Social and Behavioral Factors Associated With Diabetes in Southern California vs the US

What are the key social and behavioral factors associated with diagnosed diabetes in Southern California, and how do they differ from those observed at the national level?This cross-sectional study of 5420 census tracts composed of approximately 18.5 million adults in Southern California identified physical inactivity, binge drinking, routine check-ups, lack of insurance, and food insecurity as key factors associated with diagnosed diabetes. While some factors overlapped nationally, obesity, food stamp participation, persons aged 65 years and older, and persons of racial or ethnic minority background were key factors nationwide but not regionally.These findings point to possible regional differences in the factors associated with diabetes prevalence and highlight the need for further research to determine their significance and potential for guiding targeted interventions.

Corresponding Author: Michael I. Goran, PhD, Department of Pediatrics, Keck School of Medicine of University of Southern California, Department of Pediatrics, The Saban Research Institute, Children’s Hospital Los Angeles, Keck School of Medicine, University of Southern California, 4650 Sunset Blvd, Los Angeles, CA (goran@usc.edu).

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