The Changing Landscape of Diabetes Mortality in the United States Across Region and Rurality, 1999-2016
The Changing Landscape of Diabetes Mortality in the United States Across Region and Rurality, 1999-2016
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DOI：
10.1111/jrh.12354
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发表时间：
2020-06-01
影响因子：
4.9
通讯作者：
Bolin, Jane
中科院分区：
文献类型：
--
作者：
Callaghan, Timothy;Ferdinand, Alva O.;Bolin, Jane
目的本简要报告研究了糖尿病死亡率的地区差异，以了解糖尿病死亡率的差异是否随着时间的推移在美国人口普查地区和农村水平上发生了变化。方法我们使用1999年至2016年国家卫生统计中心的数据，分析美国各地理区域糖尿病死亡率随时间的变化。结果我们发现证据表明，糖尿病死亡率在过去的20年中在美国下降，但死亡率的改善因地而异。在美国城市、东北部和中西部观察到改善，而在农村地区，特别是在南方农村，糖尿病死亡率基本保持不变。结论糖尿病是美国的主要死亡原因之一，但在这种疾病的负担方面出现了重要的差异。与该国其他地区相比，农村地区，特别是南部农村地区的糖尿病死亡率下降滞后。在农村地区继续进行护理创新和有针对性的干预措施是必要的。
Purpose This brief report examines place-based differences in diabetes mortality in order to understand whether disparities in diabetes mortality have changed across United States Census regions and levels of rurality over time. Methods We use data from the National Center for Health Statistics from 1999 to 2016 to analyze changes in diabetes mortality over time and across geographical regions of the United States. Findings We find evidence that diabetes mortality has declined in the United States over the past 2 decades, but that improvements in mortality vary considerably by place. Improvements are observed in urban America and in the Northeast and Midwest while diabetes mortality has remained largely unchanged in rural areas, particularly in the rural South. Conclusions Diabetes is one of the leading causes of death in the United States, but important differences have emerged in the burden of this disease. Reductions in diabetes mortality are lagging in rural areas, and the rural South in particular, relative to other areas of the country. Continued innovations in care and targeted interventions in rural areas are warranted.