title: Detection of type 2 diabetes: what role for associated risk and protective factors and socioeconomic status?
abstract: OBJECTIVE
  This study explored associations between demographic, socioeconomic, behavioural risk, and health factors (study factors) and detection of type 2 diabetes.
  
  
  METHODS
  A secondary analysis of data extracted from the AusDiab study was undertaken. Participants were classified as known diabetes (KDM), newly detected diabetes (NDDM), impaired fasting glucose (IFG), impaired glucose tolerance (IGT), or normal according to results of a glucose tolerance test.
  
  
  RESULTS
  The weighted prevalence of diabetes was 6.9%; 49.6% of participants with diabetes (NDDM+KDM) were classified as NDDM. Although study factors were associated with diabetes prevalence, most were not associated with proportion of diabetic participants classified as NDDM. Among participants with diabetes, NDDM was more likely among those who spoke English at home, were in good general health and did not report past history of cardiovascular disease. CONCLUSIONS; Although a range of personal and socioeconomic factors are associated with diabetes prevalence, these factors are not similarly associated with prior detection of diabetes. These findings highlight the importance of systematic approaches to screening for diabetes risk focussed on the whole population, with selective screening based on multi-factorial assessment of diabetes risk using the AUSDRISK Assessment Tool.
authors.affiliation: Centre for Primary Health Care and Equity, University of New South Wales, Level 3 AGSM Building, Sydney, NSW 2052, Australia. e.comino@unsw.edu.au
authors.forename: Elizabeth J
authors.initials: EJ
authors.lastname: Comino
authors.forename: Mark F
authors.initials: MF
authors.lastname: Harris
authors.forename: Jonathan E
authors.initials: JE
authors.lastname: Shaw
authors.forename: Upali W
authors.initials: UW
authors.lastname: Jayasinghe
mesh_terms: D000328:Adult; D000368:Aged; D001315:Australia / Q000453:epidemiology; D016001:Confidence Intervals; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000175:diagnosis* / Q000453:epidemiology / Q000401:mortality; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D040242:Risk Reduction Behavior; D012309:Risk-Taking; D012923:Social Class; D011795:Surveys and Questionnaires