The Burden of Diabetes in Rural America
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Diabetes prevalence is approximately 17 percent higher in rural areas than urban areas, with previous studies showing that rural adults were more likely to report a diagnosis of diabetes than urban adults. A primary aim of this project was to compare urban-versus-rural Type 2 diabetes prevalence, morbidity and mortality, and investigate the influence of selected demographics. Included was a comparison of border versus non-border states, with regard to type 2 diabetes and its complications. The study examined data from the Behavioral Risk Factor Surveillance System, Healthcare Cost and Utilization Project state emergency department and inpatient survey databases (years 2007 – 2014), and CDC-Wonder Mortality Data. Publications Assessing Diabetes and Factors Associated with Foregoing Medical Care Among Persons with Diabetes: Disparities Facing American Indian/Alaska Native, Black, Hispanic, Low Income, and Southern Adults in the U.S. (2011-2015) Southwest Rural Health Research Center Date: 04/2017 The purpose of this project was to identify individual- and place-based factors associated with diagnosed diabetes and foregone medical care among those diagnosed with diabetes. Diabetes prevalence and foregone medical care were found to be higher for those with lower incomes, for several racial/ethnic groups, and in the South versus other regions. The Changing Landscape of Diabetes Mortality in the United States Across Region and Rurality, 1999-2016 Southwest Rural Health Research Center Date: 02/2019 This brief report examines place-based differences in diabetes mortality to understand whether disparities in diabetes mortality have changed across U.S. Census regions and levels of rurality over time. Reductions in diabetes mortality are lagging in rural areas, and the rural Southin particular, relative to other areas of the country. Diabetes and Forgone Medical Care due to Cost in the U.S. (2011-2015): Individual-level and Place-based Disparities Policy Brief Southwest Rural Health Research Center Date: 08/2017 This brief is the first in a series prepared by the Southwest Rural Health Research Center on the topic of diabetes. The two aims of this study were to identify trends in diabetes rates and forgone medical care among persons with diabetes in the U.S. and to identify geographic determinants and other social determinants of health disparities. Diabetes Mortality in Rural America: 1999-2015 Policy Brief Southwest Rural Health Research Center Date: 08/2017 This brief is the second in a series prepared by the Southwest Rural Health Research Center on the topic of diabetes. The primary aim of this study was to understand the scope of diabetes-related mortality in urban and rural America. We analyzed mortality caused by diabetes over a 16-year period and explored the roles played by rurality and race. Diabetes-Related Hospital Mortality in Rural America: A Significant Cause for Concern Policy Brief Southwest Rural Health Research Center Date: 03/2018 This brief is the third in a series prepared by the Southwest Rural Health Research Center on the topic of diabetes. The aim of this study was to examine trends and rates of diabetes-related deaths for persons hospitalized in the U.S., with emphasis on differences across the urban-rural continuum and across census regions. Diabetes-Related Hospital Mortality in the U.S.: A Pooled Cross-Sectional Study of the National Inpatient Sample Southwest Rural Health Research Center Date: 02/2019 This study examined place-based and individual-level variations in diabetes-related hospital deaths using the 2009-2015 National Inpatient Sample. Results show that place-based disparities exist. Targeted focus should be placed on the control of diabetic complications in the South, West, and Midwest census regions and among rural residents.