Changes in Incidence of Diabetes in U.S. Adults, 1997–2003

The incidence of self-reported diagnosed diabetes may be increasing because of recent changes in the diagnostic criteria for diabetes, enhanced case detection, and a true increase in disease incidence. These factors may also be changing the characteristics of newly diagnosed cases. Therefore, we exa...

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Bibliographic Details
Published in:American journal of preventive medicine 2006-05, Vol.30 (5), p.371-377
Main Authors: Geiss, Linda S., Pan, Liping, Cadwell, Betsy, Gregg, Edward W., Benjamin, Stephanie M., Engelgau, Michael M.
Format: Article
Language:English
Subjects:
Adult
Aged
Confidence Intervals
Diabetes
Diabetes Mellitus - diagnosis
Diabetes Mellitus - epidemiology
Female
Health conditions
Health Surveys
Humans
Incidence
Male
Middle Aged
Obesity
Obesity - epidemiology
Population Surveillance - methods
Statistics
United States
United States - epidemiology
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Summary:The incidence of self-reported diagnosed diabetes may be increasing because of recent changes in the diagnostic criteria for diabetes, enhanced case detection, and a true increase in disease incidence. These factors may also be changing the characteristics of newly diagnosed cases. Therefore, we examined recent trends in the incidence of diagnosed diabetes, changes to the characteristics of incident cases, and factors associated with incidence. First, National Health Interview Survey data for 1997 to 2003 were used to examine 7-year trends in the incidence of diagnosed diabetes among U.S. adults aged 18 to 79 years. Second, among 1997–1998 and 2002–2003 incident cases, differences in sociodemographic characteristics, risk factors, and indicators of health status were examined. Lastly, multivariate-adjusted incidence from multiple logistic regression of 2001–2003 survey data were derived. From 1997 to 2003, the incidence of diagnosed diabetes increased 41% from 4.9 to 6.9 per 1000 population ( p
ISSN:0749-3797
1873-2607
DOI:10.1016/j.amepre.2005.12.009