Details:

Alternative Title:
Prev Chronic Dis
Personal Author:
Barker, Lawrence ; Crespo, Richard ; Shrewsberry, Molly ; Gerzoff, Robert B. ; Cornelius-Averhart, Darrlyn ; ... More +
Barker, Lawrence ; Crespo, Richard ; Shrewsberry, Molly ; Gerzoff, Robert B. ; Cornelius-Averhart, Darrlyn ; Denham, Sharon Less -
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.


Subject:
[+]
Culture Diabetes Mellitus Health Knowledge, Attitudes, Practice Health Status Disparities Humans Risk Factors Socioeconomic Factors
Source:
Prev Chronic Dis. 7(5).
Document Type:
Journal Article
Name as Subject:
Behavioral Risk Factor Surveillance System
Place as Subject:
Appalachian Region
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:838470747411771c87b5c415dd800dc25e87622d0ac5fc214ae2849b5c9a428c
Download URL:
https://stacks.cdc.gov/view/cdc/4179/cdc_4179_DS1.pdf
File Type:

Supporting Files

• 	license.txt	txt
  	PCD75A104.nxml	txt
  	PCD75A104s01.gif	gif
  	PCD75A104s01.jpg	jpeg

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