Oak Ridge Institute for Science and Education, Oak Ridge, Tennessee.
CyberData Technologies, Herndon, Virginia.
Diabetes Educ. 2020 Dec;46(6):580-586. doi: 10.1177/0145721720964585. Epub 2020 Oct 16.
The purpose of the study was to examine how gender was related to enrollment and number of sessions attended in the National Diabetes Prevention Program's Lifestyle Change Program (DPP LCP).
To better understand program uptake, a population of those who would be eligible for the LCP was compared to those who enrolled. Estimates of those eligible were computed using data from the National Health and Nutrition Examination Survey, whereas enrollment and sessions attended were computed using data from the Centers for Disease Control and Prevention's Diabetes Prevention Recognition Program.
Results revealed that although similar numbers of males and females were eligible for the program, only 39 321 males versus 121 007 females had enrolled in the National DPP LCP by the end of 2017 (odds ratio = 3.20; 95% CI, 3.17-3.24). The gender differences persisted even when stratifying by age or race/ethnicity. In contrast, no significant gender differences were found between the average number of sessions attended for males (14.0) and females (13.8).
Results of the study can help inform efforts to market and tailor programs to appeal more directly to men and other groups that are underrepresented in the National DPP LCP.
本研究旨在探讨性别与美国国家糖尿病预防计划生活方式改变项目（DPP LCP）的参与和参加课程次数之间的关系。
为了更好地了解项目参与情况，将符合 LCP 条件的人群与实际参与项目的人群进行了比较。符合条件的人数是根据全国健康与营养调查的数据计算的，而参与人数和参加课程次数是根据疾病控制与预防中心的糖尿病预防认可计划的数据计算的。
结果显示，尽管符合该项目条件的男性和女性人数相似，但截至 2017 年底，只有 39321 名男性而不是 121007 名女性参加了国家 DPP LCP（优势比=3.20；95%置信区间，3.17-3.24）。即使按年龄或种族/民族进行分层，这种性别差异仍然存在。相比之下，男性（14.0）和女性（13.8）的平均参加课程次数之间没有显著的性别差异。
本研究结果有助于为市场推广和调整项目提供信息，以更直接地吸引男性和其他在国家 DPP LCP 中代表性不足的群体。
