Diabetes and the Socioeconomic and Built Environment in South Carolina
Author Information
Author(s): Stewart John E, Battersby Sarah E, Lopez-De Fede Ana, Remington Kevin C, Hardin James W, Mayfield-Smith Kathy
Primary Institution: University of South Carolina
Hypothesis
Is there a relationship between diabetes prevalence among adult African Americans and socioeconomic and built environmental factors in South Carolina?
Conclusion
The study found significant racial disparities in diabetes prevalence among adult Medicaid recipients, particularly highlighting the need for targeted efforts in rural areas.
Supporting Evidence
- Diabetes prevalence among South Carolina Medicaid recipients was 11.6%.
- Rurality was significantly associated with higher diabetes prevalence among African American Medicaid recipients.
- County-level diabetes rates for African Americans were higher than for Whites in 45 out of 46 counties.
Takeaway
This study looked at how diabetes affects Black and White adults in South Carolina and found that where people live can really change their chances of having diabetes.
Methodology
The study used Medicaid claims data to calculate diabetes prevalence and employed ring maps to visualize associations with socioeconomic and built environment factors.
Potential Biases
Potential biases may arise from the use of administrative data, which could lead to under- or over-estimation of diabetes prevalence.
Limitations
The study relied on administrative claims data, which may not accurately reflect the true prevalence of diabetes and did not differentiate between diabetes types.
Participant Demographics
The study focused on adult Medicaid recipients in South Carolina, with a significant representation of African American individuals.
Statistical Information
P-Value
0.005
Confidence Interval
[1.47-8.76]
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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