Disparities in diabetes and sedentary behavior across Florida counties
Dottington Fullwood1,2, Justine Gunderson2, Opeyemi O Bolajoko1,3
1Cancer Prevention, Survivorship and Care Delivery (CPSCD) Research Program, Mayo Clinic Comprehensive Cancer Center, Jacksonville, Florida, USA.
Health Promotion Perspectives
|March 5, 2025
Summary
Florida counties show high rates of diabetes and sedentary behavior, especially in rural northern areas. Targeted public health interventions are needed to address these health disparities.
Area of Science:
- Public Health
- Epidemiology
- Health Disparities
Background:
- Geographic distribution of chronic diseases and lifestyle factors is crucial for public health planning.
- Understanding spatial patterns of diabetes and sedentary behavior in Florida is essential for resource allocation.
- Rural areas often face unique health challenges requiring tailored interventions.
Purpose of the Study:
- To analyze the geographic distribution of diabetes and sedentary behavior across Florida counties.
- To identify high-risk areas for diabetes and sedentary behavior to inform targeted public health interventions.
- To address health disparities, particularly in rural Florida populations.
Main Methods:
- Analysis of the 2017-2019 Florida Behavioral Risk Factor Surveillance System (BRFSS) data.
- Inclusion of adults aged 18 years and older, with self-reported diabetes diagnosis and physical activity assessment for sedentary behavior.
- Exclusion of respondents who declined to answer or were unsure, ensuring data accuracy.
Main Results:
- Statewide diabetes prevalence was 11.7%, with significant geographic variation.
- Sedentary behavior prevalence was 26.5%, also showing substantial geographic differences.
- High diabetes prevalence counties frequently exhibited elevated sedentary behavior rates, particularly in rural northern panhandle areas.
Conclusions:
- Elevated prevalence of diabetes and sedentary lifestyles is concentrated in northern Florida counties.
- Geographic patterns indicate a need for targeted, county-level public health interventions.
- Mobilizing community and outreach services in high-risk areas presents an opportunity to combat rising diabetes and sedentary behavior rates.
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