ArticleJournal of epidemiology and community health2021
Regional differences in the impact of diabetes on population health in the USA.
Article in Journal of epidemiology and community health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
16 citing papers in PubMed, 33 citations in OpenAlex.
- Trends and Demographic Disparities Among Adults With Sudden Cardiac Death and Diabetes Mellitus in the United States: A Nationwide Analysis.Journal of arrhythmia · 2026Article
- Association between population level social risk factors and prevalence of diabetes.BMC health services research · 2025Article
- Trends and Disparities in Cancer-Related Mortality Among Adults With Diabetes in the United States: 1999-2019.Endocrinology, diabetes & metabolism · 2025Review
- Regional disparities in cognitive life expectancy: The role of birth and current residence in the United States.Health & place · 2025Article
- Does the Black-White mental health paradox persist across U.S. geographical regions?SSM. Mental health · 2025Article
- Are There Regional Differences in Mental Health among Black Americans? An Exploration of Explanatory Mechanisms.Journal of racial and ethnic health disparities · 2025Article
- Geospatial Analysis of Food Insecurity and Adverse Human Health Outcomes in the United States.GeoHealth · 2025Article
- Birth in the U.S. Plantation South and Racial Differences in all-cause mortality in later life.Social science & medicine (1982) · 2023Article
- Gender differences in motor and non-motor symptoms in individuals with mild-moderate Parkinson's disease.PloS one · 2023Article
- Urban and rural differences in new onset type 2 diabetes: Comparisons across national and regional samples in the diabetes LEAD network.SSM - population health · 2022Article
- Assessment of Disparities in Diabetes Mortality in Adults in US Rural vs Nonrural Counties, 1999-2018.JAMA network open · 2022Observational
- Bayesian Multistate Life Table Methods for Large and Complex State Spaces: Development and Illustration of a New Method.Sociological methodology · 2022Article
- Article
- Links Between Mortality and Socioeconomic Characteristics, Disease Burden, and Biological and Physical Functioning in the Aging Chinese Population.The journals of gerontology. Series B, Psychological sciences and social sciences · 2022Article
- U.S. regional differences in physical distancing: Evaluating racial and socioeconomic divides during the COVID-19 pandemic.PloS one · 2021Article
- Rural-urban differences in modifiable dementia risk factors among U.S. populations aged 45 years or older.Journal of Alzheimer's disease reportsArticle
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundTo 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.
methodsUsing 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.
resultsAt 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.
conclusionDiabetes is a significant threat to LE and healthy LE in the USA, particularly for people born or living in the South.
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Registered trials
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.