title: Outcome and cost of a statewide diabetes screening and awareness initiative in New York.
abstract: From 1997 through 1999, a total of 365 diabetes screening and awareness events targeting high-risk populations were held throughout New York State. These events were planned and implemented by community-based coalitions that received funding from the state's Diabetes Control Program. The American Diabetes Association's diabetes risk questionnaire was administered, and those individuals identified as high risk received a capillary blood glucose test. Screened individuals with glucose readings above the cut-off value (140 mg/dl or 110 mg/dl if fasting) were referred to a physician for diagnostic testing. A total of 32,954 individuals took the questionnaire, 27,237 received the blood test, and 1,564 were referred to a physician. Among those who were successfully tracked (n = 1,113), 354 were newly diagnosed with diabetes mellitus. Seventy-two percent of participants screened were aged 45 years and older, and 67% had a body mass index of 25 or higher. Only 15% were members of ethnic minorities, and uninsured individuals were also underrepresented at 10%. The entire initiative, including planning, promotion, and administration, required 5,428 person-hours of staff time and a total cost of approximately 262,000 dollars. Fifty-seven percent of the total cost was derived from in-kind support of the coalitions. The cost of detecting each new case was 741 dollars.
authors.affiliation: Bureau of Chronic Disease Epidemiology and Surveillance, New York State Department of Health, Albany 12237-0679, USA. ash05@health.state.ny.us
authors.forename: Akiko S
authors.initials: AS
authors.lastname: Hosler
authors.forename: Elizabeth L
authors.initials: EL
authors.lastname: Berberian
authors.forename: Maureen M
authors.initials: MM
authors.lastname: Spence
authors.forename: David P
authors.initials: DP
authors.lastname: Hoffman
mesh_terms: D000328:Adult; D000368:Aged; D001364:Awareness; D001786:Blood Glucose / Q000032:analysis; D003153:Community Health Services / Q000458:organization & administration*; D003365:Costs and Cost Analysis; D003920:Diabetes Mellitus / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000191:economics*; D008875:Middle Aged; D009518:New York; D017063:Outcome Assessment, Health Care; D015397:Program Evaluation; D011635:Public Health Administration; D018570:Risk Assessment; D040241:Social Marketing; D011795:Surveys and Questionnaires
chemical_list: D001786:Blood Glucose