Discrepancies in Self-Report Diabetes Survey Questions y Q using - - PowerPoint PPT Presentation
Discrepancies in Self-Report Diabetes Survey Questions y Q using NHANES, NHIS, and CHIS data Sarah Lessem National Center for Health Statistics CDC N ti l C t f H lth St ti ti CDC Behavioral Scientist DC-AAPOR WSS Summer
Sarah Lessem N ti l C t f H lth St ti ti CDC National Center for Health Statistics – CDC Behavioral Scientist DC-AAPOR – WSS Summer Conference Preview/Review August 3, 2015
Accepted for 2015 International Total Survey Error Conference Accepted for 2015 International Total Survey Error Conference
Department of Health and Human Services Centers for Disease Control and Prevention
in data quality da a qua y
varies by demographic varies by demographic
g y p p
Type 1 Type 2 Insulin Age of Diagnosis
Type 1 Type 2 Insulin Always Age of Diagnosis
Type 1 Type 2 Insulin Always Sometimes Age of Diagnosis
Type 1 Type 2 Insulin Always Sometimes Age of Diagnosis Any age (most often <30 years) (most often <30 years)
Type 1 Type 2 Insulin Always Sometimes Age of Diagnosis Any age (most often <30 years) Currently: 10 years+ Prior to 1990: 20 years+ (most often <30 years) Prior to 1990: 20 years+
How old were you when a doctor or other health professional FIRST told you that you had diabetes or sugar diabetes?
k l ?
Are you NOW taking insulin?
Younger Diagnosis Older Diagnosis Takes Insulin Type 1 Type 1 or Type 2 N I li ???? T 2 No Insulin ???? Type 2
NHANES NHIS CHIS
Overall 55.4% 47.2% 42.0% Younger Diagnosis Older Diagnosis Takes Insulin Type 1 Type 1 or Type 2 No Insulin ???? Type 2
Age categories
NHANES*** NHIS*** CHIS**
Gender
NHANES NHIS CHIS 18-44 27.8% 28.0% 32.4% 45-64 60.3% 50.8% 46.4% NHANES* NHIS CHIS Male 46.4% 45.6% 43.6% Female 64.1% 48.7% 40.0% 65+ 74.3% 71.2% 66.3%
Race
NHANES*** NHIS*** CHIS*** White 50.4% 42.9% 25.6% White 50.4% 42.9% 25.6% Black 50.9% 52.8% 34.1% American I di
35.1% Indian Asian
68.5% Hispanic 82.1% 58.7% 69.5%
Educational Attainment
NHANES ** NHIS*** CHIS** < High School 73.3% 59.0% 65.8% High school/GED 47.0% 49.1% 58.4% Some College /AA 51.5% 42.3% 25.5%
Insurance
NHANES NHIS*** CHIS** g Bachelors + 25.7% 34.1% 26.5%
Poverty Status
NHANES NHIS*** CHIS** NHANES NHIS*** CHIS** Private 48.2% 40.4% 28.2% Public 68.1% 51.7% 50.6% NHANES NHIS CHIS <200% 61.8% 54.9% 57.3% 200%-399% 50.0% 40.8% 47.4% Uninsured 47.5% 57.1% 61.1% 400% + 49.7% 36.0% 18.7%
Were you told that you had type 1 or type 2 diabetes?
[IF NEEDED, SAY: “type 1 diabetes results from the body’s failure to produce insulin and is usually diagnosed in children and young adults. Type 2 diabetes results from insulin resistance and is the most common form of diabetes ”] results from insulin resistance and is the most common form of diabetes. ]
Are you currently taking insulin?
Type 1 Type 2 Insulin Use Always Sometimes No Insulin Use Never Sometimes
Type 1 Type 2 Insulin Use Always Sometimes No Insulin Use Never Sometimes
Age categories**
18-44 53.2%
Education***
<High School 77 5% 45-64 62.1% 65+ 67.4% <High School 77.5% High School/GED 60.5% Some College/AA 47.2% Bachelors+ 40.8%
Gender
Male 62.4% l %
Insurance Status***
Female 57.5%
Race***
Private 46.7% Public 63.5% No Insurance 75.2% NH White 34.2% NH Black 54.8% A i I di 50 0%
Poverty Ratio***
<200% 69 1% American Indian 50.0% Asian 76.8% Hispanic 74.0% <200% 69.1% 200%-399% 57.8% 400% + 40.6%
Are you NOW taking diabetic pills to lower your blood sugar?
These are sometimes called oral agents or oral hypoglycemic agents.
Are you NOW taking insulin? _______________________________________________________ In the past month have you used or taken medication for which a prescription is needed?
Are you NOW taking pills? Are you NOW taking insulin? g p Yes No Pills in In entor Takes Pill ??? g Yes No Insulin in In entor Takes I li ???
Inventory Pills Pills not in Inventory ??? No Pills Inventory Insulin Insulin not in Inventory ??? No Insulin
Are you NOW taking pills? Are you NOW taking insulin? g p Yes No Pills in In entor Takes Pill ??? g Yes No Insulin in In entor Takes I li ???
Inventory Pills Pills not in Inventory ??? No Pills Inventory Insulin Insulin not in Inventory ??? No Insulin
A t i * Education***
<High School 13 8%
Age categories*
18-44 10.0% 45-64 8.6% <High School 13.8% High School/GED 11.6% Some College/AA 9.4% 65+ 13.2% Bachelors+ 5.4%
Gender Insurance Status**
Male 11.0% Female 10.3% Private 8.7% Public 13.7% No Insurance 11.3%
Race
NH White 10.3% NH Bl k 11 7%
Poverty Ratio*
<200% 12 1% NH Black 11.7% Hispanic 12.6% <200% 12.1% 200%-399% 10.1% 400% + 6.9%
Discrepancies in Reporting Diabetes Data
g est ates o sc epa c es a
Lo er Income
Sarah Lessem l @ d slessem@cdc.gov Telephone: 301.458.4209
The findings and conclusions in this report are those of the author and do not necessarily represent the official position of the Centers The findings and conclusions in this report are those of the author and do not necessarily represent the official position of the Centers for Disease Control and Prevention.
Department of Health and Human Services Centers for Disease Control and Prevention