Diabetes in Hawaii: estimating prevalence from insurance claims data

Am J Public Health. 1997 Oct;87(10):1717-20. doi: 10.2105/ajph.87.10.1717.


Objectives: The purpose of this study was to determine the prevalence of diabetes mellitus in Hawaii from insurance claims data.

Methods: Information from two major health plans covering approximately 66% of the state's population was used to estimate prevalence rates by sex, age group, and geographic area. Weighted multiple linear regression was applied to identify predictors of diabetes prevalence.

Results: The statewide diabetes prevalence was estimated at 43.8 per 1000 persons. The ethnic composition of the population and rural residence partially explained the geographic variation in diabetes prevalence.

Conclusions: Insurance claims data may be a useful tool for population-based diabetes surveillance.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Diabetes Mellitus / epidemiology*
  • Epidemiologic Methods
  • Female
  • Hawaii / epidemiology
  • Humans
  • Insurance Claim Review
  • Male
  • Middle Aged
  • Prevalence
  • Sex Factors