Small area variation in diabetes prevalence in Puerto Rico

Tierney, Edward F.; Burrows, Nilka R.; Barker, Lawrence E.; Beckles, Gloria L.; Boyle, James P.; Cadwell, Betsy L.; Kirtland, Karen A.; Thompson, Theodore J.

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Small area variation in diabetes prevalence in Puerto Rico

Published Date:

Jun 2013

Source:

Rev Panam Salud Publica. 33(6):398-406.

Language:

English

[PDF-302.83 KB]

Details:

Personal Authors:

Tierney, Edward F. ; Burrows, Nilka R. ; Barker, Lawrence E. ; Beckles, Gloria L. ; Boyle, James P. ; ... More ▼

Keywords:

[+]

Pubmed ID:

23939364

Pubmed Central ID:

PMC4537060

Description:

Objective

To estimate the 2009 prevalence of diagnosed diabetes in Puerto Rico among adults ≥ 20 years of age in order to gain a better understanding of its geographic distribution so that policymakers can more efficiently target prevention and control programs.

Methods

A Bayesian multilevel model was fitted to the combined 2008–2010 Behavioral Risk Factor Surveillance System and 2009 United States Census data to estimate diabetes prevalence for each of the 78 municipios (counties) in Puerto Rico.

Results

The mean unadjusted estimate for all counties was 14.3% (range by county, 9.9%–18.0%). The average width of the confidence intervals was 6.2%. Adjusted and unadjusted estimates differed little.

Conclusions

These 78 county estimates are higher on average and showed less variability (i.e., had a smaller range) than the previously published estimates of the 2008 diabetes prevalence for all United States counties (mean, 9.9%; range, 3.0%–18.2%).

Document Type:

Journal Article

Collection(s):

CDC Public Access

Funding:

CC999999/Intramural CDC HHS/United States

Place as Subject:

Puerto Rico

Main Document Checksum:

[+]

Supporting Files:

	nihms-708831-f0001.gif	image/gif
	nihms-708831-f0001.jpg	image/jpeg
	nihms-708831.nxml	application/octet-stream
	NIHMS708831-supplement-01.pdf	application/pdf

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