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Estimating the Rates of Undiagnosed Prediabetes and Diabetes Among People Experiencing Homelessness.
- Source :
-
Canadian journal of diabetes [Can J Diabetes] 2024 Aug; Vol. 48 (6), pp. 349-354. Date of Electronic Publication: 2024 Apr 04. - Publication Year :
- 2024
-
Abstract
- Objectives: The rising prevalence of type 2 diabetes in Canada poses a significant health challenge. Despite the convenience of screening for diabetes with glycated hemoglobin (A1C) concentration, people experiencing homelessness (PEH) often face barriers to accessing diabetes screening, potentially leading to underdiagnosis. In this study, we aim to assess the prevalence of undiagnosed diabetes among PEH in Calgary, Alberta, and contribute insights for planning health-care services and public health initiatives.<br />Methods: Four screening clinics were held, and participants were recruited through posters and word of mouth. Participants underwent point-of-care A1C testing using the Siemens DCA Vantage point-of-care analyzer. Descriptive statistics were used to identify the proportions of prediabetes and diabetes, whereas CANRISK survey scores were used to identify the pre-test probability of diabetes.<br />Results: The mean age of participants (n=102) was 47.6 years, and the self-reported causes of homelessness among the participants were diverse, including housing and financial issues (n=53), interpersonal and family issues (n=35), and health- or corrections-related factors (n=27). The average A1C was 5.60% (standard deviation 0.57%), with 5 values in the diabetes range and 12 in the prediabetes range, for a total of 17 participants found to have previously undiagnosed dysglycemia.<br />Conclusions: The high rate of undiagnosed prediabetes and diabetes among PEH reflects at least what is already seen in the general population in Canada. More resources are required to reduce the barriers to screening for diabetes among this population.<br /> (Copyright © 2024 Canadian Diabetes Association. Published by Elsevier Inc. All rights reserved.)
- Subjects :
- Humans
Female
Male
Middle Aged
Adult
Prevalence
Glycated Hemoglobin analysis
Alberta epidemiology
Mass Screening methods
Undiagnosed Diseases epidemiology
Undiagnosed Diseases diagnosis
Canada epidemiology
Ill-Housed Persons statistics & numerical data
Prediabetic State diagnosis
Prediabetic State epidemiology
Diabetes Mellitus, Type 2 diagnosis
Diabetes Mellitus, Type 2 epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 2352-3840
- Volume :
- 48
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Canadian journal of diabetes
- Publication Type :
- Academic Journal
- Accession number :
- 38582226
- Full Text :
- https://doi.org/10.1016/j.jcjd.2024.03.008