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All Journal International Journal of Public Health Science (IJPHS) JUKEJ: Jurnal Kesehatan Jompa
Andriani, Russy Novita
Unknown Affiliation
Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Skrining Prediabetes Dengan Skoring American Diabetes Association (ADA) Pada Calon Jamaah Haji 2025 Jeem, Yaltafit Abror; Andriani, Russy Novita; Yuantari, Rahma; Asmara, Satria Akbar Putra
JUKEJ : Jurnal Kesehatan Jompa Vol 4 No 2 (2025): JUKEJ: Jurnal Kesehatan Jompa
Publisher : Yayasan Jompa Research and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57218/jkj.Vol4.Iss2.1851

Abstract

Objective: This study aimed to evaluate the diagnostic validity of the American Diabetes Association (ADA) risk score for prediabetes screening among prospective Hajj pilgrims in 2025.Methods: A diagnostic cross-sectional study was conducted on 232 prospective pilgrims from KBIHU Multazam Addakwah using total sampling. The primary variables were the ADA risk score (cut-off ≥4) and fasting plasma glucose as the reference standard. Data were collected through the ADA risk questionnaire and fasting glucose measurement, then analyzed using ROC curve and diagnostic performance metrics.Results: The prevalence of prediabetes was 10.99%. The ADA risk score demonstrated a sensitivity of 65%, specificity of 57.4%, positive predictive value of 15.8%, negative predictive value of 93%, and overall accuracy of 58.2%. The area under the curve (AUC) was 61.0% (95% CI: 50.7%–71.3%; p=0.042).Conclusion: The ADA risk score shows good exclusion capability for prediabetes but limited discriminatory accuracy, and therefore cannot yet be recommended as a standalone primary screening tool for Indonesian Hajj pilgrims without further modification. Keywords:
Evaluating the performance of TAG-IT for prediabetes detection in Indonesian population Jeem, Yaltafit Abror; Yuantari, Rahma; Widiatninda, Hajar Admira; Andriani, Russy Novita; Makkiyyah, Siti Solichatul
International Journal of Public Health Science (IJPHS) Vol 15, No 1: March 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i1.26887

Abstract

Early detection of prediabetes plays a critical role in preventing type 2 diabetes mellitus (T2DM), especially within primary care, where access to laboratory testing may be constrained. Non-laboratory-based risk assessment instruments, including the tool to assess the likelihood of fasting glucose impairment (TAG-IT), can facilitate preliminary risk screening. This study sought to determine the diagnostic accuracy of the TAG-IT questionnaire in detecting prediabetes, using the oral glucose tolerance test (OGTT) as the reference standard. A cross-sectional design was implemented across three community health centers in the Special Region of Yogyakarta, Indonesia. Although 308 individuals were initially enrolled, only 93 participants with complete datasets were eligible for final analysis. The discriminative capacity of TAG-IT was evaluated through receiver operating characteristic (ROC) curve analysis along with a contingency table. Among the participants analyzed, 24.7% (23/93) were classified as having prediabetes. The TAG-IT tool exhibited modest discriminatory performance, yielding an AUC of 0.656 (95% CI 0.525-0.786; p = 0.026). Using the identified optimal threshold, sensitivity reached 52.2% while specificity was 67.1%. The negative predictive value was 81.0%, indicating better performance in excluding low-risk individuals. Overall, TAG-IT demonstrated moderate utility as a preliminary screening instrument in primary healthcare, particularly for identifying individuals unlikely to have prediabetes.
Co-Authors Asmara, Satria Akbar Putra Jeem, Yaltafit Abror Makkiyyah, Siti Solichatul Widiatninda, Hajar Admira Yuantari, Rahma