ArticlePreventive medicine reports2025
County-level association of diabetes and obesity with premature mortality.
Article in Preventive medicine reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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7 authors.
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Abstract
Objective: The association between the prevalence of diabetes and obesity and premature mortality at the county-level has not been well characterized. This study aims to elucidate the relationship between county-level prevalence of diabetes and obesity and premature mortality. Methods: We utilized the data from the 2022 County Health Rankings which obtained the data from Behavioral Risk Factor Surveillance System in 2019, and National Center for Health Statistics Mortality Files 2018-2020. The county prevalence of diabetes and obesity was determined, and univariable and multivariable associations with premature mortality were identified. Results: Among 3082 counties, the percentage of individuals with diabetes ranged from 5.5 to 21.0 % and the percentage of individuals with obesity ranged from 16.4 to 51.0 %. Our analysis revealed a stepwise increase in premature age-adjusted death rates (AADR) with rising deciles of county-level diabetes ( Conclusions: These findings underscore the significance of addressing diabetes and obesity at the county-level to reduce premature mortality and improve population health outcomes across varied communities in the United States.
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