Association between Diabetes and Behavioral Risk Factors among Individuals with Perceived Poor or Good General Health Conditions in the United States

Authors' Affiliations

Emmanuel Angmorteh Mensah, Department of Biostatistics and Epidemiology, College of Public Health, East Tennessee State University, TN Uyonne Ugwuoke, Department of Biostatistics and Epidemiology, College of Public Health, East Tennessee State University, TN Afia Akyeampomaa Otuo, Department of Biostatistics and Epidemiology, College of Public Health, East Tennessee State University, TN

Location

D.P. Culp Center Ballroom

Start Date

4-5-2024 9:00 AM

End Date

4-5-2024 11:30 AM

Poster Number

72

Name of Project's Faculty Sponsor

Megan Quinn

Faculty Sponsor's Department

Biostatistics and Epidemiology

Classification of First Author

Graduate Student-Master’s

Competition Type

Competitive

Type

Poster Presentation

Presentation Category

Health

Abstract or Artist's Statement

Background. Diabetes has become a global epidemic. It ranks as the eighth leading cause of death in the United States and contributes significantly to various health complications. Although the burden of diabetes is high across all populations, its predictors may vary in terms of the general health conditions of individuals. This study therefore determined the association between diabetes and behavioral risk factors among individuals with perceived poor or good general health conditions. Research design and methods. This was a cross-sectional study using secondary data from the Behavioral Risk Factor Surveillance System (BRFSS) 2022 dataset. The study included individuals aged 18 years and older living in the U.S. (sample size = 434,659). A total of 82.17% of the participants reported having good general health, and 17.83% reported having poor general health. A descriptive analysis, chi-square test of association, and bivariate and multivariate logistic regressions predicting diabetes were completed sing a SAS. Results. The prevalence of diabetes among respondents with good general health and poor general health was 9.68% and 28.4%, respectively. The predictors of diabetes among respondents with good general health were age ≥65 years (AOR=5.65, CI: 5.06, 6.31), non-Hispanic black sex (AOR=1.44, CI: 1.30, 1.59), obesity (AOR=3.69, CI: 2.55, 5.35), coronary heart disease (AOR=1.76, CI: 1.58, 1.95) and stroke (AOR=1.76, CI: 1.43, 2.17). Among respondents with poor general health, the predictors of diabetes were age 65 years and above (AOR=4.13, CI: 3.58, 4.77), Hispanic ethnicity (AOR=1.58, CI: 1.37, 1.82), obesity (AOR=4.31, CI: 2.89, 6.43), coronary heart disease (AOR=1.60, CI: 1.44, 1.78), stroke (AOR=1.31, CI: 1.14, 1.50) and smoking (AOR=1.24, CI: 1.11, 1.38).Conclusion. This study provides evidence of a greater incidence of diabetes among people with poor general health than among those with good general health. Understanding and addressing the unique challenges faced by various ethnic communities is essential for effective public health intervention. Future studies should aim to compare diabetes risk among people with good or poor general health among states to estimate the diabetes burden in different states in the U.S.

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Apr 5th, 9:00 AM Apr 5th, 11:30 AM

Association between Diabetes and Behavioral Risk Factors among Individuals with Perceived Poor or Good General Health Conditions in the United States

D.P. Culp Center Ballroom

Background. Diabetes has become a global epidemic. It ranks as the eighth leading cause of death in the United States and contributes significantly to various health complications. Although the burden of diabetes is high across all populations, its predictors may vary in terms of the general health conditions of individuals. This study therefore determined the association between diabetes and behavioral risk factors among individuals with perceived poor or good general health conditions. Research design and methods. This was a cross-sectional study using secondary data from the Behavioral Risk Factor Surveillance System (BRFSS) 2022 dataset. The study included individuals aged 18 years and older living in the U.S. (sample size = 434,659). A total of 82.17% of the participants reported having good general health, and 17.83% reported having poor general health. A descriptive analysis, chi-square test of association, and bivariate and multivariate logistic regressions predicting diabetes were completed sing a SAS. Results. The prevalence of diabetes among respondents with good general health and poor general health was 9.68% and 28.4%, respectively. The predictors of diabetes among respondents with good general health were age ≥65 years (AOR=5.65, CI: 5.06, 6.31), non-Hispanic black sex (AOR=1.44, CI: 1.30, 1.59), obesity (AOR=3.69, CI: 2.55, 5.35), coronary heart disease (AOR=1.76, CI: 1.58, 1.95) and stroke (AOR=1.76, CI: 1.43, 2.17). Among respondents with poor general health, the predictors of diabetes were age 65 years and above (AOR=4.13, CI: 3.58, 4.77), Hispanic ethnicity (AOR=1.58, CI: 1.37, 1.82), obesity (AOR=4.31, CI: 2.89, 6.43), coronary heart disease (AOR=1.60, CI: 1.44, 1.78), stroke (AOR=1.31, CI: 1.14, 1.50) and smoking (AOR=1.24, CI: 1.11, 1.38).Conclusion. This study provides evidence of a greater incidence of diabetes among people with poor general health than among those with good general health. Understanding and addressing the unique challenges faced by various ethnic communities is essential for effective public health intervention. Future studies should aim to compare diabetes risk among people with good or poor general health among states to estimate the diabetes burden in different states in the U.S.