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Rev Panam Salud Publica. 2013 Jun;33(6):398-406.

Small area variation in diabetes prevalence in Puerto Rico.

Author information

1
United States Centers for Disease Control and Prevention, Atlanta, Georgia, USA. ext5@cdc.gov

Abstract

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%).

PMID:
23939364
PMCID:
PMC4537060
[Indexed for MEDLINE]
Free PMC Article
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