Changes in receiving preventive care services among US adults with diabetes, 1997-2007.
BACKGROUND
Diabetes is a chronic disease that requires complex continuing medical care and patient self-management to reduce the risk of long-term complications. Receipt of multiple recommended preventive care services can prevent or delay diabetes-related complications such as blindness and lower-extremity amputations.


METHODS
We analyzed 1997 and 2007 Behavioral Risk Factor Surveillance System data to examine change in rates of adults with diabetes receiving 4 essential preventive care services (influenza and pneumococcal vaccinations and annual foot and eye examinations).


RESULTS
The overall age-adjusted rate of receiving all 4 of the preventive care services was 10% in 1997 but increased to 20% in 2007. Rates for receiving all 4 services increased significantly in all demographic subgroups except Hispanics.


CONCLUSIONS
Use of preventive care services is increasing, but most US adults with diabetes do not meet recommendations, and the problem is particularly pronounced among Hispanics. The need to receive preventive care services should continue to be emphasized in clinical and community settings to increase the percentage of adults with diabetes who receive them.
Harris
Carmen D
CD
Centers for Disease Control and Prevention, 4770 Buford Hwy NE, Mailstop K-46, Atlanta, GA 30341-3724, USA. charris2@cdc.gov
Pan
Liping
L
Mukhtar
Qaiser
Q
D000293:Adolescent; D000328:Adult; D000368:Aged; D003920:Diabetes Mellitus / Q000453:epidemiology / Q000517:prevention & control*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D011314:Preventive Health Services / Q000639:trends*; D011379:Prognosis; D012189:Retrospective Studies; D013997:Time Factors; D014481:United States / Q000453:epidemiology; D055815:Young Adult
Am J Public Health. 1994 Oct;84(10):1669-71
7943494
Diabetes Care. 2009 Jan;32 Suppl 1:S13-61
19118286
MMWR Morb Mortal Wkly Rep. 2005 Nov 11;54(44):1130-3
16280972
Prev Chronic Dis. 2006 Jan;3(1):A11
16356364
Am J Prev Med. 2005 Dec;29(5):396-403
16376702
Diabetes Care. 1998 Sep;21(9):1432-8
9727887
Am J Prev Med. 1999 Apr;16(3):173-7
10198654
Phys Ther. 2008 Nov;88(11):1254-64
18801858
Am J Public Health. 2004 Dec;94(12):2084-90
15569958
MMWR Morb Mortal Wkly Rep. 2002 Nov 1;51(43):965-9
12433019
Med Care. 2002 Jan;40(1 Suppl):I140-51
11789627
Dis Manag. 2006 Jun;9(3):167-75
16764534
Int J Qual Health Care. 1999 Oct;11(5):407-12
10561032