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Diabetes in Texas

Diabetes in Texas. Prevalence. Data Limitations. Data Limitations. DATA LIMITATIONS/DISCLOSURE All data presented in this presentation include both type 1 and type 2 diabetes.

roary-mcbride
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Diabetes in Texas

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  1. Diabetes in Texas Prevalence

  2. Data Limitations Data Limitations • DATA LIMITATIONS/DISCLOSURE • All data presented in this presentation include both type 1 and type 2 diabetes. • Data from the Behavioral Risk Factor Surveillance System (BRFSS) are for persons who are eighteen years of age and older. They do not include children. • Women who report diabetes only during pregnancy are not included in prevalence. • All reported rates (%) from the Behavioral Risk Factor Surveillance System are weighted for Texas demographics and the probability of selection and thus are not derived from the simple division of numerator and denominator cases. • Population data come from the Texas State Data Center, Office of the State Demographer, Institute for Demographic and Socioeconomic Research, College of Business, University of Texas at San Antonio. Population data use 0.5 migration scenario. • Mortality data are from the Texas Department of State of Health Services, Center for Health Statistics.

  3. Diabetes in Texas, 2008* *Source: Texas Behavioral Risk Factor Surveillance System, Statewide BRFSS Survey, 2008, for persons who are eighteen years of age and older, and include both Type 1 and Type 2 Diabetes. Persons with diabetes include those who report that they have been told by a doctor that they have diabetes. Women who report diabetes only during pregnancy are not included in prevalence.Note: All reported rates (%) are weighted for Texas demographics and the probability of selection and thus are not derived from the simple division of numerator and denominator cases.

  4. Prevalence of Diabetes, US and Texas, 1995 - 2008* *Source: CDC Behavioral Risk Factor Surveillance System, Statewide BRFSS Survey, 2008, for persons who are eighteen years of age and older, and include both Type 1 and Type 2 Diabetes. Persons with diabetes include those who report that they have been told by a doctor that they have diabetes.

  5. Estimated* Number of Adult Texans with Diabetes, Diagnosed and Undiagnosed, 2008 425,157 1,720,338 2008 Texas Adult Population: 17,735,442 (Age 18 Years and Older, uses migration scenario 0.5.) *Undiagnosed diabetes estimate based on 2003-20060 NHANES age-adjusted prevalence estimate of 2.5% for persons twenty years of age and older. Diagnosed diabetes estimate based on 2008 Texas BRFSS, and use migration scenario 0.5.

  6. *Uses migration scenario of 0.5. Includes male and female, all races/ethnicities. Source: Texas State Data Center - Office of the State Demographer, Institute for Demographic and Socioeconomic Research, College of Business, University of Texas at San Antonio. Texas Projected Population Increase, 2040*

  7. Texas Projected Population Increases by Race/Ethnicity, 2000-2040*

  8. Texas Projected Diabetes Cases 2000 - 2040*

  9. Diabetes Prevalence by Sex, Texas, 2008* 2008 Texas Diabetes Prevalence is 9.7%. *Source: Texas Behavioral Risk Factor Surveillance System, Statewide BRFSS Survey, 2008, for persons who are eighteen years of age and older, and include both Type 1 and Type 2 Diabetes. Persons with diabetes include those who report that they have been told by a doctor that they have diabetes.

  10. Diabetes Prevalence by Sex, 20 Years and Older, United States, 2008* *Source: CDC Behavioral Risk Factor Surveillance System, 2008, for persons who are eighteen years of age and older, and include both Type 1 and Type 2 Diabetes. Persons with diabetes include those who report that they have been told by a doctor that they have diabetes.

  11. Diabetes Prevalence by Race/Ethnicity, Texas, 2008* *Source: Texas Behavioral Risk Factor Surveillance System, Statewide BRFSS Survey, 2008. Note: All reported rates (%) are weighted for Texas demographics and the probability of selection and thus are not derived from the simple division of numerator and denominator cases.

  12. 2008 Texas Diabetes Prevalence* by Race/Ethnicity and Age Group *Source: Texas Behavioral Risk Factor Surveillance System, Statewide BRFSS Survey, 2008. Note: All reported rates (%) are weighted for Texas demographics and the probability of selection and thus are not derived from the simple division of numerator and denominator cases. State Rate = 9.7%

  13. 2004 - 2008 Texas Diabetes Prevalence by Race/Ethnicity* *Source: 2008 Texas Behavioral Risk Factor Surveillance System, Statewide BRFSS Survey, for persons who are eighteen years of age and older. Data include both type 1 and type 2 diabetes. Persons with diabetes include those who report that they have been told by a doctor that they have diabetes. Women who report diabetes only during pregnancy are not included in prevalence.

  14. Diabetes Prevalence by Race/Ethnicity, United States, 2008* 2008 US Diabetes Prevalence is 8.3%. *Source: CDC Behavioral Risk Factor Surveillance System, BRFSS Survey, 2008, for persons who are eighteen years of age and older, and include both type 1 and type 2 Diabetes. Persons with diabetes include those who report that they have been told by a doctor that they have diabetes.

  15. 2008 Texas Diabetes Prevalence by Age Group* *Source: 2008 Texas Behavioral Risk Factor Surveillance System, Statewide BRFSS Survey, for persons who are eighteen years of age and older. Data include both type 1 and type 2 diabetes. Persons with diabetes include those who report that they have been told by a doctor that they have diabetes. Women who report diabetes only during pregnancy are not included in prevalence. Population data come from the Texas State Data Center, Office of the State Demographer, Institute for Demographic and Socioeconomic Research, College of Business, University of Texas at San Antonio.

  16. Diabetes Prevalence by Educational Level, Texas, 2008* *Source: Texas Behavioral Risk Factor Surveillance System, Statewide BRFSS Survey, 2008, for persons who are eighteen years of age and older, and include both type 1 and type 2 Diabetes. Persons with diabetes include those who report that they have been told by a doctor that they have diabetes.

  17. Diabetes Prevalence by Income Level, Texas, 2008* *Source: Texas Behavioral Risk Factor Surveillance System, Statewide BRFSS Survey, 2008, for persons who are eighteen years of age and older, and include both Type 1 and Type 2 Diabetes. Persons with diabetes include those who report that they have been told by a doctor that they have diabetes.

  18. Texas Death Certificates • Uses ICD-10 for years 1999 and later. • Uses E-CODES (External Cause of Injury) to classify leading cause of death. • Diabetes Mellitus is E10 – E14. • Required to be filed no later than 10 days after death. • Can be filled out by a variety of people: • Physicians • Nurses • Funeral home directors • Medical Examiners

  19. Texas Death Certificate • How causes of death are reported: • Immediate cause of death—occurred closest to the time of death. • Underlying cause of death—initiated events leading to immediate death. There can only be one. • Contributing cause of death—significant diseases or conditions that may have contributed to death but did not result in the underlying cause of death. There can be multiple contributing causes.

  20. Diabetes Mellitus – Underlying Cause of Death2003-2006, Texas

  21. Diabetes Mellitus – Underlying or Contributing Cause of Death 2003-2006, Texas

  22. Top Ten Leading Causes of Death, Texas, 2006* *Source: Texas Department of State Health Services, Center for Health Statistics. Includes male and female, all ages, and all races/ethnicities.

  23. Diabetes as a Cause of Death by Race/Ethnicity, Texas, 2006* *Source: Texas Department of State Health Services, Center for Health Statistics. Includes male and female, all ages.

  24. Diabetes Mortality Rate (Per 100,000) by Race/Ethnicity, Texas, 2006* • Mortality rates for each race/ethnicity were applied to the 2006 population by race/ethnicity: • 20 per 100,000 whites (non-Hispanic). • 42 per 100,000 Hispanics. • 49 per 100,000 blacks (non-Hispanic). • 21 per 100,000 persons who fall in the “Other” category. • The 2006 mortality rates (per 100,000) for blacks (non-Hispanic) and Hispanics were more than double that of whites (non-Hispanic). *Source: Texas Department of State Health Services, Center for Health Statistics. Includes male and female, all ages.

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