Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2013 Jun;33(6):398-406.

Small area variation in diabetes prevalence in Puerto Rico

Edward F Tierney  1 , Nilka R Burrows, Lawrence E Barker, Gloria L Beckles, James P Boyle, Betsy L Cadwell, Karen A Kirtland, Theodore J Thompson
Affiliations

Small area variation in diabetes prevalence in Puerto Rico

Edward F Tierney et al. Rev Panam Salud Publica. 2013 Jun.

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%).

PubMed Disclaimer

Figures

FIGURE 1
FIGURE 1
Unadjusted prevalence of diabetes among adults 20 years of age and older in Puerto Rico by county, 2009
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. United States Centers for Disease Control and Prevention . Diabetes report card 2012. CDC, United States Department of Health and Human Services; Atlanta, Georgia: 2012. [20 November 2012]. Available from: http://www.cdc.gov/diabetes/pubs/pdf/DiabetesReportCard.pdf.
    1. United States Centers for Disease Control and Prevention . National diabetes fact sheet: national estimates and general information on diabetes and prediabetes in the United States, 2011. CDC, United States Department of Health and Human Services; Atlanta, Georgia: [20 November 2012]. Available from: http://www.cdc.gov/diabetes/pubs/factsheet11.htm.
    1. United States Centers for Disease Control and Prevention . National Diabetes Surveillance System. CDC, United States Department of Health and Human Services; Atlanta, Georgia: 2011. [20 November 2012]. Available from: http://www.cdc.gov/diabetes/surveillance/index.htm.
    1. Cadwell BL, Thompson TJ, Boyle JP, Barker LE. Bayesian small area estimates of diabetes prevalence by U.S. county, 2005. JDS. 2010;2010;8:173–88.
    1. United States Institute of Medicine, Committee for the Study of the Future of Public Health . The future of public health: summary and recommendations. National Academy Press; Washington, D.C.: 1988.

LinkOut - more resources