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Brief ReportBrief Report

Association of Prediabetes Status Awareness With Behaviors and Perception of Health

Erica Li, Alexis Silverio, Amy Cunningham, Marianna D. LaNoue and Geoffrey Mills
The Journal of the American Board of Family Medicine January 2021, 34 (1) 224-230; DOI: https://doi.org/10.3122/jabfm.2021.01.200146
Erica Li
From the Department of Family and Community Medicine, Thomas Jefferson University, Philadelphia, PA (EL, AS, AC, MDL, GM).
MD
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Alexis Silverio
From the Department of Family and Community Medicine, Thomas Jefferson University, Philadelphia, PA (EL, AS, AC, MDL, GM).
MPH, CSCS, CHES, NASM-FNS
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Amy Cunningham
From the Department of Family and Community Medicine, Thomas Jefferson University, Philadelphia, PA (EL, AS, AC, MDL, GM).
PhD, MPH
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Marianna D. LaNoue
From the Department of Family and Community Medicine, Thomas Jefferson University, Philadelphia, PA (EL, AS, AC, MDL, GM).
PhD, MS
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Geoffrey Mills
From the Department of Family and Community Medicine, Thomas Jefferson University, Philadelphia, PA (EL, AS, AC, MDL, GM).
MD, PhD
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    Figure 1.

    Applying exclusion criteria to define study populations. *Of the 413 prediabetes-aware participants and the 1041 prediabetes-unaware participants (totaling 1454), 10 participants were excluded for indicating they had more than 1 place for routine care, 5 participants were excluded because they either refused or did not know whether they had health insurance coverage, and 176 were excluded for missing responses to number of health care visits in the past year. Abbreviations: NHANES, National Health and Nutrition Examination Survey; IFG, impaired fasting glucose; IGT, impaired glucose tolerance.

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    Table 1.

    Demographic Characteristics

    CharacteristicsPrediabetes AwarePrediabetes UnawareP Value
    (n = 410)(n = 389)
    nM (SD) or %nM (SD) or %
    Age (years)41053.8 (15.3)38949.6 (15.5).749
    Gender
     Male17642.9%21755.8%< .001
     Female23457.1%17244.2%
    Race
     Mexican-American6014.6%7318.8%.095
     Other Hispanic6014.6%5915.2%
     Non-Hispanic White13332.4%11629.8%
     Non-Hispanic Black8220.0%9223.7%
     Other race7518.3%4912.6%
    Education level
     < 9th grade4210.3%5012.9%.003
     9th to 11th grade368.9%5614.4%
     High school graduate/GED8320.4%9424.2%
     Some college or AA12330.3%11228.8%
     College graduate or above12230.0%7719.8%
    Routine place for care? (Yes)36689.3%29976.9%< .001
    Health insurance coverage? (Yes)36789.5%29074.6%< .001
    BMI40831.3 (7.3)38930.0 (6.9).198
    A1c4105.71 (0.36)3895.73 (0.05).279
    # Healthcare visits in past year4102.86 (1.99)3882.03 (1.8)< .001
    Had blood test for diabetes within past 3 years? (Yes)32980.2%19149.1%< .001
    • BMI, Body Mass Index; GED, General Educational Development; SD, standard deviation; AA, Associate of Arts.

    • View popup
    Table 3.

    Dietary Behaviors

    Prediabetes AwarePrediabetes UnawareP Value
    n (%) or M (SD)n (%) or M (SD)
    How healthy is your diet?.155
     Excellent28 (6.8%)25 (6.4%)
     Very good68 (16.6%)76 (19.5%)
     Good177 (43.2%)139 (35.7%)
     Fair101 (24.6%)119 (30.6%)
     Poor36 (8.8%)30 (7.7%)
    How many meals were prepared away from home within the past week?3.04 (3.224)3.15 (3.501).643
    How many of meals prepared away from home in past week were fast food or pizza?1.91 (2.356)2.21 (2.787).148
    How often did you get “ready to eat” foods from grocery store in past 30 days?2.14 (6.596)2.69 (8.933).324
    How often did you eat frozen meals or frozen pizza in past 30 days?2.18 (4.966)1.76 (5.250).248
    Have you heard of MyPlate? (% Yes)72 (17.6%)51 (13.1%).133
    Have you tried the MyPlate plan? (% Yes)32 (44.4%)21 (41.2%).718
    • SD, standard deviation.

    • View popup
    Table 4.

    Exercise Behaviors

    Prediabetes AwarePrediabetes UnawareP Value
    n (%)n (%)
    In a typical week, do you:
     Walk/bike for travel?93 (22.7%)82 (21.1%).513
     Do moderate activity?178 (43.4%)145 (37.3%).077
     Do vigorous activity?83 (20.2%)86 (22.1%).473
    In 1 week, how many days do you:
     Walk/bike for travel?4.62 (1.959)4.29 (1.883).208
     Do moderate activity?3.34 (1.800)3.52 (1.708).363
     Do vigorous activity?3.24 (1.582)3.30 (1.674).061
    On a typical day, time spent:
     Walking/biking53.63 (56.407)64.82 (78.546).280
     Doing moderate activity55.60 (47.804)80.45 (81.131).001
     Doing vigorous activity73.94 (67.593)95.64 (66.238).037
    Time spent sitting on a typical day389.26 (207.77)353.80 (192.356).013
  • Table 2. Perceptions of Health and Weight

    Prediabetes AwarePrediabetes UnawareP Value
    n (%)n (%)
    Feel could be at risk for diabetes? (% Yes)275 (67.1%)97 (24.9%)< .001
    Self-reported general health status:.006
     Excellent26 (6.3%)54 (13.9%)
     Very good106 (25.9%)107 (27.5%)
     Good170 (41.5%)135 (34.7%)
     Fair90 (22.0%)79 (20.3%)
     Poor16 (3.9%)14 (3.6%)
     Don’t know2 (0.5%)0 (0.0%)
    Self-reported perception of weight:< .001
     Overweight284 (69.3%)200 (51.4%)
     About the right weight108 (26.3%)166 (42.7%)
     Underweight17 (4.7%)22 (5.7%)
    Would you like to weigh more, less, or stay about the same?.001
     Weigh more23 (5.6%)31 (8.0%)
     Stay about the same79 (19.3%)117 (30.1%)
     Weigh less308 (75.1%)240 (61.7%)
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The Journal of the American Board of Family     Medicine: 34 (1)
The Journal of the American Board of Family Medicine
Vol. 34, Issue 1
January/February 2021
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Association of Prediabetes Status Awareness With Behaviors and Perception of Health
Erica Li, Alexis Silverio, Amy Cunningham, Marianna D. LaNoue, Geoffrey Mills
The Journal of the American Board of Family Medicine Jan 2021, 34 (1) 224-230; DOI: 10.3122/jabfm.2021.01.200146

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Association of Prediabetes Status Awareness With Behaviors and Perception of Health
Erica Li, Alexis Silverio, Amy Cunningham, Marianna D. LaNoue, Geoffrey Mills
The Journal of the American Board of Family Medicine Jan 2021, 34 (1) 224-230; DOI: 10.3122/jabfm.2021.01.200146
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Keywords

  • Cross-Sectional Studies
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