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Diabetes is a serious health condition that has continued to increase in Ohio. According to 2009 state data, it is estimated that 10.1 percent of Ohio adults have been diagnosed with diabetes. The estimated adult prevalence of diagnosed diabetes in Ohio has grown considerably (37 percent) since the year 2000. If current trends continue in our state as they have nationally, 1 in 3 Ohioans will develop diabetes sometime in their lifetime, and those with diabetes will lose an average of 10 -15 years of potential life. Diabetes can lead to serious health-related complications. Diabetes is a leading cause of cardiovascular disease, blindness, kidney failure and non-traumatic lower extremity amputations among adults. Adults in Ohio with diabetes are 2 to 4 times more likely to have a heart attack or stroke then those without diabetes.
Diagnosed Diabetes Prevalence for Ohio Adults (18+) by Income Level, 20091 <$15,000.................................................................17.8% $15,000 $24,999..........................................................................................14.6% $25,000 $49,999..........................................................................................11.9% $50,000 and More.............................................................................................5.6% Diagnosed Diabetes Prevalence for Ohio Adults (20+) by County, 20082 The diagnosed diabetes prevalence among each individual Ohio county has been estimated by the Centers for Disease Control and Prevention, Division of Diabetes Translation.2 Jefferson, Harrison and Washington Counties have the highest estimated percentage of adults diagnosed with diabetes, exceeding 12 percent. Delaware, Medina and Union Counties have the lowest estimated percentage of adults diagnosed with diabetes, between 8.7 and 9 percent.
2008 Ohio County Estimates of the Percentage of Adults* with Diagnosed Diabetes
LAKE WILLIAMS FULTON LUCAS OTTAWA CUYAHOGA DEFIANCE HENRY WOOD SANDUSKY ERIE LORAIN PORTAGE MEDINA SUMMIT MAHONING TRUMBULL GEAUGA ASHTABULA
SENECA
HURON
WYANDOT
CRAWFORD RICHLAND
ASHLAND
WAYNE
STARK
COLUMBIANA
MARION MORROW
HOLMES TUSCARAWAS
CARROLL
JEFFERSON
DARKE
LICKING MUSKINGUM
GUERNSEY
BELMONT
PREBLE
FAIRFIELD
HOCKING WASHINGTON
BUTLER
WARREN
CLINTON ROSS ATHENS VINTON HIGHLAND MEIGS JACKSON BROWN ADAMS SCIOTO GALLIA
HAMILTON
Estimated Percentage 11.4 13.5 10.9 11.3 10.3 10.8 8.7 10.2
CLERMONT
PIKE
* 20 years old.
LAWRENCE
Source: Centers for Disease Control and Prevention: National Diabetes Surveillance System. Available online at: http://www.cdc.gov/diabetes/statistics/index.htm. Retrieved 12/30/2010.
The 2008 age-adjusted mortality rate (per 100,000) for blacks (non-Hispanic) was more than 84 percent higher than that of whites (non-Hispanic).5
Average Annual Age-Adjusted Diabetes Mortality Rate Per 100,000 Persons as an Underlying Cause of Death, Ohio 2006-2008
LAKE WILLIAMS FULTON LUCAS OTTAWA CUYAHOGA
DEFIANCE
ASHTABULA
GEAUGA
HENRY
WOOD
SANDUSKY
TRUMBULL
SENECA
HURON
MAHONING
WYANDOT
CRAWFORD RICHLAND
ASHLAND
WAYNE
STARK
COLUMBIANA
MARION MORROW
LOGAN
CARROLL JEFFERSON
HARRISON
DARKE MIAMI
CHAMPAIGN LICKING FRANKLIN CLARK MADISON NOBLE PERRY MORGAN HOCKING WASHINGTON CLINTON ROSS ATHENS VINTON HIGHLAND CLERMONT BROWN ADAMS SCIOTO GALLIA PIKE JACKSON MEIGS MONROE MUSKINGUM GUERNSEY BELMONT
PREBLE
FAIRFIELD
BUTLER
WARREN
HAMILTON
LAWRENCE
Source: Chronic Disease and Behavioral Epidemiology Section; Center for Public Health Statistics and Informatics, Ohio Department of Health, December 2010. *The direct age adjusted rates were calculated using the bridged race post-censal estimates for 2006-2008 (July 1) as a denominator and to the U.S. 2000 standard population for age adjustment. ** ICD-10 codes E10-E14 for 2006 - 2008 deaths
The map above shows the age-adjusted mortality rates per 100,000 persons for diabetes as an underlying cause of death for Ohio by county for the years 2006 through 2008. The state rate for the same period is 28.6 per 100,000.5 The mortality rates among Ohios counties range from a low 12.4 per 100,000 for Crawford County to a high of 54.1 per 100,000 for Harrison County. Because diabetes is under-reported, these rankings may not reflect all diabetes-related deaths.
2. Centers for Disease Control and Prevention: National Diabetes Surveillance System. Available online at: http://www.cdc.gov/diabetes/statistics/index.htm. Retrieved 12/30/2010. 3. Centers for Disease Control and Prevention. National diabetes fact sheet: national estimates and general information on diabetes and prediabetes in the United States, 2011. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2011. 4. Oza-Frank, R. (October 2010). The Burden of Diabetes in Ohio: Ohio Hospital Discharge Data 2003-2007; Columbus, Ohio: Ohio Department of Health. 5. Ohio Department of Health, Ohio Vital Statistics (December 2010). Data include male and female and all ages. Data are provisional.
Caveat: Estimated number of persons with diabetes is a synthetic estimate, calculated by applying the estimated prevalence to corresponding 2009 U.S. Census Bureau estimates of the Ohio resident population for each individual category (i.e. gender, race and age). Therefore, numbers may not add up to the total Ohio adult population.
Revised: 03/04/11
www.healthyohioprogram.org
www.odh.ohio.gov