Disparities in diabetes and sedentary behavior across Florida counties

Background: This study aimed to analyze the geographic distribution of diabetes and sedentary behavior across Florida counites, identifying high-risk areas to inform targeted public health interventions. We seek to inform targeted public health interventions and address health disparities, particula...

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Main Authors: Dottington Fullwood, Justine Gunderson, Opeyemi O. Bolajoko, Randy Hale, Folakemi T. Odedina
Format: Article
Language:English
Published: Tabriz University of Medical Sciences 2024-12-01
Series:Health Promotion Perspectives
Subjects:
Online Access:https://hpp.tbzmed.ac.ir/PDF/hpp-14-388.pdf
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author Dottington Fullwood
Justine Gunderson
Opeyemi O. Bolajoko
Randy Hale
Folakemi T. Odedina
author_facet Dottington Fullwood
Justine Gunderson
Opeyemi O. Bolajoko
Randy Hale
Folakemi T. Odedina
author_sort Dottington Fullwood
collection DOAJ
description Background: This study aimed to analyze the geographic distribution of diabetes and sedentary behavior across Florida counites, identifying high-risk areas to inform targeted public health interventions. We seek to inform targeted public health interventions and address health disparities, particularly in rural areas. Methods: Data from the 2017-2019 Florida Behavioral Risk Factor Surveillance System (BRFSS) were analyzed, among adults aged 18 years and older. Diabetes status was determined by self-reported diagnosis, and sedentary behavior was assessed based on physical activity participation. Respondents who declined to answer or were unsure were excluded. Results: The statewide prevalence of diabetes diagnosis in Florida was 11.7% (95% CI: 10.8-12.6), with substantial geographic variation across counties. Sedentary prevalence varied significantly across the state, compared to the statewide rate of 26.5% (95% CI: 25-28). Counties with high diabetes prevalence often had elevated rates of sedentary behavior. Rural northern panhandle counties had higher concentrations of both diabetes and sedentary behavior. BRFSS design variables and weights ensured representative estimates for Florida. Conclusion: This study highlights the elevated prevalence of diabetes and sedentary lifestyles in the northern counties of Florida. The geographic patterns underscore the need for targeted, county-level interventions. Despite troubling rise in diabetes and sedentary behavior, there is a significant opportunity to mobilized community and outreach services, ensuring they are effectively deployed to these high-risk areas.
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spelling doaj-art-c376cb97c1fc4551babd296cbda12b3a2025-08-20T02:16:55ZengTabriz University of Medical SciencesHealth Promotion Perspectives2228-64972024-12-0114438839110.34172/hpp.43402hpp-43402Disparities in diabetes and sedentary behavior across Florida countiesDottington Fullwood0Justine Gunderson1Opeyemi O. Bolajoko2Randy Hale3Folakemi T. Odedina4Cancer Prevention, Survivorship and Care Delivery (CPSCD) Research Program, Mayo Clinic Comprehensive Cancer Center, Jacksonville, Florida, USAPolicy and Regulatory Science Program, RTI International, Social Statistical and Environmental Sciences Unit, Research Triangle Park, North Carolina, USACancer Prevention, Survivorship and Care Delivery (CPSCD) Research Program, Mayo Clinic Comprehensive Cancer Center, Jacksonville, Florida, USAiCCaRE for Black Men Consortium, Mayo Clinic, Jacksonville, Florida, USACancer Prevention, Survivorship and Care Delivery (CPSCD) Research Program, Mayo Clinic Comprehensive Cancer Center, Jacksonville, Florida, USABackground: This study aimed to analyze the geographic distribution of diabetes and sedentary behavior across Florida counites, identifying high-risk areas to inform targeted public health interventions. We seek to inform targeted public health interventions and address health disparities, particularly in rural areas. Methods: Data from the 2017-2019 Florida Behavioral Risk Factor Surveillance System (BRFSS) were analyzed, among adults aged 18 years and older. Diabetes status was determined by self-reported diagnosis, and sedentary behavior was assessed based on physical activity participation. Respondents who declined to answer or were unsure were excluded. Results: The statewide prevalence of diabetes diagnosis in Florida was 11.7% (95% CI: 10.8-12.6), with substantial geographic variation across counties. Sedentary prevalence varied significantly across the state, compared to the statewide rate of 26.5% (95% CI: 25-28). Counties with high diabetes prevalence often had elevated rates of sedentary behavior. Rural northern panhandle counties had higher concentrations of both diabetes and sedentary behavior. BRFSS design variables and weights ensured representative estimates for Florida. Conclusion: This study highlights the elevated prevalence of diabetes and sedentary lifestyles in the northern counties of Florida. The geographic patterns underscore the need for targeted, county-level interventions. Despite troubling rise in diabetes and sedentary behavior, there is a significant opportunity to mobilized community and outreach services, ensuring they are effectively deployed to these high-risk areas.https://hpp.tbzmed.ac.ir/PDF/hpp-14-388.pdfdiabeteshealth disparitiesflorida geographyruralitysedentary behavior
spellingShingle Dottington Fullwood
Justine Gunderson
Opeyemi O. Bolajoko
Randy Hale
Folakemi T. Odedina
Disparities in diabetes and sedentary behavior across Florida counties
Health Promotion Perspectives
diabetes
health disparities
florida geography
rurality
sedentary behavior
title Disparities in diabetes and sedentary behavior across Florida counties
title_full Disparities in diabetes and sedentary behavior across Florida counties
title_fullStr Disparities in diabetes and sedentary behavior across Florida counties
title_full_unstemmed Disparities in diabetes and sedentary behavior across Florida counties
title_short Disparities in diabetes and sedentary behavior across Florida counties
title_sort disparities in diabetes and sedentary behavior across florida counties
topic diabetes
health disparities
florida geography
rurality
sedentary behavior
url https://hpp.tbzmed.ac.ir/PDF/hpp-14-388.pdf
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AT justinegunderson disparitiesindiabetesandsedentarybehavioracrossfloridacounties
AT opeyemiobolajoko disparitiesindiabetesandsedentarybehavioracrossfloridacounties
AT randyhale disparitiesindiabetesandsedentarybehavioracrossfloridacounties
AT folakemitodedina disparitiesindiabetesandsedentarybehavioracrossfloridacounties