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Maps of dagnosed diabetes and obesity in 1994, 2000, and 2013

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    The maps display the age-adjusted prevalence of obesity and diagnosed diabetes among US adults aged 18 years or older in 1994, 2000, and 2013.

    In 1994, almost all states had prevalence of obesity less than 18%. In 2000, only 13 states had a prevalence of less than 18%, and 11 states exceeded 22%. In 2013, no state had a prevalence of less than 18%; almost all states exceeded 22% and 38 of these states exceeded 26%.

    Similarly, the prevalence of diagnosed diabetes was less than 6% in almost all states in 1994. In 2000, approximately half of the states had a prevalence of less than 6%. By 2013, no state had a prevalence of less than 6% and 25 states exceeded 9%.

    Because there were major changes in the survey methods in 2011— the addition of cellular telephone-only households and a new method of weighting the data— caution should be taken when comparing estimates across 2011.

    The addition of cellular telephone-only households has increased the numbers of certain population groups—respondents who have lower incomes, lower educational levels, or are in younger age groups—that represent populations with higher numbers of risk factors. Thus, estimates of health risk behaviors and conditions have increased. In addition, the move to a new method of weighting the data increased in many states the prevalence estimates of chronic diseases such as diabetes and of risk factors such as obesity. Although raking might cause state prevalence trends for certain risk factors to shift upward, in general, the shape of trend lines over time might not be affected.

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