Residence in a Distressed County in Appalachia as a Risk Factor for Diabetes, Behavioral Risk Factor Surveillance System, 2006-2007

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Barker, Lawrence ; Crespo, Richard ; Shrewsberry, Molly ; Gerzoff, Robert B. ; Cornelius-Averhart, Darrlyn ; Denham, Sharon
• Description:
  Introduction ; We compared the risk of diabetes for residents of Appalachian counties to that of residents of non-Appalachian counties after controlling for selected risk factors in states containing at least 1 Appalachian county. ; Methods ; We combined Behavioral Risk Factor Surveillance System data from 2006 and 2007 and conducted a logistic regression analysis, with self-reported diabetes as the dependent variable. We considered county of residence (5 classifications for Appalachian counties, based on economic development, and 1 for non-Appalachian counties), age, sex, race/ethnicity, education, household income, smoking status, physical activity level, and obesity to be independent variables. The classification "distressed" refers to counties in the worst 10%, compared with the nation as a whole, in terms of 3-year unemployment rate, per capita income, and poverty. ; Results ; Controlling for covariates, residents in distressed Appalachian counties had 33% higher odds (95% confidence interval, 1.10-1.60) of reporting diabetes than residents of non-Appalachian counties. We found no significant differences between other classifications of Appalachian counties and non-Appalachian counties. ; Conclusions ; Residents of distressed Appalachian counties are at higher risk of diabetes than are residents of other counties. States with distressed Appalachian counties should implement culturally sensitive programs to prevent diabetes.
• Subjects:
  • Culture
  • Diabetes Mellitus
  • Health Knowledge, Attitudes, Practice
  • Health Status Disparities
  • Humans
  • Risk Factors
  • Socioeconomic Factors
• Source:
  Prev Chronic Dis. 7(5).
• ISSN:
  1545-1151
• Document Type:
  Journal Article
• Corporate as Subject:
  Behavioral Risk Factor Surveillance System ; Behavioral Risk Factor Surveillance System
• Place as Subject:
  Appalachian Region
• Location:
  North America
• Volume:
  7
• Issue:
  5
• Download URL:
  https://stacks.cdc.gov/view/cdc/4179/cdc_4179_DS1.pdf
• File Type:
  [PDF - 495.55 KB]
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:78ae469ae50d34109df801de07233fce6f3c852e0bdcad0b0ae3295bf0ef369fadb80fb2c8c7f7b4072e426453e79bd0cae83fee9250d9c81d9484f178586540