Small area variation in diabetes prevalence in Puerto Rico

Details

• Alternative Title:
  Rev Panam Salud Publica
• Personal Author:
  Tierney, Edward F. ; Burrows, Nilka R. ; Barker, Lawrence E. ; Beckles, Gloria L. ; Boyle, James P. ; Cadwell, Betsy L. ; Kirtland, Karen A. ; Thompson, Theodore J.
• 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%).
  
  
• Subjects:
  Adult Aged Aged, 80 And Over Article Diabetes Mellitus Female Humans Male Middle Aged Prevalence Public Policy Puerto Rico Small-Area Analysis Young Adult

  More +
• Source:
  Rev Panam Salud Publica. 33(6):398-406.
• Pubmed ID:
  23939364
• Pubmed Central ID:
  PMC4537060
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHS/United States
• Volume:
  33
• Issue:
  6
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:8e092ad898a6dc7a4173a1652de12a3e7024e172d2c81880af0b51ae1b86329f
• Download URL:
  https://stacks.cdc.gov/view/cdc/32886/cdc_32886_DS1.pdf
• File Type:
  [PDF - 302.83 KB ]