Journal article
Chronic Disease Prevalence in the US: Sociodemographic and Geographic Variations by Zip Code Tabulation Area
Preventing chronic disease, v 21, pp E14-E14
29 Feb 2024
PMID: 38426538
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
We examined the geographic distribution and sociodemographic and economic characteristics of chronic disease prevalence in the US. Understanding disease prevalence and its impact on communities is crucial for effective public health interventions.
Data came from the American Community Survey, the American Hospital Association Survey, and the Centers for Disease Control and Prevention's PLACES. We used quartile thresholds for 10 chronic diseases to assess chronic disease prevalence by Zip Code Tabulation Areas (ZCTAs). ZCTAs were scored from 0 to 20 based on their chronic disease prevalence quartile. Three prevalence categories were established: least prevalent (score ≤6), moderately prevalent (score 7-13), and highest prevalence (score ≥14). Community characteristics were compared across categories and spatial analyses to identify clusters of ZCTAs with high disease prevalence.
Our study showed a high prevalence of chronic disease in the southeastern region of the US. Populations in ZCTAs with the highest prevalence showed significantly greater socioeconomic disadvantages (ie, lower household income, lower home value, lower educational attainment, and higher uninsured rates) and barriers to health care access (lower percentage of car ownership and longer travel distances to hospital-based intensive care units, emergency departments, federally qualified health centers, and pharmacies) compared with ZCTAs with the lowest prevalence.
Socioeconomic disparities and health care access should be addressed in communities with high chronic disease prevalence. Carefully directed resource allocation and interventions are necessary to reduce the effects of chronic disease on these communities. Policy makers and clinicians should prioritize efforts to reduce chronic disease prevalence and improve the overall health and well-being of affected communities throughout the US.
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Details
- Title
- Chronic Disease Prevalence in the US: Sociodemographic and Geographic Variations by Zip Code Tabulation Area
- Creators
- Gabriel A Benavidez - Baylor UniversityWhitney E Zahnd - University of IowaPeiyin Hung - University of South CarolinaJan M Eberth - Drexel University
- Publication Details
- Preventing chronic disease, v 21, pp E14-E14
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Health Management and Policy
- Web of Science ID
- WOS:001178393500001
- Scopus ID
- 2-s2.0-85186369822
- Other Identifier
- 991021860621604721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health