Factors associated with a diabetes diagnosis and late diabetes diagnosis for males and females
Aims: To examine the factors associated with diabetes, a late diabetes diagnosis, and whether these factors are different for males and females. Methods: Cross-sectional study including 7101 individuals aged ≥25 years in Newfoundland and Labrador, Canada (466 with diabetes; 332 diagnosed late). Logi...
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doaj-7f3ebff602b44977834e1c630d7bc2372020-11-24T22:18:59ZengElsevierJournal of Clinical & Translational Endocrinology2214-62372014-09-0113778410.1016/j.jcte.2014.07.002Factors associated with a diabetes diagnosis and late diabetes diagnosis for males and femalesMadonna M. Roche, MSc0Peizhong Peter Wang, MD, PhD1Research and Evaluation Department, Newfoundland and Labrador Centre for Health Information, 70 O'Leary Avenue, St. John's, NL A1B 2C7, CanadaDivision of Community Health and Humanities, Faculty of Medicine, Memorial University of Newfoundland, St. John's, NL, CanadaAims: To examine the factors associated with diabetes, a late diabetes diagnosis, and whether these factors are different for males and females. Methods: Cross-sectional study including 7101 individuals aged ≥25 years in Newfoundland and Labrador, Canada (466 with diabetes; 332 diagnosed late). Logistic regression analysis was used to determine the factors associated with a diabetes diagnosis and late diabetes diagnosis. Results: For males, overweight/obesity (HR, 1.35; 95% CI, 1.06–1.72) was positively associated with diabetes while being a regular/occasional drinker (HR, 0.53; 95% CI, 0.32–0.88) was inversely associated with diabetes. Living in a rural area (HR, 1.47; 95% CI, 1.01–2.15), receiving social assistance (HR, 2.80; 95% CI, 1.52–5.15), having poor self perceived health (HR, 2.06; 95% CI, 1.32–3.21), and considering most days stressful (HR, 1.45; 95% CI, 1.01–2.10) were positively associated with diabetes for females. No factors were significantly associated with a late diabetes diagnosis for males. Having a low education (OR, 0.33; 95% CI, 0.11–0.99) was inversely associated with a late diabetes diagnosis for females. Conclusions: Different factors are associated with diabetes for males and females. Disadvantaged females appear to be at the greatest risk. The factors associated with a late diabetes diagnosis were also different for males and females. Females with lower education levels are diagnosed with diabetes earlier than females with higher education levels. Certain risk factors appear to impact males and females differently and more research is needed on how males and females develop diabetes and when they are diagnosed.http://www.sciencedirect.com/science/article/pii/S2214623714000234DiabetesLate diabetes diagnosisSex differencesCanadian Community Health Survey |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Madonna M. Roche, MSc Peizhong Peter Wang, MD, PhD |
spellingShingle |
Madonna M. Roche, MSc Peizhong Peter Wang, MD, PhD Factors associated with a diabetes diagnosis and late diabetes diagnosis for males and females Journal of Clinical & Translational Endocrinology Diabetes Late diabetes diagnosis Sex differences Canadian Community Health Survey |
author_facet |
Madonna M. Roche, MSc Peizhong Peter Wang, MD, PhD |
author_sort |
Madonna M. Roche, MSc |
title |
Factors associated with a diabetes diagnosis and late diabetes diagnosis for males and females |
title_short |
Factors associated with a diabetes diagnosis and late diabetes diagnosis for males and females |
title_full |
Factors associated with a diabetes diagnosis and late diabetes diagnosis for males and females |
title_fullStr |
Factors associated with a diabetes diagnosis and late diabetes diagnosis for males and females |
title_full_unstemmed |
Factors associated with a diabetes diagnosis and late diabetes diagnosis for males and females |
title_sort |
factors associated with a diabetes diagnosis and late diabetes diagnosis for males and females |
publisher |
Elsevier |
series |
Journal of Clinical & Translational Endocrinology |
issn |
2214-6237 |
publishDate |
2014-09-01 |
description |
Aims: To examine the factors associated with diabetes, a late diabetes diagnosis, and whether these factors are different for males and females.
Methods: Cross-sectional study including 7101 individuals aged ≥25 years in Newfoundland and Labrador, Canada (466 with diabetes; 332 diagnosed late). Logistic regression analysis was used to determine the factors associated with a diabetes diagnosis and late diabetes diagnosis.
Results: For males, overweight/obesity (HR, 1.35; 95% CI, 1.06–1.72) was positively associated with diabetes while being a regular/occasional drinker (HR, 0.53; 95% CI, 0.32–0.88) was inversely associated with diabetes. Living in a rural area (HR, 1.47; 95% CI, 1.01–2.15), receiving social assistance (HR, 2.80; 95% CI, 1.52–5.15), having poor self perceived health (HR, 2.06; 95% CI, 1.32–3.21), and considering most days stressful (HR, 1.45; 95% CI, 1.01–2.10) were positively associated with diabetes for females. No factors were significantly associated with a late diabetes diagnosis for males. Having a low education (OR, 0.33; 95% CI, 0.11–0.99) was inversely associated with a late diabetes diagnosis for females.
Conclusions: Different factors are associated with diabetes for males and females. Disadvantaged females appear to be at the greatest risk. The factors associated with a late diabetes diagnosis were also different for males and females. Females with lower education levels are diagnosed with diabetes earlier than females with higher education levels. Certain risk factors appear to impact males and females differently and more research is needed on how males and females develop diabetes and when they are diagnosed. |
topic |
Diabetes Late diabetes diagnosis Sex differences Canadian Community Health Survey |
url |
http://www.sciencedirect.com/science/article/pii/S2214623714000234 |
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