Diabetes prevalence and mortality in the Great Plains Region differences based on the social determinants of health

UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)
Allyson L. Kelley (Creator)
Institution
The University of North Carolina at Greensboro (UNCG )
Web Site: http://library.uncg.edu/
Advisor
Bob Aronson

Abstract: American Indians in the Great Plains Region have the highest diabetes mortality rates in the nation compared with other racial or ethnic groups or American Indians in other regions. Public health officials, Tribal leaders, and community members are calling diabetes an epidemic and serious public health issue. Strategies to prevent and control early mortality from diabetes in this population have not been as effective as needed. Effective prevention and intervention programs require that Tribal leaders and policy makers better understand the epidemic. This requires an investigation into the social determinants of health, and conditions from which differences in diabetes emerge. Examining the risk conditions that result in differential vulnerability in Tribal and county specific environments may provide guidance for public health initiatives aimed at reaching high risk populations. This dissertation uses Tribally-recommended methods for describing diabetes mortality in Great Plains Tribes and county-level diabetes prevalence data within a social determinants of health framework to examine associations between risk conditions and diabetes. Diabetes mortality data from 2002-2010 were examined to assess differences in mortality among American Indians and whites in the GPR. Diabetes prevalence data and select risk conditions were also assessed through multiple regression analysis. Results show significant regional and Tribal specific differences in diabetes mortality. The social determinants of health were useful in predicting diabetes in the GPR.

Additional Information

Publication
Dissertation
Language: English
Date: 2014
Keywords
Diabetes, Great Plains Region, Mortality, Prevalence, Social determinants of health
Subjects
Non-insulin-dependent diabetes $z United States
Indians of North America $x Diseases
Non-insulin-dependent diabetes $x Social aspects

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