Dialysis More Available Than Patient Education in Counties With High Diabetes Prevalence
ORIGINAL RESEARCH — Volume 21 — August 2, 2024
PEER REVIEWED
The map shows that areas of high prevalence occurred mostly in the southern states and the Mid-Atlantic region. Among 790 counties with high estimated diabetes prevalence, 164 counties had DSMES (20.8%), and 626 counties (79.2%) lacked this service. Conversely, among 2,351 low diabetes prevalence counties, 1,125 (47.8%) had in-county DSMES and 1,236 counties (52.1%) lacked this service.
Figure 1.
Availability of diabetes self-management education and support (DSMES) and county (N = 3,141) diabetes prevalence (top quartile [≥14.4%] versus all lower quartiles [≤14.3%], 2019 estimates) (21). The PLACES data set does not include information for 2 county equivalents in Alaska, the Chugach Census Area and the Copper River Census Area. Source: Centers for Disease Control and Prevention. PLACES: Local Data for Better Health (21).
Of 790 counties with adult diabetes prevalence of 14.4% or higher, 417 (52.8%) had in-county dialysis, and 373 (47.2%) did not. Among counties with lower adult diabetes prevalence (14.3% or less), 1,443 (61.4%) had in-county dialysis, while 908 counties (38.6%) lacked this service.
Figure 2.
Dialysis availability and county diabetes prevalence (top quartile [≥14.4%] versus all lower quartiles [≤14.3%]), 2019 estimates) (21). DSMES, either alone or with dialysis, was available in 417 (52.8%) counties. The PLACES data set does not include information for 2 county equivalents in Alaska, the Chugach Census Area and the Copper River Census Area. Source: Centers for Disease Control and Prevention. PLACES: Local Data for Better Health (21).