Examining the reach of a diabetes screening program in an urban emergency department
Background: Screening for diabetes in non-traditional settings like emergency departments (ED) can enhance early detection among patients at higher risk for diabetes. This study aims to assess the reach of an ED-based screening program by examining the characteristics of patients screen-detected for...
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| Language: | English |
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Elsevier
2025-06-01
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| Series: | Public Health in Practice |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666535224001149 |
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| author | Ruth A. Pobee Kirstie K. Danielson Angela Kong Yuval Eisenberg Brian T. Layden Janet Lin |
| author_facet | Ruth A. Pobee Kirstie K. Danielson Angela Kong Yuval Eisenberg Brian T. Layden Janet Lin |
| author_sort | Ruth A. Pobee |
| collection | DOAJ |
| description | Background: Screening for diabetes in non-traditional settings like emergency departments (ED) can enhance early detection among patients at higher risk for diabetes. This study aims to assess the reach of an ED-based screening program by examining the characteristics of patients screen-detected for diabetes or prediabetes. Study design: Retrospective cross-sectional study. Methods: Sociodemographic characteristics (age, gender, race and ethnicity, insurance, zip code) of patients who were screened for diabetes using hemoglobin A1c test (A1c) were examined. The distribution of prediabetes and diabetes within each race/ethnicity, age, and gender groups were determined. ArcGIS Pro 2.9.0 was used to geocode patient zip codes, to generate heat maps of high occurrences of prediabetes and diabetes. Results: Of the 5997 individuals screened in the ED, 49 % were non-Hispanic Black, 27 % Hispanic, 15 % non-Hispanic White, 5 % non-Hispanic Asian, and 4 % non-Hispanic Other/unknown. Almost half (47 %, n = 2808) had elevated A1c levels indicative of prediabetes (n = 2070; A1c: 5.7–6.4 %) or diabetes (n = 738; A1c: ≥6.5 %). Non-Hispanic Black females had a higher prevalence of both prediabetes (54 %) and diabetes (55 %) diagnoses as compared to other race/ethnic or gender categories; whereas non-Hispanic Asians had a lower prevalence of both prediabetes and diabetes except for those ≥65 years or older. Furthermore, most patients screened for prediabetes and diabetes reside in resource poor neighborhoods on the west and south sides of Chicago. Conclusion: The burden of prediabetes and diabetes were greater among non-Hispanic Black females, with a high prevalence of prediabetes observed among younger individuals, particularly those residing in resource poor neighborhoods in the west and south sides of Chicago. More investment in resources for diabetes prevention and management for these groups may be warranted. |
| format | Article |
| id | doaj-art-b41397c5ec944be4acb2f03d651d804f |
| institution | OA Journals |
| issn | 2666-5352 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Public Health in Practice |
| spelling | doaj-art-b41397c5ec944be4acb2f03d651d804f2025-08-20T02:34:44ZengElsevierPublic Health in Practice2666-53522025-06-01910057710.1016/j.puhip.2024.100577Examining the reach of a diabetes screening program in an urban emergency departmentRuth A. Pobee0Kirstie K. Danielson1Angela Kong2Yuval Eisenberg3Brian T. Layden4Janet Lin5UI Health/University of Illinois Chicago College of Medicine, Department of Emergency Medicine Chicago, Illinois, USA; Corresponding author.UI Health/University of Illinois Chicago College of Medicine, Division of Endocrinology, Diabetes, and Metabolism Chicago, Illinois, USAUI Health/University of Illinois Chicago College of Medicine, College of Pharmacy, Department of Pharmacy Systems, Outcomes, and Policy Chicago, Illinois, USAUI Health/University of Illinois Chicago College of Medicine, Division of Endocrinology, Diabetes, and Metabolism Chicago, Illinois, USAUI Health/University of Illinois Chicago College of Medicine, Division of Endocrinology, Diabetes, and Metabolism Chicago, Illinois, USA; Jesse Brown VA medical center, Chicago, IL, USAUI Health/University of Illinois Chicago College of Medicine, Department of Emergency Medicine Chicago, Illinois, USABackground: Screening for diabetes in non-traditional settings like emergency departments (ED) can enhance early detection among patients at higher risk for diabetes. This study aims to assess the reach of an ED-based screening program by examining the characteristics of patients screen-detected for diabetes or prediabetes. Study design: Retrospective cross-sectional study. Methods: Sociodemographic characteristics (age, gender, race and ethnicity, insurance, zip code) of patients who were screened for diabetes using hemoglobin A1c test (A1c) were examined. The distribution of prediabetes and diabetes within each race/ethnicity, age, and gender groups were determined. ArcGIS Pro 2.9.0 was used to geocode patient zip codes, to generate heat maps of high occurrences of prediabetes and diabetes. Results: Of the 5997 individuals screened in the ED, 49 % were non-Hispanic Black, 27 % Hispanic, 15 % non-Hispanic White, 5 % non-Hispanic Asian, and 4 % non-Hispanic Other/unknown. Almost half (47 %, n = 2808) had elevated A1c levels indicative of prediabetes (n = 2070; A1c: 5.7–6.4 %) or diabetes (n = 738; A1c: ≥6.5 %). Non-Hispanic Black females had a higher prevalence of both prediabetes (54 %) and diabetes (55 %) diagnoses as compared to other race/ethnic or gender categories; whereas non-Hispanic Asians had a lower prevalence of both prediabetes and diabetes except for those ≥65 years or older. Furthermore, most patients screened for prediabetes and diabetes reside in resource poor neighborhoods on the west and south sides of Chicago. Conclusion: The burden of prediabetes and diabetes were greater among non-Hispanic Black females, with a high prevalence of prediabetes observed among younger individuals, particularly those residing in resource poor neighborhoods in the west and south sides of Chicago. More investment in resources for diabetes prevention and management for these groups may be warranted.http://www.sciencedirect.com/science/article/pii/S2666535224001149RaceEthnicityDiabetesPrediabetesEDReach |
| spellingShingle | Ruth A. Pobee Kirstie K. Danielson Angela Kong Yuval Eisenberg Brian T. Layden Janet Lin Examining the reach of a diabetes screening program in an urban emergency department Public Health in Practice Race Ethnicity Diabetes Prediabetes ED Reach |
| title | Examining the reach of a diabetes screening program in an urban emergency department |
| title_full | Examining the reach of a diabetes screening program in an urban emergency department |
| title_fullStr | Examining the reach of a diabetes screening program in an urban emergency department |
| title_full_unstemmed | Examining the reach of a diabetes screening program in an urban emergency department |
| title_short | Examining the reach of a diabetes screening program in an urban emergency department |
| title_sort | examining the reach of a diabetes screening program in an urban emergency department |
| topic | Race Ethnicity Diabetes Prediabetes ED Reach |
| url | http://www.sciencedirect.com/science/article/pii/S2666535224001149 |
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