Differences in HbA1C% screening among U.S. adults diagnosed with diabetes: Findings from the National Health and Nutrition Examination Survey (NHANES)

Background: The American Heart Association, in conjunction with the National Institutes of Health, annually reports the most up-to-date statistics related to heart disease, stroke, and cardiovascular risk factors, including core health behaviors (smoking, physical activity, diet, and weight) and health factors (cholesterol, blood pressure, and glucose control) that contribute to cardiovascular health. The Statistical Update presents the latest data on a range of major clinical heart and circulatory disease conditions (including stroke, congenital heart disease, rhythm disorders, subclinical atherosclerosis, coronary heart disease, heart failure, valvular disease, venous disease, and peripheral artery disease) and the associated outcomes (including quality of care, procedures, and economic costs). Methods: The American Heart Association, through its Statistics Committee, continuously monitors and evaluates sources of data on heart disease and stroke in the United States to provide the most current information available in the annual Statistical Update. The 2022 Statistical Update is the product of a full year’s worth of effort by dedicated volunteer clinicians and scientists, committed government professionals, and American Heart Association staff members. This year’s edition includes data on the monitoring and benefits of cardiovascular health in the population and an enhanced focus on social determinants of health, adverse pregnancy outcomes, vascular contributions to brain health, and the global burden of cardiovascular disease and healthy life expectancy. Results: Each of the chapters in the Statistical Update focuses on a different topic related to heart disease and stroke statistics. Conclusions: The Statistical Update represents a critical resource for the lay public, policymakers, media professionals, clinicians, health care administrators, researchers, health advocates, and others seeking the best available data on these factors and conditions.

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“…Testing rates were higher for individuals with health insurance (86.6%) than for those without health insurance (55.9%). 25…”

Section: Social Determinantsmentioning

confidence: 99%

Heart Disease and Stroke Statistics—2022 Update: A Report From the American Heart Association

Tsao¹,

Aday²,

Almarzooq³

et al. 2022

Circulation

3,830

2,336

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“…Testing rates were higher for individuals with health insurance (86.6%) than for those without health insurance (55.9%). 28…”

Section: Diabetesmentioning

confidence: 99%

2024 Heart Disease and Stroke Statistics: A Report of US and Global Data From the American Heart Association

Martin,

Aday,

Almarzooq

et al. 2024

Circulation

476

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BACKGROUND: The American Heart Association (AHA), in conjunction with the National Institutes of Health, annually reports the most up-to-date statistics related to heart disease, stroke, and cardiovascular risk factors, including core health behaviors (smoking, physical activity, nutrition, sleep, and obesity) and health factors (cholesterol, blood pressure, glucose control, and metabolic syndrome) that contribute to cardiovascular health. The AHA Heart Disease and Stroke Statistical Update presents the latest data on a range of major clinical heart and circulatory disease conditions (including stroke, brain health, complications of pregnancy, kidney disease, congenital heart disease, rhythm disorders, sudden cardiac arrest, subclinical atherosclerosis, coronary heart disease, cardiomyopathy, heart failure, valvular disease, venous thromboembolism, and peripheral artery disease) and the associated outcomes (including quality of care, procedures, and economic costs). METHODS: The AHA, through its Epidemiology and Prevention Statistics Committee, continuously monitors and evaluates sources of data on heart disease and stroke in the United States and globally to provide the most current information available in the annual Statistical Update with review of published literature through the year before writing. The 2024 AHA Statistical Update is the product of a full year’s worth of effort in 2023 by dedicated volunteer clinicians and scientists, committed government professionals, and AHA staff members. The AHA strives to further understand and help heal health problems inflicted by structural racism, a public health crisis that can significantly damage physical and mental health and perpetuate disparities in access to health care, education, income, housing, and several other factors vital to healthy lives. This year’s edition includes additional global data, as well as data on the monitoring and benefits of cardiovascular health in the population, with an enhanced focus on health equity across several key domains. RESULTS: Each of the chapters in the Statistical Update focuses on a different topic related to heart disease and stroke statistics. CONCLUSIONS: The Statistical Update represents a critical resource for the lay public, policymakers, media professionals, clinicians, health care administrators, researchers, health advocates, and others seeking the best available data on these factors and conditions.

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“…In the U.S., individuals identifying as racial and ethnic minorities and those without health insurance are less likely to have their A1C levels tested [16]. Among those who have had their A1C tested, two recent small studies suggest that the majority of patients are aware of A1C as an important factor in diabetes management [17,18].…”

Section: Introductionmentioning

confidence: 99%

Discordance Between Self-Reported and Lab-Measured A1C Among U.S. Adults with Diabetes: Findings from the National Health and Nutrition Examination Survey (2013-2020)

Kamath

Imes

2023

Preprint

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Aims: To: 1) compare characteristics of those who report knowing their hemoglobin A1C (A1C) value versus those who do not; 2) determine the correlation and concordance between self-reported and lab-measured A1C; and 3) examine factors associated with a lab-measured A1C of <= 7%. Methods: This was a cross-sectional secondary data analyses of the National Health and Nutrition Examination Survey from 2013-2020. Participants >= 20 years old who reported receiving a diabetes diagnosis were included. Results: After proper sample weighting, twenty-two percent of participants reported not knowing their A1C value. Not knowing ones A1C value was associated with identifying as a racial or ethnic group other than White, having a lower income, and having less formal education (P values < 0.5). Self-reported A1C was moderately correlated with lab-measured A1C (r = 0.62, P < 0.001). Higher self-reported A1C and identifying as Black or Mexican American were associated with lower odds of good glycemic control. Conclusions: Many patients with diabetes did not know their A1C, and among those that did, the value was often inaccurate. Even when patients knew their A1C, the correlation between self-reported and lab-measured A1C was only moderate. Clinicians should evaluate and, if needed, enhance patient knowledge of A1C.

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Differences in HbA1C% screening among U.S. adults diagnosed with diabetes: Findings from the National Health and Nutrition Examination Survey (NHANES)

Cited by 9 publications

References 3 publications

Heart Disease and Stroke Statistics—2022 Update: A Report From the American Heart Association

Heart Disease and Stroke Statistics—2022 Update: A Report From the American Heart Association

2024 Heart Disease and Stroke Statistics: A Report of US and Global Data From the American Heart Association

Discordance Between Self-Reported and Lab-Measured A1C Among U.S. Adults with Diabetes: Findings from the National Health and Nutrition Examination Survey (2013-2020)

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