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Article ; Online: Diabetes mellitus as a risk factor for SARS-CoV-2 test positivity in Mexico: A propensity score matched study.

Seiglie, Jacqueline A / Serván-Mori, Edson / Manne-Goehler, Jennifer / Meigs, James B / Miranda, J Jaime / Sosa-Rubí, Sandra G / Silverman-Retana, Omar / Wexler, Deborah J / Wirtz, Veronika J

Diabetes research and clinical practice

2021  Volume 178, Page(s) 108953

Abstract: ... tested positive for SARS-CoV-2 and 270,486 (11.7%) self-reported diabetes. After propensity score ... of testing positive for SARS-CoV-2, as a proxy for infection risk, than individuals without diabetes ... for risk mitigation efforts for people with diabetes at risk of SARS-CoV-2 infection. ...

Abstract Aims: We sought to investigate whether individuals with diabetes have a higher likelihood of testing positive for SARS-CoV-2, as a proxy for infection risk, than individuals without diabetes.
Methods: We conducted a cross-sectional study of publicly available data among a Mexican population, totaling 2,314,022 adults ≥ 18 years who underwent SARS-CoV-2 testing between March 1 and December 20, 2020. We used 1:1 nearest neighborhood propensity score matching by diabetes status to account for confounding among those with and without diabetes.
Results: In the overall study population, 1,057,779 (45.7%) individuals tested positive for SARS-CoV-2 and 270,486 (11.7%) self-reported diabetes. After propensity score matching, patient characteristics were well-balanced, with 150,487 patients in the diabetes group (mean [SD] age 55.9 [12.7] years; 51.3% women) and 150,487 patients in the no diabetes group (55.5 [13.3] years; 50.3% women). The strictest matching algorithm (1:1 nearest neighbor) showed that compared to individuals without diabetes, having diabetes was associated with 9.0% higher odds of having a positive SARS-CoV-2 test (OR 1.09 [95% CI: 1.08-1.10]).
Conclusions: Presence of diabetes was associated with higher odds of testing positive for SARS-CoV-2, which could have important implications for risk mitigation efforts for people with diabetes at risk of SARS-CoV-2 infection.
MeSH term(s) Adolescent ; Adult ; Aged ; COVID-19/diagnosis ; COVID-19 Testing ; Cross-Sectional Studies ; Diabetes Mellitus/epidemiology ; Female ; Humans ; Male ; Mexico/epidemiology ; Middle Aged ; Propensity Score ; Risk Factors ; SARS-CoV-2 ; Young Adult
Language English
Publishing date 2021-07-21
Publishing country Ireland
Document type Journal Article
ZDB-ID 632523-3
ISSN 1872-8227 ; 0168-8227
ISSN (online) 1872-8227
ISSN 0168-8227
DOI 10.1016/j.diabres.2021.108953
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