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Journal of Diabetes Research
Volume 2016, Article ID 2456518, 9 pages
Research Article

Community-Based Diabetes Screening and Risk Assessment in Rural West Virginia

1Department of Social & Behavioral Sciences, Robert C Byrd Health Science Center, School of Public Health, West Virginia University, 3313A, Morgantown, WV 26506-9190, USA
2Programs and Research, Extension Service, West Virginia University, P.O. Box 6031, 812 Knapp Hall, Morgantown, WV 26506-6031, USA
3WVU Extension Service, Lincoln and Boone Counties Extension Agent, Hamlin, WV, USA
4WVU Extension Services, 815 Alderson Street, Williamson, WV 25661, USA

Received 14 September 2015; Revised 20 November 2015; Accepted 10 December 2015

Academic Editor: Ulrike Rothe

Copyright © 2016 Ranjita Misra et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


This project utilized a cross-sectional study design to assess diabetes risk among 540 individuals from 12 counties using trained extension agents and community organizations in West Virginia. Individuals were screened for diabetes using (1) the validated 7-item diabetes risk assessment survey and (2) hemoglobin A1c tests. Demographic and lifestyle behaviors were also collected. The average age, body mass index, and A1c were , , and , respectively. The majority were females, Non-Hispanic Whites with no prior diagnosis of diabetes. Screenings showed that 61.8% of participants were at high risk for diabetes. Family history of diabetes (siblings or parents), overweight or obese status, sedentary lifestyle, and older age were commonly prevalent risk factors. Higher risk scores computed from the 7-item questions correlated positively with higher A1c (, ). In multivariate logistic regression analyses, higher diabetes risk was predicted by obesity, older age, family history of hypertension, and gestational diabetes. Females were 4 times at higher risk than males. The findings indicated that community-based screenings were an effective way to assess diabetes risk in rural West Virginia. Linking diabetes screenings with referrals to lifestyle programs for high risk individuals can help reduce the burden of diabetes in the state.