were imperative to mitigate diabetes and prediabetes prevalence in vulnerable populations, particularly non-Hispanic black and Hispanic children. This study underscored the urgency of addressing health disparities for improved overall well-being and healthcare outcomes.
| Original language | English (US) |
|---|---|
| Article number | 102688 |
| Journal | Preventive Medicine Reports |
| Volume | 41 |
| DOIs | |
| State | Published - May 2024 |
Funding
Dr. Hui Zhang’s research was in part supported by the Northwestern Brain Tumor SPORE (NCI Grant No. P50CA221747 ), the Mesulam Center for Cognitive Neurology and Alzheimer’s Disease (NIA Grant No. 5P30AG072977 ), and the Robert H. Lurie Comprehensive Cancer Center (NCI Grant No. P30CA060553 ), all of which were affiliated with the Northwestern University Feinberg School of Medicine in Chicago, IL, USA. We express gratitude to Shanshan Liu for her initial attempt in data analysis for this research article, despite not making further contributions. Dr. Hui Zhang's research was in part supported by the Northwestern Brain Tumor SPORE (NCI Grant No. P50CA221747), the Mesulam Center for Cognitive Neurology and Alzheimer's Disease (NIA Grant No. 5P30AG072977), and the Robert H. Lurie Comprehensive Cancer Center (NCI Grant No. P30CA060553), all of which were affiliated with the Northwestern University Feinberg School of Medicine in Chicago, IL, USA. We express gratitude to Shanshan Liu for her initial attempt in data analysis for this research article, despite not making further contributions.
Keywords
- Diabetes rates
- National Health Interview Survey
- Pediatric diabetes prevalence
- Racial-ethnic disparities
- Sociodemographic factors
ASJC Scopus subject areas
- Health Informatics
- Public Health, Environmental and Occupational Health
