{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T14:57:34Z","timestamp":1775141854032,"version":"3.50.1"},"reference-count":42,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T00:00:00Z","timestamp":1775088000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Type 2 diabetes mellitus (T2DM) is a major global public health concern, with Kuwait experiencing one of the highest prevalence rates worldwide, affecting approximately one quarter of adults. The Finnish Diabetes Risk Score (FINDRISC) is a simple, cost-effective screening tool for identifying individuals at high risk of developing T2DM. This study aimed to assess the risk of T2DM among Kuwait University (KU) employees using the FINDRISC and to identify associated predictors. A cross-sectional study was conducted on 407 KU employees. Data were collected in person, including anthropometric measurements. Participants with a FINDRISC score \u2265 12 were classified as being at increased risk of T2DM. Multivariable logistic regression was used to identify predictors of increased risk. Findings revealed a mean FINDRISC score of 9.4, with females having a significantly higher score than males (10.3 and 8.2, respectively), indicating a higher risk of T2DM. Overall, 137 participants (33.7%) were classified as being at increased 10-year risk of developing T2DM. Increased risk was significantly associated with being female (aOR: 2.85, 95% CI: 1.55\u20135.24), being married (aOR: 2.92, 95% CI: 1.57\u20135.43), and having higher perceived susceptibility to diabetes, including very likely (aOR: 7.73, 95% CI: 3.32\u201318.02) or somewhat likely (aOR: 2.41, 95% CI: 1.35\u20134.32) compared with not at all likely. Overall, approximately one-third of KU employees were classified as being at an increased risk of T2DM. These findings suggest the potential value of workplace-based screening and diabetes prevention programs to promote early detection and facilitate the early identification of individuals who may benefit from preventive interventions.<\/jats:p>","DOI":"10.3390\/ijerph23040455","type":"journal-article","created":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T14:09:54Z","timestamp":1775138994000},"page":"455","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Assessing the Risk of Type 2 Diabetes Among University Employees in Kuwait: A Cross-Sectional Study"],"prefix":"10.3390","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9675-4592","authenticated-orcid":false,"given":"Saleh","family":"Alsarhan","sequence":"first","affiliation":[{"name":"Department of Health Policy and Management, College of Public Health, Kuwait University, Kuwait City 13060, Kuwait"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fatema","family":"Alkhulaifi","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, College of Public Health, Kuwait University, Kuwait City 13060, Kuwait"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mai","family":"Alhazami","sequence":"additional","affiliation":[{"name":"Department of Pharmacy Practice, College of Pharmacy, Kuwait University, Kuwait City 13060, Kuwait"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mashael M.","family":"Alshammari","sequence":"additional","affiliation":[{"name":"Department of Public Health Practice, College of Public Health, Kuwait University, Kuwait City 13060, Kuwait"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fatemah M.","family":"Alotaibi","sequence":"additional","affiliation":[{"name":"Department of Public Health Practice, College of Public Health, Kuwait University, Kuwait City 13060, Kuwait"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nouf A.","family":"Alajmi","sequence":"additional","affiliation":[{"name":"Department of Public Health Practice, College of Public Health, Kuwait University, Kuwait City 13060, Kuwait"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anfal F.","family":"Almutairi","sequence":"additional","affiliation":[{"name":"Department of Public Health Practice, College of Public Health, Kuwait University, Kuwait City 13060, Kuwait"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joud H.","family":"Almutairat","sequence":"additional","affiliation":[{"name":"Department of Public Health Practice, College of Public Health, Kuwait University, Kuwait City 13060, Kuwait"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2026,4,2]]},"reference":[{"key":"ref_1","unstructured":"(2025, October 15). Diabetes. Available online: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/diabetes."},{"key":"ref_2","unstructured":"Institute for Health Metrics and Evaluation (IHME) (2024). Global Burden of Disease Study 2021: Findings from the GBD 2021 Study, Institute for Health Metrics and Evaluation."},{"key":"ref_3","unstructured":"(2025). Diabetes Atlas, International Diabetes Federation. [11th ed.]."},{"key":"ref_4","unstructured":"World Health Organization and International Diabetes Federation (2003). Screening for Type 2 Diabetes: Report of a World Health Organization and International Diabetes Federation Meeting, WHO."},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"American Diabetes Association (2022). Introduction: Standards of Medical Care in Diabetes-2022. Diabetes Care, 45, S1\u2013S2.","DOI":"10.2337\/dc22-Sint"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"2627","DOI":"10.1001\/jama.2016.16885","article-title":"US Spending on Personal Health Care and Public Health, 1996\u20132013","volume":"316","author":"Dieleman","year":"2016","journal-title":"JAMA"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"121","DOI":"10.2147\/IJGM.S226010","article-title":"Demographic and Clinical Factors Associated with Development of Type 2 Diabetes: A Review of the Literature","volume":"13","author":"Pinchevsky","year":"2020","journal-title":"Int. J. Gen. Med."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"725","DOI":"10.2337\/diacare.26.3.725","article-title":"The diabetes risk score: A practical tool to predict type 2 diabetes risk","volume":"26","author":"Lindstrom","year":"2003","journal-title":"Diabetes Care"},{"key":"ref_9","first-page":"e32034","article-title":"An Assessment of the 10-Year Risk of Developing Type 2 Diabetes Among Saudi Adults Based on the Finnish Diabetes Risk Score","volume":"14","author":"Elshebiny","year":"2022","journal-title":"Cureus"},{"key":"ref_10","first-page":"8290710","article-title":"Diabetes Risk Score in a Young Student Population in Jordan: A Cross-Sectional Study","volume":"2017","author":"Aburoman","year":"2017","journal-title":"J. Diabetes Res."},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Kristo, A.S., Pinarli, C., Kelleher, A.H., Kucuknil, S.L., and Sikalidis, A.K. (2022). The Risk of T2DM in College Women: The Predictive Power of Financial versus Residential Status in a Cross-Sectional Pilot Study in Turkey. Behav. Sci., 12.","DOI":"10.3390\/bs12090309"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"e18","DOI":"10.1017\/S1463423625000180","article-title":"Validation of the Finnish Diabetes Risk Score and development of a country-specific diabetes prediction model for Turkey","volume":"26","author":"Ture","year":"2025","journal-title":"Prim. Health Care Res. Dev."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1186\/s13098-020-00590-8","article-title":"Diagnostic accuracy of the Finnish Diabetes Risk Score for the prediction of undiagnosed type 2 diabetes, prediabetes, and metabolic syndrome in the Lebanese University","volume":"12","author":"Abdallah","year":"2020","journal-title":"Diabetol. Metab. Syndr."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"725","DOI":"10.26719\/2010.16.7.725","article-title":"Screening for diabetes in Kuwait and evaluation of risk scores","volume":"16","author":"Eid","year":"2010","journal-title":"East. Mediterr. Health J."},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Awad, A.I., and Alsaleh, F.M. (2015). 10-year risk estimation for type 2 diabetes mellitus and coronary heart disease in Kuwait: A cross-sectional population-based study. PLoS ONE, 10.","DOI":"10.1371\/journal.pone.0116742"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"101","DOI":"10.26715\/jbms.25_2_8","article-title":"Identifying employees at high risk of diabetes among the medical staff of Jaber Al-Ahmed Armed Forces Hospital in Kuwait and screening them for diabetes","volume":"25","author":"AlRandi","year":"2014","journal-title":"J. Bahrain Med. Soc."},{"key":"ref_17","first-page":"40","article-title":"Screening of Occurrence of Type 2 Diabetes Mellitus Among El-Minia University Employees","volume":"25","author":"Mosallem","year":"2013","journal-title":"Minia J. Med. Res."},{"key":"ref_18","first-page":"226","article-title":"Risk Calculation as a Tool to Predict Type 2 Diabetes Mellitus Among the Employees at El-Minia University","volume":"23","author":"Ahmed","year":"2012","journal-title":"El-Minia Med. Bull."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"483","DOI":"10.1111\/nuf.12561","article-title":"Mindful eating, obesity, and risk of type 2 diabetes in university students: A cross-sectional study","volume":"56","author":"Kes","year":"2021","journal-title":"Nurs. Forum"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"532","DOI":"10.1016\/S1957-2557(14)70877-6","article-title":"Contribution of the Finnish risk score (FINDRISC) for identifying dysglycemia in an Algiers\u2019 population, Algeria","volume":"8","author":"Azzouz","year":"2014","journal-title":"M\u00e9decine Des Mal. M\u00e9taboliques"},{"key":"ref_21","first-page":"87","article-title":"FINDRISK score predict an unknown dysglycemia. Influence of gender","volume":"11","author":"Bouafia","year":"2017","journal-title":"M\u00e9decine Des Mal. M\u00e9taboliques"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"494","DOI":"10.1016\/j.pcd.2020.02.008","article-title":"Performance of the Finnish Diabetes Risk Score (FINDRISC) and Modified Asian FINDRISC (ModAsian FINDRISC) for screening of undiagnosed type 2 diabetes mellitus and dysglycaemia in primary care","volume":"14","author":"Lim","year":"2020","journal-title":"Prim. Care Diabetes"},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Mizohata, S., Uesugi, Y., and Matsuo, H. (2022). Factors Affecting the Risk of Diabetes Development among Brazilian Residents in Japan. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19137698"},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Agarwal, G., Guingona, M.M., Gaber, J., Angeles, R., Rao, S., and Cristobal, F. (2019). Choosing the most appropriate existing type 2 diabetes risk assessment tool for use in the Philippines: A case-control study with an urban Filipino population. BMC Public Health, 19.","DOI":"10.1186\/s12889-019-7402-0"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"587","DOI":"10.13075\/ijomeh.1896.00407","article-title":"Evaluation of the Finnish Diabetes Risk Score (FINDRISC) for diabetes screening in occupational health care","volume":"28","author":"Vandersmissen","year":"2015","journal-title":"Int. J. Occup. Med. Environ. Health"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"67","DOI":"10.3132\/dvdr.2005.011","article-title":"Cross-sectional evaluation of the Finnish Diabetes Risk Score: A tool to identify undetected type 2 diabetes, abnormal glucose tolerance and metabolic syndrome","volume":"2","author":"Saaristo","year":"2005","journal-title":"Diabetes Vasc. Dis. Res."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"e000769","DOI":"10.1136\/bmjdrc-2019-000769","article-title":"Validity of the FINDRISC as a prediction tool for diabetes in a contemporary Norwegian population: A 10-year follow-up of the HUNT study","volume":"7","author":"Jolle","year":"2019","journal-title":"BMJ Open Diabetes Res. Care"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"112480","DOI":"10.1016\/j.diabres.2025.112480","article-title":"Finnish diabetes risk score (findrisc) for type 2 diabetes screening compared with the oral glucose tolerance test: A systematic review and meta-analysis of diagnostic test accuracy","volume":"229","author":"Aschner","year":"2025","journal-title":"Diabetes Res. Clin. Pract."},{"key":"ref_29","unstructured":"(2025, October 03). National Health Interview Survey, Available online: https:\/\/archive.cdc.gov\/www_cdc_gov\/nchs\/nhis\/tobacco\/tobacco_glossary.htm."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"1640","DOI":"10.1161\/CIRCULATIONAHA.109.192644","article-title":"Harmonizing the metabolic syndrome: A joint interim statement of the International Diabetes Federation Task Force on Epidemiology and Prevention; National Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation; International Atherosclerosis Society; and International Association for the Study of Obesity","volume":"120","author":"Alberti","year":"2009","journal-title":"Circulation"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1177\/109019818401100101","article-title":"The Health Belief Model: A decade later","volume":"11","author":"Janz","year":"1984","journal-title":"Health Educ. Q."},{"key":"ref_32","first-page":"524","article-title":"Diabetes Risk Assessment and Awareness in a University Academics and Employees","volume":"55","author":"Yildiz","year":"2021","journal-title":"Sisli Etfal Hastan. Tip. Bul."},{"key":"ref_33","doi-asserted-by":"crossref","unstructured":"Riise, H.K.R., Graue, M., Igland, J., Birkeland, K.I., and Kolltveit, B.H. (2023). Prevalence of increased risk of type 2 diabetes in general practice: A cross-sectional study in Norway. BMC Prim. Care, 24.","DOI":"10.1186\/s12875-023-02100-x"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"1820","DOI":"10.2337\/dc09-0720","article-title":"Diabetes Risk Perception and Intention to Adopt Healthy Lifest yles Among Primary Care Patients","volume":"32","author":"Hivert","year":"2009","journal-title":"Diabetes Care"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1177\/0969141313476677","article-title":"The Canadian recommendations on screening for type 2 diabetes","volume":"19","author":"Wald","year":"2012","journal-title":"J. Med. Screen."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1016\/j.pcd.2011.12.003","article-title":"Measuring risk online\u2014Feasibility of using FINDRISC in an online workplace survey","volume":"6","author":"Gyberg","year":"2012","journal-title":"Prim. Care Diabetes"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1007\/s11892-017-0840-0","article-title":"Workplace Interventions to Prevent Type 2 Diabetes Mellitus: A Narrative Review","volume":"17","author":"Hafez","year":"2017","journal-title":"Curr. Diab Rep."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"1343","DOI":"10.1056\/NEJM200105033441801","article-title":"Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance","volume":"344","author":"Tuomilehto","year":"2001","journal-title":"N. Engl. J. Med."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1038\/s41430-019-0472-3","article-title":"Effectiveness of a type 2 diabetes prevention program combining FINDRISC scoring and telephone-based coaching in the French population of bakery\/pastry employees","volume":"74","author":"Bohme","year":"2020","journal-title":"Eur. J. Clin. Nutr."},{"key":"ref_40","first-page":"8790235","article-title":"Development and Validation of a Simple Risk Score for Undiagnosed Type 2 Diabetes in a Resource-Constrained Setting","volume":"2016","author":"Smeeth","year":"2016","journal-title":"J. Diabetes Res."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1590\/1516-3180.2019.0524.05032020","article-title":"Translation, cross-cultural adaptation and validation of the Finnish Diabetes Risk Score (FINDRISC) for use in Brazilian Portuguese: Questionnaire validity study","volume":"138","author":"Conceicao","year":"2020","journal-title":"Sao Paulo Med. J."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"517","DOI":"10.1016\/j.pcd.2018.07.015","article-title":"Diagnostic accuracy of the Finnish Diabetes Risk Score (FINDRISC) for undiagnosed T2DM in Peruvian population","volume":"12","author":"Perel","year":"2018","journal-title":"Prim. Care Diabetes"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/23\/4\/455\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T14:12:07Z","timestamp":1775139127000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/23\/4\/455"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,2]]},"references-count":42,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2026,4]]}},"alternative-id":["ijerph23040455"],"URL":"https:\/\/doi.org\/10.3390\/ijerph23040455","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,2]]}}}