Small area variation in diabetes prevalence in Puerto Rico
Autor: | Edward F. Tierney, Nilka R. Burrows, Lawrence E. Barker, Gloria L. Beckles, James P. Boyle, Betsy L. Cadwell, Karen A. Kirtland, Theodore J. Thompson |
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Jazyk: | angličtina |
Rok vydání: | 2013 |
Předmět: | |
Zdroj: | Revista Panamericana de Salud Pública, Vol 33, Iss 6, Pp 398-406 (2013) |
ISSN: | 1020-4989 2008-2010 |
Popis: | OBJECTIVE: To estimate the 2009 prevalence of diagnosed diabetes in Puerto Rico among adults ≥ 20 years of age in order to gain a better understanding of its geographic distribution so that policymakers can more efficiently target prevention and control programs. METHODS: A Bayesian multilevel model was fitted to the combined 2008-2010 Behavioral Risk Factor Surveillance System and 2009 United States Census data to estimate diabetes prevalence for each of the 78 municipios (counties) in Puerto Rico. RESULTS: The mean unadjusted estimate for all counties was 14.3% (range by county, 9.9%-18.0%). The average width of the confidence intervals was 6.2%. Adjusted and unadjusted estimates differed little. CONCLUSIONS: These 78 county estimates are higher on average and showed less variability (i.e., had a smaller range) than the previously published estimates of the 2008 diabetes prevalence for all United States counties (mean, 9.9%; range, 3.0%-18.2%). |
Databáze: | OpenAIRE |
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