Mississippi Disparities in Diabetes-Associated Hospitalizations
Methods: Descriptive analysis was used to assess diabetes-associated hospitalizations as either primary or secondary diagnosis by residence, gender, and race. This analysis utilized 2011 hospital discharge data and included only hospitalizations by Mississippi residents (excluded from data were non-residents hospitalized in Mississippi). Descriptive analysis was conducted using SAS 9.3.
Results: Overall, there were 84,649 primary and secondary diagnosed diabetes-associated hospitalizations, 28.0 diabetes-associated hospitalizations per 1,000 persons. By residence, 61% were from rural counties (v. 39% from metro counties). Rural residents also had the higher diabetes-associated hospitalization rate. Per 1,000 persons, 30.0 rural residents (v. 26.0 metro residents) were hospitalized due to diabetes-associated diagnosis. By gender, 57% of diabetes-associated hospitalizations were attributed to females (v. 43% to males). Females also had the higher diabetes-associated hospitalization rate. Per 1,000 persons, 32.0 females (v. 25.0 males) were hospitalized due to diabetes-associated diagnosis. By race, 54% were attributed to whites (v. 42% to blacks). While the proportion of white patients was higher, the diabetes-associated hospitalization rate was higher among blacks. Per 1,000 persons, 32.0 blacks (v. 26.0 whites) were hospitalized due to diabetes-associated diagnosis.
Conclusons: Rural-county residents, females, and whites represent a higher proportion of diabetes-associated hospitalizations. However, the rate of diabetes-associated hospitalizations is higher among blacks, females, and rural-county residents. While further research is needed to determine the reasons for this representation, this study and data source can help programs better target resource allocation and education outreach. This study also reflects how hospital discharge data can be utilized as a data source for health disparity analysis.
Learning Areas:Chronic disease management and prevention
Communication and informatics
Planning of health education strategies, interventions, and programs
Provision of health care to the public
Public health or related research
Analyze diabetes-associated hospitalization by residence, gender, and race.
Keyword(s): Diabetes, Chronic Disease Prevention
Qualified on the content I am responsible for because: I am the Mississippi State Department of Health Diabetes Epidemiologist and Evaluator. I also serve as an epidemiologist/evaluator for other chronic disease programs. My specific academic training and interest is in health disparity research.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.