{"id":"https://openalex.org/W4381337560","doi":"https://doi.org/10.2337/db23-1285-p","title":"1285-P: Disparities in Screening, Diagnosis, and Treatment of Type 2 Diabetes Mellitus among Persons with HIV","display_name":"1285-P: Disparities in Screening, Diagnosis, and Treatment of Type 2 Diabetes Mellitus among Persons with HIV","publication_year":2023,"publication_date":"2023-06-20","ids":{"openalex":"https://openalex.org/W4381337560","doi":"https://doi.org/10.2337/db23-1285-p"},"language":"en","primary_location":{"id":"doi:10.2337/db23-1285-p","doi":"https://doi.org/10.2337/db23-1285-p","is_oa":false,"landing_page_url":"https://doi.org/10.2337/db23-1285-p","pdf_url":null,"source":{"id":"https://openalex.org/S129060628","display_name":"Diabetes","issn_l":"0012-1797","issn":["0012-1797","1939-327X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320274","host_organization_name":"American Diabetes Association","host_organization_lineage":["https://openalex.org/P4310320274"],"host_organization_lineage_names":["American Diabetes Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Diabetes","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5018142596","display_name":"Nina Millman","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"NINA MILLMAN","raw_affiliation_strings":["Nashville, TN, Indianapolis, IN"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nashville, TN, Indianapolis, IN","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5090564785","display_name":"John Robert Koethe","orcid":"https://orcid.org/0000-0001-6490-6942","observed_orcids":["https://orcid.org/0000-0001-6490-6942"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"JOHN KOETHE","raw_affiliation_strings":["Nashville, TN, Indianapolis, IN"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nashville, TN, Indianapolis, IN","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5001438803","display_name":"Megan M. Turner","orcid":"https://orcid.org/0000-0001-5180-2773","observed_orcids":["https://orcid.org/0000-0001-5180-2773"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"MEGAN TURNER","raw_affiliation_strings":["Nashville, TN, Indianapolis, IN"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nashville, TN, Indianapolis, IN","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5055213349","display_name":"Kassem Bourgi","orcid":"https://orcid.org/0000-0001-9734-7489","observed_orcids":["https://orcid.org/0000-0001-9734-7489"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"KASSEM BOURGI","raw_affiliation_strings":["Nashville, TN, Indianapolis, IN"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nashville, TN, Indianapolis, IN","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5076748422","display_name":"Timothy R. Sterling","orcid":"https://orcid.org/0000-0002-4822-6979","observed_orcids":["https://orcid.org/0000-0002-4822-6979"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"TIMOTHY STERLING","raw_affiliation_strings":["Nashville, TN, Indianapolis, IN"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nashville, TN, Indianapolis, IN","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5036999943","display_name":"Peter F. Rebeiro","orcid":"https://orcid.org/0000-0003-1951-9104","observed_orcids":["https://orcid.org/0000-0003-1951-9104"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"PETER REBEIRO","raw_affiliation_strings":["Nashville, TN, Indianapolis, IN"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nashville, TN, Indianapolis, IN","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.11310669,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"72","issue":"Supplement_1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11655","display_name":"HIV-related health complications and treatments","score":0.9872999787330627,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11655","display_name":"HIV-related health complications and treatments","score":0.9872999787330627,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10082","display_name":"HIV/AIDS Research and Interventions","score":0.007699999958276749,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10027","display_name":"Diabetes, Cardiovascular Risks, and Lipoproteins","score":0.002099999925121665,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/type-2-diabetes","display_name":"type 2 diabetes","score":0.996999979019165},{"id":"https://openalex.org/keywords/hiv","display_name":"HIV","score":0.9430000185966492},{"id":"https://openalex.org/keywords/racial-disparities","display_name":"racial disparities","score":0.6790000200271606},{"id":"https://openalex.org/keywords/sex-disparities","display_name":"sex disparities","score":0.7480000257492065},{"id":"https://openalex.org/keywords/diabetes-screening","display_name":"diabetes screening","score":0.8980000019073486},{"id":"https://openalex.org/keywords/glycemic-control","display_name":"glycemic control","score":0.824999988079071},{"id":"https://openalex.org/keywords/hba1c","display_name":"HbA1c","score":0.8320000171661377},{"id":"https://openalex.org/keywords/black-patients","display_name":"Black patients","score":0.5019999742507935},{"id":"https://openalex.org/keywords/elderly-patients","display_name":"elderly patients","score":0.5320000052452087},{"id":"https://openalex.org/keywords/overweight-and-obesity","display_name":"overweight and obesity","score":0.8560000061988831},{"id":"https://openalex.org/keywords/continuum-of-care","display_name":"continuum of care","score":0.7049999833106995},{"id":"https://openalex.org/keywords/antiretroviral-therapy","display_name":"antiretroviral therapy","score":0.8220000267028809},{"id":"https://openalex.org/keywords/women-living-with-hiv","display_name":"women living with HIV","score":0.5669999718666077},{"id":"https://openalex.org/keywords/diabetes-incidence","display_name":"diabetes incidence","score":0.4339999854564667},{"id":"https://openalex.org/keywords/diabetes-diagnosis","display_name":"diabetes diagnosis","score":0.39899998903274536}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8954496383666992},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.6428117752075195},{"id":"https://openalex.org/C73269764","wikidata":"https://www.wikidata.org/wiki/Q954529","display_name":"Poisson regression","level":3,"score":0.6263580918312073},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.5848448276519775},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.5798096060752869},{"id":"https://openalex.org/C2780586474","wikidata":"https://www.wikidata.org/wiki/Q332428","display_name":"Overweight","level":3,"score":0.517004132270813},{"id":"https://openalex.org/C133925201","wikidata":"https://www.wikidata.org/wiki/Q188419","display_name":"Life expectancy","level":3,"score":0.46652159094810486},{"id":"https://openalex.org/C2910068830","wikidata":"https://www.wikidata.org/wiki/Q3025883","display_name":"Type 2 Diabetes Mellitus","level":3,"score":0.4639458656311035},{"id":"https://openalex.org/C3020574416","wikidata":"https://www.wikidata.org/wiki/Q275157","display_name":"Plasma glucose","level":3,"score":0.4228593111038208},{"id":"https://openalex.org/C2780221984","wikidata":"https://www.wikidata.org/wiki/Q131191","display_name":"Body mass index","level":2,"score":0.4142098128795624},{"id":"https://openalex.org/C3013748606","wikidata":"https://www.wikidata.org/wiki/Q15787","display_name":"Human immunodeficiency virus (HIV)","level":2,"score":0.41297006607055664},{"id":"https://openalex.org/C2777180221","wikidata":"https://www.wikidata.org/wiki/Q3025883","display_name":"Type 2 diabetes","level":3,"score":0.41266050934791565},{"id":"https://openalex.org/C134018914","wikidata":"https://www.wikidata.org/wiki/Q162606","display_name":"Endocrinology","level":1,"score":0.2168598175048828},{"id":"https://openalex.org/C203014093","wikidata":"https://www.wikidata.org/wiki/Q101929","display_name":"Immunology","level":1,"score":0.1311502754688263},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.12818700075149536},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.11450809240341187},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0},{"id":"https://openalex.org/C120665830","wikidata":"https://www.wikidata.org/wiki/Q14620","display_name":"Optics","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.2337/db23-1285-p","doi":"https://doi.org/10.2337/db23-1285-p","is_oa":false,"landing_page_url":"https://doi.org/10.2337/db23-1285-p","pdf_url":null,"source":{"id":"https://openalex.org/S129060628","display_name":"Diabetes","issn_l":"0012-1797","issn":["0012-1797","1939-327X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320274","host_organization_name":"American Diabetes Association","host_organization_lineage":["https://openalex.org/P4310320274"],"host_organization_lineage_names":["American Diabetes Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Diabetes","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"},{"score":0.8974000215530396,"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4413668826","https://openalex.org/W2913548118","https://openalex.org/W2982176934","https://openalex.org/W7165201839","https://openalex.org/W3036109938","https://openalex.org/W3060517082","https://openalex.org/W4411614134","https://openalex.org/W2889548586","https://openalex.org/W2789346431","https://openalex.org/W2471079434"],"abstract_inverted_index":{"Background:":[0],"Persons":[1],"with":[2,54,104,112,183,188,221,242,251,274,303],"HIV":[3,48,61],"(PWH)":[4],"have":[5,74],"normal":[6],"life":[7],"expectancy":[8],"on":[9,52],"antiretroviral":[10],"therapy":[11],"(ART),":[12],"but":[13,226],"a":[14,59,304],"rising":[15],"burden":[16],"of":[17,82,99,127,149,170,307,372,377],"type":[18],"2":[19],"diabetes":[20],"mellitus":[21],"(DM)":[22],"disproportionately":[23],"affecting":[24],"women":[25,297],"and":[26,45,101,125,178,196,205,219,240,262,272,298],"Black":[27,299],"individuals":[28],"threatens":[29],"these":[30,155],"gains.":[31],"We":[32,95],"therefore":[33],"assessed":[34,96],"whether":[35],"disparities":[36,280],"in":[37,42,63,233,281,316],"DM":[38,76,105,114,123,167,222,252,283,291],"incidence":[39,145],"are":[40],"reflected":[41],"disease":[43],"screening":[44,106,292],"treatment":[46,124,253],"by":[47,107,115,154,168],"providers.":[49],"Methods:":[50],"PWH":[51,160,187,209,264,294],"ART":[53],"\u22652":[55],"clinic":[56,62],"visits":[57],"at":[58,77],"large":[60],"the":[64,97,151,234],"southeast":[65],"from":[66],"2007-2022":[67],"contributed":[68],"data,":[69],"if":[70],"they":[71],"did":[72,309],"not":[73,310],"prevalent":[75],"enrollment:":[78],"existing":[79],"ICD-9/10":[80,118],"diagnoses":[81],"DM,":[83,190,243,308],"antidiabetic":[84,194],"medication,":[85],"hemoglobin":[86],"A1c":[87,108,116,130,201,257,288],"(A1c)":[88],"\u22656.5%,":[89],"or":[90,117,120,207,246,255,285],"random":[91,121],"glucose":[92],"\u2265200":[93],"mg/dL.":[94],"association":[98],"demographic":[100,247],"clinical":[102,245],"factors":[103,248],"and,":[109],"among":[110,293],"those":[111,238],"incident":[113,189],"diagnosis":[119],"glucose,":[122],"achievement":[126],"goal":[128],"(i.e.,":[129],"\u22647.0%).":[131],"For":[132],"each":[133],"\u201ccare":[134],"continuum\u201d":[135],"step,":[136],"we":[137,277],"used":[138],"modified":[139],"Poisson":[140],"regression":[141],"to":[142,213,268,312],"estimate":[143],"adjusted":[144,235],"rate":[146],"ratios":[147],"(IRRs)":[148],"reaching":[150],"next":[152],"step":[153],"factors.":[156],"Results:":[157],"Among":[158,185],"5450":[159],"enrolling,":[161],"3762":[162],"(69%)":[163],"were":[164,181,210,249,265],"screened":[165,215,239,270],"for":[166,271],"A1c,":[169],"whom":[171],"1001":[172],"(27%)":[173],"had":[174],"dysglycemia":[175],"(A1c":[176],">5.7%)":[177],"162":[179],"(4.3%)":[180],"diagnosed":[182,220,241,273],"DM.":[184,275],"186":[186],"136":[191],"(73%)":[192],"initiated":[193],"medication":[195],"94":[197],"(84%)":[198],"achieved":[199],"an":[200,287],"\u22647.0%.":[202],"Older,":[203,260],"Black,":[204,261],"overweight":[206],"obese":[208],"more":[211,266],"likely":[212,267],"be":[214,269,313],"(IRRs=1.0-1.1,":[216],"p<0.05":[217,224],"each)":[218],"(IRRs=1.8-2.8,":[223],"each),":[225],"there":[227],"was":[228],"no":[229,244,279],"significant":[230],"sex":[231],"difference":[232],"model.":[236],"Of":[237],"associated":[250],"initiation":[254],"achieving":[256,286],"goal.":[258,289],"Conclusions:":[259],"overweight/obese":[263],"However,":[276],"found":[278],"initiating":[282],"medications":[284],"While":[290],"warrants":[295],"improvement,":[296],"PWH,":[300],"two":[301],"groups":[302],"higher":[305],"risk":[306],"appear":[311],"treated":[314],"disparately":[315],"this":[317],"population.":[318],"Disclosure":[319],"N.Millman:":[320],"None.":[321,345,359],"J.Koethe:":[322],"Advisory":[323,347],"Panel;":[324,348],"Merck":[325,339],"Sharp":[326,340],"&":[327,341],"Dohme":[328,342],"Corp.,":[329],"Janssen":[330,365],"Pharmaceuticals,":[331,366],"Inc.,":[332,335,351,364,367],"Gilead":[333,349,355,362],"Sciences,":[334,350,356,363],"Theratechnologies,":[336,352],"Research":[337,353,368],"Support;":[338,354,369],"Corp.":[343],"M.Turner:":[344],"K.Bourgi:":[346],"Inc.":[357],"T.Sterling:":[358],"P.Rebeiro:":[360],"Consultant;":[361],"National":[370,375],"Institutes":[371,376],"Health.":[373],"Funding":[374],"Health":[378],"(P30AI110527)":[379]},"counts_by_year":[],"updated_date":"2026-09-26T08:19:03.415552","created_date":"2023-06-21T00:00:00"}