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Small area variation in diabetes prevalence in Puerto Rico.


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%).

SUBMITTER: Tierney EF 

PROVIDER: S-EPMC4537060 | biostudies-literature | 2013 Jun

REPOSITORIES: biostudies-literature

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Small area variation in diabetes prevalence in Puerto Rico.

Tierney Edward F EF   Burrows Nilka R NR   Barker Lawrence E LE   Beckles Gloria L GL   Boyle James P JP   Cadwell Betsy L BL   Kirtland Karen A KA   Thompson Theodore J TJ  

Revista panamericana de salud publica = Pan American journal of public health 20130601 6


<h4>Objective</h4>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.<h4>Methods</h4>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  ...[more]

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