Abstract:
BACKGROUND:Diabetes is a leading cause of death and disability in the United States, and its precursor, pre-diabetes, is estimated to occur in one-third of American adults. Understanding the geographic disparities in the distribution of these conditions and identifying high-prevalence areas is critical to guiding control and prevention programs. Therefore, the objective of this study was to investigate clusters of pre-diabetes and diabetes risk in Florida and identify significant predictors of the conditions. METHODS:Data from the 2013 Behavioral Risk Factor Surveillance System were obtained from the Florida Department of Health. Spatial scan statistics were used to identify and locate significant high-prevalence local clusters. The county prevalence proportions of pre-diabetes and diabetes and the identified significant clusters were displayed in maps. Logistic regression was used to identify significant predictors of the two conditions for individuals living within and outside high-prevalence clusters. RESULTS:The study included a total of 34,186 respondents. The overall prevalence of pre-diabetes and diabetes were 8.2 and 11.5%, respectively. Three significant (p < 0.05) local, high-prevalence spatial clusters were detected for pre-diabetes, while five were detected for diabetes. The counties within the high-prevalence clusters had prevalence ratios ranging from 1.29 to 1.85. There were differences in the predictors of the conditions based on whether respondents lived within or outside high-prevalence clusters. Predictors of both pre-diabetes and diabetes regardless of region or place of residence were obesity/overweight, hypertension, and hypercholesterolemia. Income and physical activity level were significant predictors of diabetes but not pre-diabetes. Arthritis, sex, and marital status were significant predictors of diabetes only among residents of high-prevalence clusters, while educational attainment and smoking were significant predictors of diabetes only among residents of non-cluster counties. CONCLUSIONS:Geographic disparities of pre-diabetes and diabetes exist in Florida. Information from this study is useful for guiding resource allocation and targeting of intervention programs focusing on identified modifiable predictors of pre-diabetes and diabetes so as to reduce health disparities and improve the health of all Floridians.
journal_name
BMC Public Healthjournal_title
BMC public healthauthors
Lord J,Roberson S,Odoi Adoi
10.1186/s12889-020-09311-2subject
Has Abstractpub_date
2020-08-12 00:00:00pages
1226issue
1issn
1471-2458pii
10.1186/s12889-020-09311-2journal_volume
20pub_type
杂志文章abstract:BACKGROUND:Poor psychosocial workplace factors have been found to cause or exacerbate a variety of health problems, including pain. However, little work has focused on how psychosocial workplace factors, such as health-related employer support, relate to future medical expenditures after controlling for health. Health-...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-015-1784-4
更新日期:2015-05-01 00:00:00
abstract:BACKGROUND:Interventions to increase physical activity or reduce sedentary behaviour within the workplace setting have shown mixed effects. This cluster randomised controlled trial assessed whether multi-component interventions, focusing on changes at the individual, environmental, and organisational levels, either inc...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12889-020-09433-7
更新日期:2020-09-01 00:00:00
abstract:BACKGROUND:The prevalence of hyperuricemia varied in different populations and it appeared to be increasing in the past decades. Recent studies suggest that hyperuricemia is an independent risk factor for cardiovascular disease. However, there has not yet been a systematic analysis of the prevalence of hyperuricemia in...
journal_title:BMC public health
pub_type: 杂志文章,meta分析
doi:10.1186/1471-2458-11-832
更新日期:2011-10-27 00:00:00
abstract:BACKGROUND:Cardiovascular disease (CVD) is the leading cause of death in the world. With effective intervention and control of cardiovascular risk factors, mortality rates may be reduced. The aim of this study was to investigate the prevalence of modifiable risk factors across five municipalities in Yazd city. METHODS...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-8217-8
更新日期:2020-01-30 00:00:00
abstract:BACKGROUND:Today, many organizations have adopted some kind of empowerment initiative for at least part of their workforce. Over the last two decades, two complementary perspectives on empowerment at work have emerged: structural and psychological empowerment. Psychological empowerment is a motivational construct manif...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-10-117
更新日期:2010-03-09 00:00:00
abstract:BACKGROUND:In the last decade, the attention for health literacy has increased in the European Union. This is due to three main reasons. First, reviews have shown that inadequate health literacy is associated with worse health outcomes, higher health care use and expenditure. Second, in all European countries the popul...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-018-6331-7
更新日期:2018-12-29 00:00:00
abstract:BACKGROUND:Crop residue burning adversely affects air quality and consequently human health. India, being one of the largest agro-economies of the world, produces around 500 Million tonnes of crop residue annually most of which is burnt on-farm. However, integrated studies that simultaneously quantify the effects of cr...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-09844-6
更新日期:2020-11-30 00:00:00
abstract:BACKGROUND:Most smokers do not use smoking cessation (SC) services although it increases successful quits. Passive referral providing SC information to smokers is commonly used in SC studies. Little was known about active referral in the community setting. This study aims to motivate community smokers to quit by brief ...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12889-016-3084-z
更新日期:2016-05-11 00:00:00
abstract:BACKGROUND:Area-level measures of socioeconomic deprivation are important for understanding and describing health inequalities. The aim of this study was the development and validation of a small-area index of socioeconomic deprivation for Cypriot communities and the investigation of its association with the spatial di...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-6973-0
更新日期:2019-05-22 00:00:00
abstract:BACKGROUND:There are multiple adverse effects of anemia on human function, particularly on women. However, few researches are conducted on women anemia in rural Western China. This study mainly aims to investigate the levels and associated factors of maternal anemia between 2001 and 2005 in this region. METHODS:6172 a...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-13-366
更新日期:2013-04-19 00:00:00
abstract:BACKGROUND:Recent terrorist attacks and natural disasters have led to an increased awareness of the importance of emergency planning. However, the extent to which emergency planners can access or use evidence remains unclear. The aim of this study was to identify, analyse and assess the location, source and quality of ...
journal_title:BMC public health
pub_type: 杂志文章,评审
doi:10.1186/1471-2458-12-542
更新日期:2012-07-23 00:00:00
abstract:BACKGROUND:Prior to the 2009 H1N1 Influenza pandemic, public health authorities in Canada and elsewhere prepared for the future outbreak, partly guided by an ethical framework developed within the Canadian Program of Research on Ethics in a Pandemic (CanPREP). We developed a telephone-based survey based on that framewo...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-13-271
更新日期:2013-03-25 00:00:00
abstract:BACKGROUND:Hypertension is an important and modifiable cardiovascular risk factor that remains under-detected and under-treated, especially in the older individuals. Community-led interventions that integrate primary health care and local resources are promising approaches to improve awareness and management of hyperte...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-13-1230
更新日期:2013-12-25 00:00:00
abstract:BACKGROUND:Error in self-reported measures of obesity has been frequently described, but the effect of self-reported error on recruitment into diabetes prevention programs is not well established. The aim of this study was to examine the effect of using self-reported obesity data from the Finnish diabetes risk score (F...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-510
更新日期:2012-07-08 00:00:00
abstract:BACKGROUND:In South Asia, up to 20% of people ingesting pesticides for self-poisoning purchase the pesticide from a shop with the sole intention of self-harm. Individuals who are intoxicated with alcohol and/or non-farmers represent 72% of such high-risk individuals. We aimed to test the feasibility and acceptability o...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-018-5178-2
更新日期:2018-02-20 00:00:00
abstract:BACKGROUND:Voluntary HIV counselling and testing (VCT) is one of the key strategies in the HIV/AIDS prevention and control programmes in Ethiopia. However, utilization of this service among adults is very low. The aim of the present study was to investigate factors associated with VCT utilization among adult men since ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-438
更新日期:2012-06-15 00:00:00
abstract:BACKGROUND:Female sex workers (FSWs) are at increased risk of HIV and STIs compared to women in the general population, and frequently experience violence in their working and domestic lives from a variety of perpetrators, which can enhance this risk. While progress has been made in addressing violence by police and cl...
journal_title:BMC public health
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1186/s12889-016-3356-7
更新日期:2016-07-29 00:00:00
abstract:BACKGROUND:Epidemiological studies suggest that only some distressed individuals seek help from primary care and that pathways to mental health care appear to be ethnically patterned. However few research studies examine how people with common mental disorder manage their mental distress, which help-seeking strategies ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-8-207
更新日期:2008-06-11 00:00:00
abstract:BACKGROUND:Smoking prevalence is very high among lesbian, gay, bisexual, transgendered and queer (LGBTQ+) youth and young adults (YYA) compared to non-LGBTQ+ YYA. A knowledge gap exists on culturally appropriate and effective prevention and cessation efforts for members of this diverse community, as limited interventio...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-018-5050-4
更新日期:2018-01-18 00:00:00
abstract:BACKGROUND:Population ageing presents considerable challenges for the attainment of universal health coverage (UHC), especially in countries where such coverage is still in its infancy. Ghana presents an important case study on the effectiveness of policies aimed at achieving UHC in the context of population ageing in ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-018-5534-2
更新日期:2018-05-24 00:00:00
abstract:BACKGROUND:Lower extremity (LE) peripheral artery disease (PAD), which is associated with a reduced quality of life and increased mortality from atherosclerotic cardio-/cerebro-vascular occlusion, is a significant public health problem, especial for an aging society such as that of Taiwan. METHODS:Specific datasets of...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-13-1107
更新日期:2013-12-01 00:00:00
abstract:BACKGROUND:Adverse childhood experiences (ACEs) including maltreatment and exposure to household stressors can impact the health of children. Community factors that provide support, friendship and opportunities for development may build children's resilience and protect them against some harmful impacts of ACEs. We exa...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-018-5699-8
更新日期:2018-06-26 00:00:00
abstract:BACKGROUND:Several low and middle-income countries (LMIC) use Demographic and Health Surveys (DHS) and/or Health and Demographic Surveillance System (HDSS) to monitor the health of their population. The level and trends of under-five mortality rates could be different in the HDSS sites compared to the DHS reports. In t...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-016-3786-2
更新日期:2016-10-24 00:00:00
abstract:BACKGROUND:Screening of pregnant women carrying human T-lymphotropic virus type 1 (HTLV-1) has a crucial role in reducing the number of HTLV-1 carriers. A national HTLV-1 screening program for pregnant women was started in 2011 in Japan. The purpose of this study is to report on the implementation of this nationwide sc...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-09258-4
更新日期:2020-07-22 00:00:00
abstract:BACKGROUND:Implementation of human papillomavirus (HPV) vaccination raised concerns that vaccination could lead to riskier sexual behavior. This study explored how possible differences in sexual behavior and HPV knowledge developed over time between HPV-vaccinated and unvaccinated girls. METHODS:A random sample of 19,...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-018-5745-6
更新日期:2018-07-05 00:00:00
abstract:BACKGROUND:Reducing alcohol related harms in Australian Defence Force (ADF) trainees has been identified as a priority, but there are few evidence-based prevention programs available for the military setting. The study aims to test whether the P.A.R.T.Y. program delivered in-hospital or on-base, can reduce harmful alco...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12889-017-4330-8
更新日期:2017-05-02 00:00:00
abstract:BACKGROUND:Bullying and victimization are widespread phenomena in childhood and can have a serious impact on well-being. Children from families with a low socioeconomic background have an increased risk of this behaviour, but it is unknown whether socioeconomic status (SES) of school neighbourhoods is also related to b...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-494
更新日期:2012-07-02 00:00:00
abstract:BACKGROUND:Globally, alcohol consumption contributes to 3.3 million deaths and 5.1% of Disability Adjusted Life Years (DALYs), and its use is linked with more than 200 disease and injury conditions. Our study assessed the frequency and patterns of Heavy Episodic Drinking (HED) in Kenya. HED is defined as consumption of...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-018-6057-6
更新日期:2018-11-07 00:00:00
abstract:BACKGROUND:Overweight and obesity is a major public health concern that includes associations with the development of cardiovascular disease (CVD) risk factors during childhood and adolescence as well as premature mortality in adults. Despite the high prevalence of childhood and adolescent obesity as well as adult CVD,...
journal_title:BMC public health
pub_type: 杂志文章,meta分析,评审
doi:10.1186/s12889-017-4691-z
更新日期:2017-08-29 00:00:00
abstract:BACKGROUND:Schools are an important setting for health promotion. In England, around one third of publicly funded schools have become independent of local authorities since 2000 and are now academies, run by an academy trust. The aim of this research was to examine attitudes towards health promotion held by academy tru...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-7510-x
更新日期:2019-08-28 00:00:00