Regional differences in the impact of diabetes on population health in the USA.

Zang, Emma; Lynch, Scott M; West, Jessica

Regional differences in the impact of diabetes on population health in the USA.

dc.contributor.author	Zang, Emma
dc.contributor.author	Lynch, Scott M
dc.contributor.author	West, Jessica
dc.date.accessioned	2023-08-01T20:52:04Z
dc.date.available	2023-08-01T20:52:04Z
dc.date.issued	2021-01
dc.date.updated	2023-08-01T20:52:04Z
dc.description.abstract	Background To evaluate regional disparities in the influence of diabetes on population health, we examine life expectancies at age 50 between population with diabetes and healthy population and life quality among the population with diabetes among native-born Americans by birth region and current residence. Methods Using data on a cohort of 17 686 native-born individuals from the Health and Retirement Survey (1998-2014), we applied a Bayesian multistate life table method to estimate life expectancies at age 50 between population with diabetes and healthy population by each birth/current region combination. We further estimate the proportion of life remaining without either chronic conditions or disabilities as a quality of life measure and the probabilities that one region is worse than the other in terms of different health outcomes. Results At age 50, persons with diabetes (PWD) were expected to live on average 5.8-10.8 years less than their healthy equivalents across regions. Diabetes had the greatest influence on life expectancy (LE) for older adults who lived in the South at the time of interviews. PWD born in the South were more likely to have developed chronic conditions or disabilities and spent greater proportions of life with these two issues compared to other regions. Conclusion Diabetes is a significant threat to LE and healthy LE in the USA, particularly for people born or living in the South.
dc.identifier	jech-2020-214267
dc.identifier.issn	0143-005X
dc.identifier.issn	1470-2738
dc.identifier.uri	https://hdl.handle.net/10161/28662
dc.language	eng
dc.publisher	BMJ
dc.relation.ispartof	Journal of epidemiology and community health
dc.relation.isversionof	10.1136/jech-2020-214267
dc.subject	Humans
dc.subject	Diabetes Mellitus
dc.subject	Life Expectancy
dc.subject	Bayes Theorem
dc.subject	Quality of Life
dc.subject	Aged
dc.subject	Middle Aged
dc.subject	United States
dc.subject	Population Health
dc.title	Regional differences in the impact of diabetes on population health in the USA.
dc.type	Journal article
duke.contributor.orcid	West, Jessica\|0000-0001-8320-8998
pubs.begin-page	56
pubs.end-page	61
pubs.issue	1
pubs.organisational-group	Duke
pubs.organisational-group	Sanford School of Public Policy
pubs.organisational-group	School of Medicine
pubs.organisational-group	Trinity College of Arts & Sciences
pubs.organisational-group	Duke Population Research Institute
pubs.organisational-group	Clinical Science Departments
pubs.organisational-group	Family Medicine and Community Health
pubs.organisational-group	Family Medicine and Community Health, Community Health
pubs.organisational-group	Sociology
pubs.organisational-group	Center for Population Health & Aging
pubs.organisational-group	Duke Population Research Center
pubs.organisational-group	Head and Neck Surgery & Communication Sciences
pubs.publication-status	Published
pubs.volume	75