Preventing Chronic Disease | Prevalence of Diabetes and Associated Obesity in Pennsylvania Adults, 1995–2010 - CDC
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Prevalence of Diabetes and Associated Obesity in Pennsylvania Adults, 1995–2010
Oralia Garcia-Dominic, PhD, MS, MA; Eugene J. Lengerich, VMD, MS; Fabian Camacho, MS; Nancy R. Gallant, MS; Linda A. Wray, PhD; Frank Ahern, PhD; Greg Bogdan, PhD; Gene Weinberg, PhD; Jan S. Ulbrecht, MBBS
Suggested citation for this article: Garcia-Dominic O, Lengerich EJ, Camacho F, Gallant NR, Wray LA, Ahern F, et al. Prevalence of Diabetes and Associated Obesity in Pennsylvania Adults, 1995–2010. Prev Chronic Dis 2014;11:130330. DOI:http://dx.doi.org/10.5888/pcd11.130330
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Abstract
Introduction
This study examined trends in the prevalence and sociodemographic distributions of diabetes and the associations of diabetes with obesity over time in adult Pennsylvanians from 1995 through 2010.
This study examined trends in the prevalence and sociodemographic distributions of diabetes and the associations of diabetes with obesity over time in adult Pennsylvanians from 1995 through 2010.
Methods
We used Behavioral Risk Factor Surveillance Survey data collected from 1995 through 2010. Diabetes prevalence was assessed by self-report of physician diagnosis. Obesity was assessed by body mass index computed from self-report of height and weight. State-level data for diabetes and associated obesity prevalence from 1995 through 2010 were collected for each year. Data on sociodemographic factors (age, sex, race, income, education) and 1 known disease risk factor (obesity) were also collected. Logistic regression modeling was used to examine associations between diabetes, sociodemographic factors, and obesity.
We used Behavioral Risk Factor Surveillance Survey data collected from 1995 through 2010. Diabetes prevalence was assessed by self-report of physician diagnosis. Obesity was assessed by body mass index computed from self-report of height and weight. State-level data for diabetes and associated obesity prevalence from 1995 through 2010 were collected for each year. Data on sociodemographic factors (age, sex, race, income, education) and 1 known disease risk factor (obesity) were also collected. Logistic regression modeling was used to examine associations between diabetes, sociodemographic factors, and obesity.
Results
Diabetes prevalence in Pennsylvania, which increased from 5.6% in 1995 to 10.5% in 2010, followed national trends but exceeded the national prevalence each year by approximately 0.6 percentage points for 12 of the 16 years. The increase in prevalence was not equal across all socioeconomic groups. Obesity became a more dominant risk factor for diabetes during these 16 years.
Diabetes prevalence in Pennsylvania, which increased from 5.6% in 1995 to 10.5% in 2010, followed national trends but exceeded the national prevalence each year by approximately 0.6 percentage points for 12 of the 16 years. The increase in prevalence was not equal across all socioeconomic groups. Obesity became a more dominant risk factor for diabetes during these 16 years.
Conclusion
The burden of diabetes and obesity in Pennsylvania is substantial and increasing. Program managers and policy makers in Pennsylvania should consider these trends when allocating limited resources and designing programs for reducing diabetes-related illness. Other states may consider similar studies to monitor the prevalence of diabetes and determine whether disparities are changing and whether programs and resources should also shift.
The burden of diabetes and obesity in Pennsylvania is substantial and increasing. Program managers and policy makers in Pennsylvania should consider these trends when allocating limited resources and designing programs for reducing diabetes-related illness. Other states may consider similar studies to monitor the prevalence of diabetes and determine whether disparities are changing and whether programs and resources should also shift.
Acknowledgments
This work was funded by the National Institutes of Health National Cancer Institute/Center to Reduce Cancer Health Disparities grant no. K01CA151752 (principal investigator, Oralia Garcia-Dominic) and diversity supplement attached to grant nos. U01CA114622 and U54CA153604-01 (principal investigator: Mark Dignan). We acknowledge the assistance of the Community Science Health Outcomes Core, Penn State Hershey Cancer Institute. The authors also thank the Pennsylvania Department of Health (Gerald Miller) and the Centers for Disease Control and Prevention (Ali Mokdad) for their technical assistance.
Author Information
Corresponding Author: Oralia Garcia-Dominic, PhD, MS, MA, Highmark, 100 Senate Ave, 6N, Camp Hill, PA 17011. Telephone: 717-302-3032. E-mail:oralia.dominic@highmark.com.
Author Affiliations: Eugene J. Lengerich, Fabian Camacho, The Pennsylvania State University and Penn State Hershey Cancer Institute, Hershey, Pennsylvania; Nancy R. Gallant, Linda A. Wray, Frank Ahern, The Pennsylvania State University, Hershey, Pennsylvania; Greg Bogdan, Gene Weinberg, The Pennsylvania Department of Health, Harrisburg, Pennsylvania; Jan S. Ulbrecht, The Pennsylvania State University and Penn State College of Medicine, Hershey, Pennsylvania.
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