ArticleClinics and practice2026
Beyond National Averages: Spatial and Temporal Patterns in Type 2 Diabetes Dynamics in Romania-A 10-Year Time Series Study.
Article in Clinics and practice, 2026. 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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Abstract
BACKGROUND/
objectivesThis study analyzes the temporal and spatial evolution of type 2 diabetes prevalence in Romanian counties over a 10-year period (2012-2021), based on the time series autocorrelation and cross-correlation coefficients.
methodsThe autocorrelation coefficients were calculated within each county's data series, in order to identify the internal temporal dependencies, and the cross-correlation coefficients were calculated on administrative regions, in order to identify epidemiological patterns.
resultsThe type 2 diabetes prevalence rates in most counties follow autoregressive series, with significant positive correlations at lag 1, indicating cyclical fluctuations. Cross-correlation analysis revealed 3 regional patterns: North-East and West regions showed highly synchronized dynamics with cross-correlations exceeding 0.9, South-East and South regions showed mixed synchronization, with temporal lags of 1-2 years between counties, while the other regions (Center, South-West and North-West) revealed a synchronized core and an isolated county, with atypical dynamics (e.g., Cluj, Alba, Mehedinți, Ialomița).
conclusionsThese findings highlight the utility of time series analysis in understanding the specificity of such data and their practical applicability in customizing the required public health interventions.
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