ArticleObesity (Silver Spring, Md.)2017
Diabetes prevalence is associated with different community factors in the diabetes belt versus the rest of the United States.
Article in Obesity (Silver Spring, Md.), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.
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Who cites it
39 citing papers in PubMed, 2 syntheses or guidelines pooled it, 69 citations in OpenAlex.
- Associations of the built environment with type 2 diabetes in Asia: a systematic review.BMJ open · 2023Pooled it
- Built environmental characteristics and diabetes: a systematic review and meta-analysis.BMC medicine · 2018Pooled it
- Lifestyle and metabolic determinants of early- and late-onset colorectal cancer: insights from a tertiary medical center in Alabama.Cancer causes & control : CCC · 2026Article
- The U.S. diabetes belt and factors explaining the excess risk: Multifactorial modeling and machine learning analysis.Primary care diabetes · 2026Article
- Persistent poverty, glycemic control and adverse COVID-19 outcomes: a retrospective study using real-world data.BMC public health · 2025Article
- Cancer beliefs, risk perceptions, and health protective behaviors among people living with diabetes in the United States: Results from the Health Information National Trends Survey.Preventive medicine reports · 2025Article
- De Novo exposomic geospatial assembly of chronic disease regions with machine learning & network analysis.EBioMedicine · 2025Article
- Alzheimer's disease and related dementias among Medicare beneficiaries aged ≥ 65 years in rural America, by Census region and select demographic characteristics: 2020.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Social determinants of health and newer glucose-lowering drugs adoption among US Medicare beneficiaries with type 2 diabetes.Journal of managed care & specialty pharmacy · 2024Article
- Not all healthcare inequities in diabetes are equal: a comparison of two medically underserved cohorts.BMJ open diabetes research & care · 2024Article
- Regional and rural-urban patterns in the prevalence of diagnosed hypertension among older U.S. adults with diabetes, 2005-2017.BMC public health · 2024Article
- Neighborhood Disadvantage and Risk of Heart Failure: The Reasons for Geographic and Racial Differences in Stroke (REGARDS) Study.Circulation. Cardiovascular quality and outcomes · 2024Article
- Determinants of disparities of diabetes-related hospitalization rates in Florida: a retrospective ecological study using a multiscale geographically weighted regression approach.International journal of health geographics · 2024Article
- The Impact of Primary Care Physician Capacity on Preventable Hospitalizations: Identifying Bright Spots in the Appalachian & Mississippi Delta Regions.Journal of Appalachian health · 2024Article
- Age and sex differences in the association between neighborhood socioeconomic environment and incident diabetes: Results from the diabetes location, environmental attributes and disparities (LEAD) network.SSM - population health · 2023Article
- Birth in the U.S. Plantation South and Racial Differences in all-cause mortality in later life.Social science & medicine (1982) · 2023Article
- Geographic Variation and Risk Factor Association of Early Versus Late Onset Colorectal Cancer.Cancers · 2023Article
- Article
- Regional and racial disparities in major amputation rates among medicare beneficiaries with diabetes: a retrospective study in the southeastern USA.BMJ public health · 2023Article
- Differences in the Association of Select Dietary Measures With Risk of Incident Type 2 Diabetes.Diabetes care · 2022Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveTo investigate differences in community characteristics associated with diabetes prevalence between the Diabetes Belt and the rest of the contiguous United States (U.S.)
methodsCounty-level adult diabetes prevalence estimates (i.e., percent of people [≥20 years] with diagnosed diabetes 2009) were used from the Centers for Disease Control and Prevention, in addition to data from the U.S. Census Bureau, U.S. Department of Agriculture, and U.S. Department of Health and Human Services, to carry out a spatial regime analysis to identify county-level factors correlated with diabetes prevalence in the Diabetes Belt versus the remainder of the U.S.
resultsCounties outside of the Diabetes Belt demonstrated stronger positive associations between diabetes prevalence and persistent poverty and greater percentages of unemployed labor forces. For counties in the Diabetes Belt, diabetes prevalence showed a stronger positive association with natural amenities (e.g., temperate climate and topographic features) and a stronger negative association with fitness/recreation facility density.
conclusionsCommunity-level correlates of diabetes prevalence differed between the Diabetes Belt and elsewhere in the U.S. Economic hardship was shown to be more relevant outside the Diabetes Belt, while recreational context effects were more pronounced among counties within the region. Prevention and treatment targets are geographically unique, and public health efforts should acknowledge these differences in crafting policy.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.