Dialysis More Available Than Patient Education in Counties With High Diabetes Prevalence

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).

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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).

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