Online Program

Community-Based Diabetes Screenings to Diagnose High-Risk Individuals in Rural West Virginia

Tuesday, November 3, 2015 : 4:50 p.m. - 5:10 p.m.

Ranjita Misra, PhD, CHES, FASHA, Social and Behavioral Health Sciences, West Virginia University, School of Public Health, Morgantown, WV
Cindy Fitch, PhD RD, WVU Extension Service, WVU, Morgantown, WV
David Roberts, WVU Extension Service, WVU, Morgantown, WV
Dana Wright, WVU Extension Service, WVU, Morgantown, WV
Brenda Porter, WVU Extension Service, WVU, Morgantown, WV
Mari Kolanko, BS, Social and Behavioral Sciences, WVU, Morgantown, WV
West Virginians are unduly burdened by diabetes. The current project utilized a prospective, cross-sectional study design to assess diabetes risk using a partnership between the academic community, extension agents, and community organizations. Trained extension agents screened to identify high-risk individuals for pre-diabetes and diabetes using (1) the validated 7-item diabetes risk assessment survey developed by the Centers for Disease Control and Prevention, and (2) glycosylated A1c tests. Demographic and lifestyle behavior were also collected. Five hundred forty individuals from 12 counties (>150 zip codes) were screened for diabetes risk. The majority of the participants were females (78%), Non-Hispanic Whites (88.3%), and had no prior diagnosis of diabetes (84%). Mean BMI was 31.1 and in the obese category.  Diabetes Risk Score: The majority of participants (61.8%) were are high risk for pre-diabetes, as per the CDC’s risk assessment, with risk scores 9 points or greater; mean A1c was 6.06. Individual assessment of each of the 7 risk questions showed that the majority of participants had a family history of diabetes (siblings or parents; 70%), weighed more than their normal weight for height (65%), lead a sedentary lifestyle (37%) and are older in age (> 45 years; 57%) that increases their risk for diabetes.  A1c correlated with high risk scores (r=0.173, P=.001). Diabetes risk correlated with known risk variables: obesity, age, family history, hypertension, and physical activity. Individuals with increased risk for diabetes were handed their risk score as well as encouraged to follow up with their health care providers. 

Learning Areas:

Advocacy for health and health education
Chronic disease management and prevention
Planning of health education strategies, interventions, and programs
Provision of health care to the public
Public health or related education
Social and behavioral sciences

Learning Objectives:
Describe the 7-item diabetes risk assessment survey developed by the Centers for Disease Control and Prevention. List the percent of participants at higher risk for diabetes. Describe the association of diabetes risk to demographic and lifestyle variables

Keyword(s): Diabetes, Screening Instruments

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Dr. Misra is a well-known international health disparities researcher with a terminal degree in Health Services. Her research investigations include prevalence and management of diabetes, metabolic syndrome, and cardiovascular disease in multiethnic populations. Dr. Misra is recognized for her investigations in epidemiological and intervention studies, for using a transdisciplinary team approach, and for combining public health and clinical models of inquiry.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.