Chronic Disease Disparities by County Economic Status and Metropolitan Classification, Behavioral Risk Factor Surveillance System, 2013

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Shaw, Kate M. ; Theis, Kristina A. ; Self-Brown, Shannon ; Roblin, Douglas W. ; Barker, Lawrence
• Description:
  Introduction
  
  Racial/ethnic disparities have been studied extensively. However, the combined influence of geographic location and economic status on specific health outcomes is less well studied. This study’s objective was to examine 1) the disparity in chronic disease prevalence in the United States by county economic status and metropolitan classification and 2) the social gradient by economic status. The association of hypertension, arthritis, and poor health with county economic status was also explored.
  
  Methods
  
  We used 2013 Behavioral Risk Factor Surveillance System data. County economic status was categorized by using data on unemployment, poverty, and per capita market income. While controlling for sociodemographics and other covariates, we used multivariable logistic regression to evaluate the relationship between economic status and hypertension, arthritis, and self-rated health.
  
  Results
  
  Prevalence of hypertension, arthritis, and poor health in the poorest counties was 9%, 13%, and 15% higher, respectively, than in the most affluent counties. After we controlled for covariates, poor counties still had a higher prevalence of the studied conditions.
  
  Conclusion
  
  We found that residents of poor counties had a higher prevalence of poor health outcomes than affluent counties, even after we controlled for known risk factors. Further, the prevalence of poor health outcomes decreased as county economics improved. Findings suggest that poor counties would benefit from targeted public health interventions, better access to health care services, and improved food and built environments.
  
  
• Subjects:
  Adolescent Adult Aged Age Distribution Arthritis Behavioral Risk Factor Surveillance System Chronic Disease Female Health Behavior Health Status Disparities Humans Hypertension Logistic Models Male Middle Aged Multivariate Analysis Poverty Areas Sex Distribution Young Adult

  More +
• Source:
  Prev Chronic Dis. 13.
• DOI:
  http://dx.doi.org/10.5888/pcd13.160088
• ISSN:
  1545-1151
• Pubmed ID:
  27584875
• Pubmed Central ID:
  PMC5008860
• Document Type:
  Journal Article
• Name as Subject:
  Behavioral Risk Factor Surveillance System (U.S.) ; Behavioral Risk Factor Surveillance System (U.S.)
• Place as Subject:
  United States
• Location:
  North America
• Volume:
  13
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:ea7bdf351d1ac3df0a1fdb72722f1fe613c9837f580de5eab71455e52f35b8a385d603ad219d87578c3f7abc129d53530860443346d44a88af7e15fbc04a00b9
• Download URL:
  https://stacks.cdc.gov/view/cdc/41357/cdc_41357_DS1.pdf
• File Type:
  [PDF - 410.68 KB ]