Abstract
Purpose Previous research has linked the manifestation of multiple chronic diseases to adverse childhood experiences (ACEs). Despite this, the link between ACEs and the age of diabetes mellitus (DM) diagnosis is scarce. As such, our primary objective was to evaluate and describe the impact of ACEs on the age at diagnosis utilizing the data from the 2021 Behavioral Risk Factor Surveillance System (BRFSS). Our secondary objective was to analyze the relationship between various demographic factors with the age at DM diagnosis.
Design Methods We conducted a cross-sectional analysis of data from the 2021 cycle of BRFSS. Using survey design and sampling weights, we assessed prevalence rates of ACEs across sociodemographic variables, and utilized binary and multivariable regressions to determine associations between sociodemographic factors and ACE scores on age of DM diagnosis.
Results Among the 437,708 respondents, 57,616 (12.59%) individuals reported having diabetes with 6,901 including responses for age of DM diagnosis and ACEs. We found a dose-response relationship with ACEs and earlier age of diabetes diagnosis—with individuals experiencing 1-3 ACEs being diagnosed 2.15 years earlier (SE=0.48, P<.001) than those with 0 ACEs, and 6.37 years earlier for individuals experiencing 4+ ACEs (SE=0.61, P<.001 ). Significant differences in ACEs and age of diagnosis were also found between ethnoracial groups—compared to White, non-Hispanic individuals with 0 ACEs the mean age of diagnosis was more than 12 years earlier among those who experienced 4+ ACEs and were either Asian, American Indian/Alaskan Native, or Hispanic.
Conclusion To prevent earlier diagnosis of diabetes, we encourage more focus on the prevention of childhood adversity and the implementation of trauma informed care. With appropriate identification of childhood adversity, and comprehensive child/family resources, the presence of ACEs, and thus diabetes, may be limited.
Design Methods We conducted a cross-sectional analysis of data from the 2021 cycle of BRFSS. Using survey design and sampling weights, we assessed prevalence rates of ACEs across sociodemographic variables, and utilized binary and multivariable regressions to determine associations between sociodemographic factors and ACE scores on age of DM diagnosis.
Results Among the 437,708 respondents, 57,616 (12.59%) individuals reported having diabetes with 6,901 including responses for age of DM diagnosis and ACEs. We found a dose-response relationship with ACEs and earlier age of diabetes diagnosis—with individuals experiencing 1-3 ACEs being diagnosed 2.15 years earlier (SE=0.48, P<.001) than those with 0 ACEs, and 6.37 years earlier for individuals experiencing 4+ ACEs (SE=0.61, P<.001 ). Significant differences in ACEs and age of diagnosis were also found between ethnoracial groups—compared to White, non-Hispanic individuals with 0 ACEs the mean age of diagnosis was more than 12 years earlier among those who experienced 4+ ACEs and were either Asian, American Indian/Alaskan Native, or Hispanic.
Conclusion To prevent earlier diagnosis of diabetes, we encourage more focus on the prevention of childhood adversity and the implementation of trauma informed care. With appropriate identification of childhood adversity, and comprehensive child/family resources, the presence of ACEs, and thus diabetes, may be limited.
Original language | American English |
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Pages | 51 |
State | Published - 13 Sep 2024 |
Event | 2024 Symposium on Tribal and Rural Innovations in Disparities and Equity for Health - Oklahoma State University College of Osteopathic Medicine at the Cherokee Nation, Tahlequah, United States Duration: 13 Sep 2024 → 13 Sep 2024 |
Conference
Conference | 2024 Symposium on Tribal and Rural Innovations in Disparities and Equity for Health |
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Abbreviated title | STRIDE 2024 |
Country/Territory | United States |
City | Tahlequah |
Period | 13/09/24 → 13/09/24 |