Brief observationAge-related differences in preventive care among adults with diabetes☆
Section snippets
Methods
We analyzed data from the 1999 Behavioral Risk Factor Surveillance System, a federally funded, telephone survey of noninstitutionalized adults in the United States. The survey methods, including the complex survey design used to generate the probability sample, are detailed elsewhere (10). The median state response rate was 55.2% in 1999.
A diabetes module that included questions on insulin use and several aspects of diabetes care was administered to approximately 6600 adults with diabetes in 37
Results
A total of 6565 adults with diabetes responded to the survey from states using the diabetes module (Table 1). The rates of blood pressure testing, cholesterol testing, dilated eye examinations, pneumococcal vaccinations, and influenza vaccinations were significantly lower among adults aged 18 to 44 years than those aged ≥65 years (Table 2). Adults 45 to 64 years old were also less likely to report blood pressure testing, dilated eye examination, pneumococcal vaccination, and influenza
Discussion
Our study used recent national survey data to examine the independent association of age with a wide range of preventive services related to diabetes mellitus. Compared with elderly diabetic adults, young adults were substantially less likely to report receiving all the preventive services we examined, except for professional foot examinations and HbA1C testing. Middle-aged adults also had lower rates of blood pressure testing, dilated eye examinations, influenza vaccinations, and pneumococcal
Acknowledgements
We are grateful to Robert E. Wolf, MS, for extensive programming assistance and Recai Yucel, PhD, for imputing missing income data.
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This study was supported by a grant from the Commonwealth Fund and an institutional National Research Service Award (5T32HS00020-16) from the Agency for Healthcare Research and Quality, Rockville, Maryland.