作者: Laura A. Bettencourt
DOI:
关键词: Diabetes management 、 Ethnic group 、 Type 2 diabetes 、 Health care 、 Glycemic 、 Environmental health 、 Gerontology 、 Medicine 、 Public health 、 Rurality 、 Diabetes mellitus
摘要: Diabetes is a complex chronic disease with many causes, complications and management needs. It affects large proportion of people varying ages, income levels, races/ethnicities geographic areas. Approximately 7.0% Pennsylvanians have been diagnosed diabetes. major public health challenge due to the enormous impact on affected individual, their families care system. However, recent research has shown that diabetes related mortality morbidity can be prevented or delayed by controlling risk factors. Certain environmental aspects play an important role in prevention treatment diseases such as In order provide community another tool enhance our understanding factors affect numbers types cases Pennsylvania, it we undertake project will support analysis terms associated factors.This study proposed investigate geographical patterns hospitalizations, for glycemic control among individuals type 2 rural regions. Residents more counties are 11% likely hospitalized uncontrolled compared those living areas less every increase rurality ranking. Furthermore, demonstrated there clear association between presence food stores, service places, locations Our findings also indicated who live than ten miles from center 88% HbA1c level greater center, adjusted individual-level Results mile subjects they 2% 7.0%. These significance because demostrate built envirnment