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Residence in a distressed county in Appalachia as a risk factor for diabetes, Behavioral Risk Factor Surveillance
Lawrence Barker1, Richard Crespo, Robert B Gerzoff
1Division of Diabetes Translation, Centers for Disease Control and Prevention, Atlanta, GA 30341, USA. LBarker1@cdc.gov
Preventing Chronic Disease
|August 18, 2010
Summary
Residents of distressed Appalachian counties face a higher risk of developing diabetes. Targeted, culturally sensitive prevention programs are recommended for these areas.
Area of Science:
- Public Health
- Epidemiology
- Health Disparities
Background:
- Appalachian counties face unique socioeconomic challenges.
- Diabetes prevalence varies geographically, potentially linked to economic factors.
Purpose of the Study:
- To compare diabetes risk between Appalachian and non-Appalachian county residents.
- To identify if economic distress in Appalachian counties is associated with increased diabetes risk.
Main Methods:
- Utilized Behavioral Risk Factor Surveillance System data (2006-2007).
- Employed logistic regression analysis with diabetes as the dependent variable.
- Classified Appalachian counties based on economic distress indicators (unemployment, income, poverty).
Main Results:
- Residents of distressed Appalachian counties had 33% higher odds of reporting diabetes.
- No significant diabetes risk difference was found for other Appalachian county classifications.
- Covariates including age, sex, race, education, income, smoking, physical activity, and obesity were controlled.
Conclusions:
- Distressed Appalachian counties exhibit a significantly higher risk for diabetes.
- Culturally sensitive diabetes prevention programs are crucial for these high-risk populations.
- Geographic and socioeconomic factors significantly influence health outcomes like diabetes.
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