The Burden of Diabetes in South Carolina 2009. Chapter 1. Demographics and Access to Health Care.

The Burden of DiabetesThe Burden of Diabetesinin

South CarolinaSouth Carolina2009

Chapter 1.

Demographics and Access to Health Care

Figure 1.1. South Carolina Estimated Population Distribution as of July 1, 2007

Racial/Ethnic Distribution

Asian1%

Other* 1%

White 67%

Black28%

Hispanic 4%

American Indian

0%

Data Source: ORS, Generated by DHEC Chronic Disease Epidemiology & Evaluation February 2009

Figure 1.2. Trends in Race/Ethnic Populations 1980-2007 (other than white and African American)


0

50

100

150

200

1980 1990 2000 2007

1,0

00

Po

p

Hispanic Asian All Other RacesNative American

Figure 1.3. Age Distribution of Estimated Population as of July 1, 2008

0%

5%

10%

15%

20%

25%

30%

35%

40%

<18 18-44 45-64 65+


Oconee

Pickens

Anderson

Abbeville

GreenvilleSpartanburg

Cherokee

Laurens

Union

Edgefield

Greenwood

McCormick

Newberry

Saluda

Aiken

Chesterfield

FairfieldKershaw

Lancaster

Lexington

Chester

York

Darlington Dillon

Florence

Georgetown

Horry

Marion

Marlboro

Williamsburg

Beaufort

Berkeley

Charleston

Colleton

Dorchester

Hampton

Jasper

Allendale

BambergBarnwell

Orangeburg

Calhoun Clarendon

Lee

Richland Sumter

Figure 1.4. Urban, Rural and Very Rural CountiesBased on Size of Largest Town

Urban

Rural

Very Rural


Figure 1.5. South Carolina Primary Care Health Professional Shortage Assessment by Type, as of

June 2007

Generated by DHEC Chronic Disease Epidemiology & Evaluation

Data Source: http://www.scdhec.gov/health/opc/docs/HPSA_primarycare.pdf February 2009

Oconee

Pickens

Anderson

Abbeville

Greenville

Spartanburg

Cherokee

Laurens

Union

Edgefield

Greenwood

McCormick

Newberry

Saluda

Aiken

Chesterfield

Fairfield

Kershaw

Lancaster

Lexington

Chester

York

Darlington Dillon

Florence

Georgetown

Horry

Marion

Marlboro

Williamsburg

Beaufort

Berkeley

Charleston

Colleton

Dorchester

Hampton

Jasper

Allendale

BambergBarnwell

Orangeburg

CalhounClarendon

Lee

Richland Sumter

Fig 1.6. Physicians Employed in South Carolina, 2005

1-39

40-99

100-600

County Total

1200+


Fig. 1.7. Number of Certified Diabetes Educators by County, 2008

< 8.9%

8.9-10.3%

> 10.3%

State Rate: 9.6%

Diabetes Prevalence

Oconee

Pickens

Anderson

Greenville

Spartanburg

Abbeville

Aiken

Allendale

Bamberg

Barnwell

Beaufort

Berkeley

Calhoun

Charleston

Cherokee

Chester Chesterfield

Clarendon

Colleton

Darlington

Dillon

Dorchester

Edgefield

Fairfield

Florence

Georgetown

Greenwood

Hampton

Horry

Jasper

Kershaw

Lancaster

Laurens

Lee

Lexington

McCormick

Marion

Marlboro

Newberry

Orangeburg

RichlandSaluda

Sumter

Union

Williamsburg

York

30

60

23

16

14

14

13

13

9

8

8

7

6

6

5

5

4

4

4

4

3 3

3

2

2

2

2

22

2

2

2

1

1

1

1

Data Source: AADE , Generated by Chronic Disease Epidemiology and Evaluation February 2009

Fig 1.8. Pharmacists Employed in South Carolina, 2005

Oconee

Pickens

Anderson

Abbeville

Greenville

Spartanburg

Cherokee

Laurens

Union

Edgefield

Greenwood

McCormick

Newberry

Saluda

Aiken

Chesterfield

Fairfield

Kershaw

Lancaster

Lexington

Chester

York

Darlington Dillon

Florence

Georgetown

Horry

Marion

Marlboro

Williamsburg

Beaufort

Berkeley

Charleston

Colleton

Dorchester

Hampton

Jasper

Allendale

BambergBarnwell

Orangeburg

Calhoun Clarendon

Lee

Richland Sumter

1-39

40-99

100-600

County Total

1200+

Data Source: ORS, Generated by DHEC’s Chronic Disease Epidemiology & Evaluation February 2009

Figure 1.9. South Carolina DPCP* Diabetes Coalitions

Beaufort

Clarendon

Spartanburg

Cherokee

Union

Greenville

Pickens

Oconee

Anderson

Abbeville

Greenwood

McCormick

Laurens

Saluda

York

Chester

Fairfield

Newberry

Edgefield

Lancaster

Kershaw

Richland ●Lexington

Aiken

Calhoun

Sumter

Lee

BarnwellBamberg

Allendale

Hampton

Horry

Colleton

Charleston

DorchesterBerkeley

Georgetown

Jasper

Williamsburg

ChesterfieldMarlboro

Dillon

Darlington

Florence

Marion

Orangeburg ●

●

●

●

●

●

● ●

●

● ●

●

●

●

●

●

●

●

●

●

●

●

●

●

●

●

●

●

●

Data Source: Diabetes Prevention and Control Program February 2009

• Active• Non-Active

* Coalitions are considered “Non-Active” if no activity has been reported in one year.

Chapter 2.

Risk Factors

Chapter 2.a

Risk Factors in the General Population

Figure 2.1. Prevalence of Overweight or Obese among Adults by Race-Sex, SC, 1986-2007

0

10

20

30

40

50

60

70

80

90

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

White Men White Women Black Men Black Women TOTAL

Per

cen

t

Data Source: SC BRFSS, Generated by DHEC’s Chronic Disease Epidemiology & Evaluation February 2009

Figure 2.2. Prevalence of Overweight or Obese among Adults, 2007

Oconee

Pickens

Anderson

Abbeville

Greenville

Spartanburg

Cherokee

Laurens

Union

Edgefield

Greenwood

McCormick

Newberry

Saluda

Aiken

Chesterfield

Fairfield

Kershaw

Lancaster

Lexington

Chester

York

Darlington Dillon

Florence

Georgetown

Horry

Marion

Marlboro

Williamsburg

Beaufort

Berkeley

Charleston

Colleton

Dorchester

Hampton

Jasper

Allendale

BambergBarnwell

Orangeburg

CalhounClarendon

Lee

Richland Sumter

45.0-59.960.0-69.970.0-79.980.0

Percent of Adults

Data Source: 2007 BRFSS; Generated by Chronic Disease Epidemiology and Evaluation February 2009

Figure 2.3. Prevalence of Physical Inactivity among Adults by Race-Sex, SC, 2000-2006

0

10

20

30

40

50

60

70

80

2000 2001 2002 2003 2004 2005 2006

Per

cen

t

White Men White Women Black Men Black Women

Data Source: SC BRFSS; Generated by Chronic Disease Epidemiology and Evaluation February 2009

Oconee

Pickens

Anderson

Abbeville

Greenville

Spartanburg

Cherokee

Laurens

Union

Edgefield

Greenwood

McCormick

Newberry

Saluda

Aiken

Chesterfield

FairfieldKershaw

Lancaster

Lexington

Chester

York

DarlingtonDillon

Florence

Georgetown

Horry

Marion

Marlboro

Williamsburg

Beaufort

Berkeley

Charleston

Colleton

Dorchester

Hampton

Jasper

Allendale

BambergBarnwell

Orangeburg

CalhounClarendon

Lee

Richland

Sumter

Figure 2.4. Prevalence of Physical Inactivity among Adults, SC BRFSS, 2007

10-1920-2425-30

31-36

% Physical Inactivity

Data Source: SCDHEC SCAN; Generated by Chronic Disease Epidemiology and Evaluation February 2009

Figure 2.5. Prevalence of Consuming Fruits and Vegetables Less Than 5-A-Day among Adults by Race-Sex, SC, 1990-2007

0

10

20

30

40

50

60

70

80

90

100

1990 1991 1992 1993 1994 1995 1996 1997 1998 2000 2002 2003 2005 2007

White Men White Women Black Men Black Women TOTAL

%


Oconee

Pickens

Anderson

Abbeville

Greenville

Spartanburg

Cherokee

Laurens

Union

Edgefield

Greenwood

McCormick

Newberry

Saluda

Aiken

Chesterfield

Fairfield

Kershaw

Lancaster

Lexington

Chester

York

Darlington Dillon

Florence

Georgetown

Horry

Marion

Marlboro

Williamsburg

Beaufort

Berkeley

Charleston

Colleton

Dorchester

Hampton

Jasper

Allendale

BambergBarnwell

Orangeburg

Calhoun Clarendon

Lee

Richland

Sumter

15.0-15.9

16.0-17.9

18.0-19.9

20.0-25.0

Percent


Figure 2.6. Prevalence of Consuming Fruits and Vegetables Less than 5-A-Day among Adults, SC BRFSS, 2007

Figure 2.7. Prevalence of Current Cigarette Smoking among Adults with Diabetes by Race-Sex, SC, 2007

0

5

10

15

20

25

30

35


%


Oconee

Pickens

Anderson

Abbeville

Greenville

Spartanburg

Cherokee

Laurens

Union

Edgefield

Greenwood

McCormick

Newberry

Saluda

Aiken

Chesterfield

Fairfield

Kershaw

Lancaster

Lexington

Chester

York

Darlington Dillon

Florence

Georgetown

Horry

Marion

Marlboro

Williamsburg

Beaufort

Berkeley

Charleston

Colleton

Dorchester

Hampton

Jasper

Allendale

BambergBarnwell

Orangeburg

Calhoun Clarendon

Lee

Richland

Sumter

16.0-19.920.0-21.922.0-24.925.0-30.0

Percent of Smokers


Figure 2.8. Prevalence of Smoking among Adults, SC BRFSS, 2007

Figure 2.9. Age-Specific Prevalence of Major Behavioral Risk Factors among Adults, SC BRFSS, 2007

0

10

20

30

40

50

60

70

80

90

<30 30-39 40-49 50-59 60-69 70-79 80+

Per

cent

Overweight Physical inactivity Smoking < 5-A-Day


Chapter 2.b

Diabetes Management and Control

Figure 2.10. Prevalence of Taking Insulin or Diabetes Pills Among People with Diabetes by Race and Sex, SC, 2007

0

10

20

30

40

50

60

70

80


Per

cen

t

Insulin Pills


Figure 2.11. Prevalence of Taking Insulin and Diabetes Pills by Age among People with Diabetes, SC, 2007

0

10

20

30

40

50

60

70

80

18-44 45-54 55-64 65+

Per

cen

t

Insulin Pills


Figure 2.12. Prevalence of Having Blood Glucose Checked among People with Diabetes by Race, Sex, SC, 2007

0

10

20

30

40

50

60

70

80


Per

cen

t

Daily Less than daily Never


Figure 2.13. Prevalence of Having HbA1c Checked among People with Diabetes, SC, 2007

0

10

20

30

40

50

60

70

80


Per

cen

t

2+ 1 only Never


Figure 2.14. Prevalence of Having Eyes Examined among People with Diabetes by Race-Sex, SC BRFSS, 2007

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%


Per

cen

t

< 1 Year > 1 Year Never


Figure 2.15. Prevalence of Eyes Being Affected by Diabetes among People with Diabetes, SC, 2007

0

5

10

15

20

25

30


Per

cen

t


Figure 2.16. Prevalence of Having Taken a Course for Managing Diabetes among People with Diabetes, SC, 2007

0

10

20

30

40

50

60

70

80


Per

cen

t


Figure 2.17. Prevalence of Receiving Flu Shot in Past 12 Months and Ever Received Pneumonia Vaccine among

People with Diabetes, SC, 2007.

0

10

20

30

40

50

60

70

80

Flu Pneumonia

Per

cen

t

Diabetes No Diabetes


Figure 2.18. Prevalence of Having Feet Checked by a Health Professional in the Last Year among People with Diabetes, SC,

2007

60

62

64

66

68

70

72

74

76

78

80


Per

cen

t


Figure 2.19. Prevalence of Self-Checking Feet for Sores or Irritations among People with Diabetes, By Race, Sex, SC, 2007

0

10

20

30

40

50

60

70

80


Per

cen

t

Daily <Daily Never


Figure 2.20. Prevalence of Seeing a Health Professional for Diabetes in Past Year, SC, 2007

0

10

20

30

40

50

60

70

80

90


Per

cen

t

< Monthly Monthly None


Chapter 3.

Diabetes Morbidity

Figure 3.1. Prevalence of Self-reported Diabetes by Race-Sex, SC 1988-2007

0

2

4

6

8

10

12

14

16

1819

88

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

Perc

ent

White Men White Women Black Men Black Women Total


Figure 3.2. Prevalence of Self-Reported Diabetes among Adults by Age, SC 2002-2007

0

5

10

15

20

25

2002 2003 2004 2005 2006 2007

Per

cent

18-44 45-54 55-64 >= 65 TOTAL


Figure 3.3. Age of Diagnosis of Diabetes among People with Diabetes, 2007

18-4435%

45-6446%

65+17%

<182%


Figure 3.4. Prevalence of Diabetes among Adults, 2007

Oconee

Pickens

Anderson

Greenville

Spartanburg

Abbeville

Aiken

Allendale

Bamberg

Barnwell

Beaufort

Berkeley

Calhoun

Charleston

Cherokee

Chester Chesterfield

Clarendon

Colleton

DarlingtonDillon

Dorchester

Edgefield

Fairfield

Florence

Georgetown

Greenwood

Hampton

Horry

Jasper

Kershaw

Lancaster

Laurens

Lee

LexingtonMcCormick

Marion

Marlboro

Newberry

Orangeburg

RichlandSaluda

Sumter

Union

Williamsburg

York

< 8.9%

8.9-10.3%

>10.3%

State Rate: 9.6%


Figure 3.5. Proportion of Hospitalizations with Diabetes of All Hospitalizations by Race-Age 2006

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%

<20 20-29 30-39 40-49 50-59 60-69 70-79 80+Age

Data Source: SC Office of Research and Statistics; Generated by Chronic Disease Epidemiology and Evaluation February 2009

Figure 3.6. Total Number of Hospitalizations for Diabetes as the Primary Diagnosis, SC, 1987-2006

0

1,000

2,000

3,000

4,000

5,000

6,000

7,000

8,000

9,000

10,00019

87

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

Hos

pita

l Dis

char

ges


Figure 3.7. Number of Hospital Discharges with Diabetes as the Primary Diagnosis by Age, SC, 1997, 2001 and 2006


Figure 3.8. Rate of Hospitalizations with Diabetes as Primary or Secondary Diagnosis, 2006

0

500

1000

1500

2000

2500

3000

3500

4000

4500

5000

White Male White Female Black Male Black Female

Primary Secondary


Figure 3.9. Age-Standardized Rate of Hospitalizations for Diabetes, (Primary Diagnosis), SC, 2006

Oconee

Pickens

Anderson

Abbeville

Greenville

Spartanburg

Cherokee

Laurens

Union

Edgefield

Greenwood

McCormick

Newberry

Saluda

Aiken

Chesterfield

Fairfield

Kershaw

Lancaster

Lexington

Chester

York

Darlington Dillon

Florence

Georgetown

Horry

Marion

Marlboro

Williamsburg

Beaufort

Berkeley

Charleston

Colleton

Dorchester

Hampton

Jasper

Allendale

BambergBarnwell

Orangeburg

Calhoun Clarendon

Lee

Richland Sumter

175 or less

176-250

More than 250

State Rate: 197.8 per 100,000


Figure 3.10. Total Hospital Charges (Million Current & Constant $) for Diabetes as the Primary Diagnosis, SC,

1987-2006

0

25

50

75

100

125

150

175

200

225

25019

87

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

Dol

lars

(Mill

ion) In Current $

In Constant $


Figure 3.8. Rate of Hospitalizations with Diabetes as Primary or Secondary Diagnosis, 2006 (Rate per 100,000)

0

500

1000

1500

2000

2500

3000

3500

4000

4500

5000


(Rat

e per

100

,000

)

Primary Secondary


Figure 3.11. Total Charges for Hospitalization among Patients with Diabetes by Race-Sex, 1987, 1997, 2001, and 2006

0

200

400

600

800

1000

1200

1400

1600

1800

2000

1987 1997 2001 2006 1987 1997 2001 2006 1987 1997 2001 2006 1987 1997 2001 2006Male Female White Black

Primary Diagnosis

Secondary Diagnosis

$1,0

00,0

00


Figure 3.12. Average Hospital Charge for Diabetes as Primary Diagnosis by Age, SC, 1991-2006

0

5000

10000

15000

20000

25000

30000

35000

0- 10- 20- 30- 40- 50- 60- 70- 80 +

Dol

lars

1991 1997 2001 2006


Figure 3.13. Sources of Payment for Hospitalization among Patients with Diabetes as the Primary Diagnosis, SC, 2006

Other1%

Medicaid14%

Pvt Ins23%

Medicare51%Self/Indigent

11%


Figure 3.14. Total Length of Hospital Stay for Patients with Diabetes as the Primary Diagnosis, 1996-2006

0

10,000

20,000

30,000

40,000

50,000

60,00019

87

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

Day

s


Figure 3.15. Prevalence of CVD and Stroke by Diabetes Status, SC, BRFSS 2006

0

2

4

6

8

10

12

14

16

Myocardial Infarction Coronary Heart Disease Stroke

Per

cent

Diabetes No Diabetes


26,612

2,8069,502

4,380

21,517

69,545

60,120

7,022

20,056

10,146

40,212

137,591

0

10,000

20,000

30,000

40,000

50,000

60,000

70,000

80,000

90,000

100,000

110,000

120,000

130,000

140,000

150,000

CVD MI CHD Stroke ESRD HTN

With Diabetes Without Diabetes

Figure 3.16. Number of Hospitalizations for Major Diseases & Procedures by Diabetes Status, SC, 2006


Figure 3.17. Distribution of Complications among Inpatients with Diabetes as Primary Diagnosis, SC, 2006

Ketoacidosis31%

Neurologic and eye 17%

Renal 5%

Hypoglycemia 29%

Peripheral circulatory disorders

10%

Unspecified complication

2%

Hyperosmolar or other coma

6%


89.8

126.9

103.9114

60.7

47

0

25

50

75

100

125

150

White Male White Female Black Male Black Female Other Male Other Female

per

100,

000

popu

latio

nFigure 3.18. Age-Adjusted Hospitalization of Diabetic

Ketoacidosis by Race-Sex, SC, 2006


Figure 3.19. Age-specific Hospitalization Rates of Diabetic Ketoacidosis by Race-Sex, SC, 2006

0

20

40

60

80

100

120

140

160

180

<30 30-39 40-49 50-59 60-69 70+

per

100,

000

popu

latio

n

White Male White Female Black Male Black Female Total


638.2

520.4

359.8

253.6

988.4 1025.3

0

100

200

300

400

500

600

700

800

900

1000

1100

1200


per

100,

000

popu

latio

nFigure 3.20. Age-Adjusted Hospitalization Rate of

Diabetic Renal Failure by Race-Sex, SC, 2006


Figure 3.21. Age-Specific Hospitalization Rate of Diabetic Renal Failure by Race-Sex, SC, 2006

0

1000

2000

3000

4000

5000

6000

<30 30-39 40-49 50-59 60-69 70+

per 1

00,0

00 p

opul

atio

n



0

250

500

750

1000

1250

1500

1750

2000

2250

2500

2750

3000

1997 1998 1999 2000 2001 2002 2003 2004 2005 2006

Year

Nu

mb

er o

f P

atie

nts

Figure 3.22. Dialysis Prevalence with Diabetes as Major Diagnosis, SC, 1997-2006.


48 34

289

350

0

50

100

150

200

250

300

350

400


per

100,

000

popu

latio

n

Figure 3.23. Age-Adjusted Hospitalization Rate of Diabetic Dialysis by Race-Sex, SC, 2006


14.3

37.240.641.240.835.3

88.785.0 86.9

74.2

82.4

99.894.7

100.498.7

17.113.3

17.015.4

35.7 33.1 34.334.835.0

0

20

40

60

80

100

120

2002 2003 2004 2005 2006

per 1

00,0

00 p

opul

atio

n

Total Black Female Black Male White Female White Male

68.5

Figure 3.24. Age-Adjusted Hospitalization Rate of Diabetic Lower Extremity Amputation by Race-Sex, SC, 1997-2006


Figure 3.25. Age-Specific Hospitalization Rates for Diabetic Foot Amputation by Race-Sex, SC, 2006

0

50

100

150

200

250

300

350

400

<30 30-39 40-49 50-59 60-69 70+

per

100,

000

popu

latio

n

White Male White Female Black Male Black Female Total


Figure 3.26. Percent of Live Births by Mother's Diabetes Status, SC, 2004 -2006

0

1

2

3

4

5

6

7

8

9

10

2004 2005 2006

Per

cen

t

Gestational Prepregnancy


Figure 3.27. Age-Adjusted Hospitalization Rate of Gestational Diabetes, SC, 2006

0

25

50

75

100

125

150

White Black 10 -- 19 20 -- 29 30 -- 39 40 -- 49

Per

cent


Figure 3.28. Age-Adjusted Rate of ER Visits for Diabetes as the Primary Diagnosis by Race-Sex, SC, 1997-2006

0

100

200

300

400

500

600

700


1997 1999 2001 2003 2006


Figure 3.29. Rates of ER Visits with Diabetes as the Primary Diagnosis by Age, SC, 1997, 1999, 2001 and 2006

0

100

200

300

400

500

600

700

800

900

0- 10- 20- 30- 40- 50- 60- 70+

Age

Per

100

,000

pop

ulat

ion

1997 1999 2001 2006


Figure 3.30. Age-Standardized Rate of ER Visits for Diabetes, (Primary Diagnosis), SC, 2006

Oconee

Pickens

Anderson

Abbeville

Greenville

Spartanburg

Cherokee

Laurens

Union

Edgefield

Greenwood

McCormick

Newberry

Saluda

Aiken

Chesterfield

Fairfield

Kershaw

Lancaster

Lexington

Chester

York

Darlington Dillon

Florence

Georgetown

Horry

Marion

Marlboro

Williamsburg

Beaufort

Berkeley

Charleston

Colleton

Dorchester

Hampton

Jasper

Allendale

BambergBarnwell

Orangeburg

Calhoun Clarendon

Lee

Richland Sumter

220 or less

221-340

More than 340

State Rate: 263.9 per 100,000


0

500

1000

1500

2000

2500

3000


Freq

uenc

y

Complications No Complications

Figure 3.31. Number of ER Visits with Selected Diabetic Complications by Race-Sex, SC, 2006


Figure 3.32. Total Charges for ER Visits with Diabetes as the Primary Diagnosis by Age, SC, 1997-2006

0

500

1,000

1,500

2,000

2,500

3,000

3,500

4,000

4,500

5,000

0- 10- 20- 30- 40- 50- 60- 70+Age

Tho

usan

d D

olla

rs

1997 1999 2001 2003 2006


Chapter 4.

Diabetes Mortality

0

10

20

30

40

50

60

70

1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006

Year

Rat

e p

er 1

00,0

00 p

opu

lati

on

Total White Men White Women Black Men Black Women

Figure 4.1. Age Adjusted Mortality Rate for Diabetes as the Underlying Cause of Death, SC, 1996-2006


0

5

10

15

20

25

30

35

40

45

50

55

60

6519

90

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

Year

Rat

e pe

r 10

0,00

0

White Black Male Female Total

Figure 4.2. Age Adjusted Mortality Rates for Diabetes as the Underlying Causes of Death by Race, Sex, SC, 1990-2006

Data Source: SCDHEC SCAN; Generated by Chronic Disease Epidemiology and Evaluation May 2009

Figure 4.3. Age-Specific Crude Mortality Rate for Diabetes as the Underlying Cause of Death, SC, 2006

0

100

200

300

400

500

600

15 to19

20 to24

25 to34

35 to44

45 to54

55 to64

65 to74

75 to84

85plus

Total White Black Other


Oconee

Pickens

Anderson

Abbeville

Greenville

Spartanburg

Cherokee

Laurens

Union

Edgefield

Greenwood

McCormick

Newberry

Saluda

Aiken

Chesterfield

Fairfield

Kershaw

Lancaster

Lexington

Chester

York

Darlington Dillon

Florence

Georgetown

Horry

Marion

Marlboro

Williamsburg

Beaufort

Berkeley

Charleston

Colleton

Dorchester

Hampton

Jasper

Allendale

BambergBarnwell

Orangeburg

Calhoun Clarendon

Lee

Richland

Sumter

8.0-19.9

20.0-29.9

30.0-39.9

40.0-64.0

County 3 Year Mortality Rate per 100,0000


Figure 4.4. Age-Adjusted Mortality of Diabetes (Underlying Cause of Death), SC, 2003-2006

Figure 4.5. Racial Rate Ratio of Diabetes as the Underlying Cause of Death, SC, 2004-2006

Oconee

Pickens

Anderson

Abbeville

Greenville

Spartanburg

Cherokee

Laurens

Union

Edgefield

Greenwood

McCormick

Newberry

Saluda

Aiken

Chesterfield

Fairfield

Kershaw

Lancaster

Lexington

Chester

York

Darlington Dillon

Florence

Georgetown

Horry

Marion

Marlboro

Williamsburg

Beaufort

Berkeley

Charleston

Colleton

Dorchester

Hampton

Jasper

Allendale

BambergBarnwell

Orangeburg

Calhoun Clarendon

Lee

Richland

Sumter

Diabetes Death Racial Rate Ratios (2004-2006 Averaged)

0.00-0.99

1.00-1.99

2.00-2.99

3.00-3.99

Black to White Rate Ratios

4.00-5.99

15.40

Data Source: SCDHEC SCAN; Generated by Chronic Disease Epidemiology and Evaluation January 2009

0

50

100

150

200

250

300

350

400

450

500

550

600

1997 1998 1999 2000 2001 2002 2003 2004 2005 2006

TO

TA

L Y

EA

RS

OF

LIF

E L

OS

T


Figure 4.6 . Total Number of Years of Potential Life Lost for Diabetes as Underlying Cause of Death by Race-Sex, SC, 1997-2006 Before the age of 75


The Burden of Diabetes in South Carolina 2009. Chapter 1. Demographics and Access to Health Care.

Documents

Transcript of The Burden of Diabetes in South Carolina 2009. Chapter 1. Demographics and Access to Health Care.