Dear
AJPM
reader,
November is
National Diabetes Month
, representing an annual opportunity for the public health community to highlight prevention efforts aimed at stemming the growing burden of diabetes, which is now the seventh leading cause of death in the U.S.
The CDC statistics
are staggering given that 30.3 million Americans, or 9.4% of our nation’s population, had diabetes while another 84.1 million had prediabetes in 2015, and the numbers have likely grown. The latest
AJPM
issue features a number of revealing articles on diabetes, including the way in which provider behavior and bias can potentially affect diabetes management and a new look at the frequency with which diabetics receive lifestyle counseling in the ambulatory setting.
Shah MK, Moore MA, Narayan KMV, Ali MK.
- Analyzing national survey data for provider-reported lifestyle counseling, authors found less than 30% of Americans with diabetes received diet or exercise counseling in ambulatory visits from 2005 to 2015.
Beltran S, Lett LA, Cronholm PF.
- Electronic health records were examined for patients with diabetes at primary care sites in a major university health system. Patients of black race and nonprivate insurance status were found to be at increased risk of nonadherence labeling, indicating potential provider bias.
Please be sure to check out our
Diabetes Collection
, which provides additional research on diabetes prevention programs, screening trends, health behaviors, and related economic factors.
We hope you find these articles and the rest of our
November issue
to be timely, topical, and informative.
Yours in prevention and health,
Matthew L. Boulton, MD, MPH
Editor-in-Chief
American Journal of Preventive Medicine
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Gennuso KP, Blomme CK, Givens ML, Pollock EA, Roubal AM.
Racial disparities in mortality had been trending down in the U.S. However, this study found in recent years, those disparities have either increased or remained stagnant, with the largest relative and absolute disparities found in the youngest and oldest age groups, respectively.
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Mishra S, Perkins JM, Khan PK, Kim R, Mohanty SK, Subramanian SV.
In this analysis of chronic disease in India, variation in chronic disease symptoms and diagnoses were found to be mostly attributable to household-level and village-level factors, and variation was less likely to be related to district-level and state-level factors.
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Porter B, Bonanno GA, Bliese PD, Phillips CJ, Proctor SP.
Over a 15-year period, a cohort study found service members reporting combat exposure typically have high levels of physical health functioning before and after military deployment. However, compared to no combat exposure, those with combat exposure had significantly worsening physical health functioning over time.
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Youth Tobacco and Nicotine Use
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