Geographic Variation and Associated Covariates of Diabetes Prevalence in India
Author(s) -
Andrés Hernández,
Peng Jia,
HaeYoung Kim,
Diego F. Cuadros
Publication year - 2020
Publication title -
jama network open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.278
H-Index - 39
ISSN - 2574-3805
DOI - 10.1001/jamanetworkopen.2020.3865
Subject(s) - covariate , geographic variation , variation (astronomy) , diabetes mellitus , demography , geography , medicine , regional variation , environmental health , statistics , population , sociology , political science , mathematics , endocrinology , physics , astrophysics , law
Key Points Question What factors characterize the geographical distribution, associated socioeconomic and behavioral covariates, and overlap with tuberculosis endemicity of diabetes in India? Findings In this cross-sectional study of 803 164 individuals living in India, the observed spatial variation of diabetes revealed spatial clustering of diabetes prevalence, which was associated with behavioral and socioeconomic factors, such as income, consuming alcohol, and smoking tobacco. Despite evidence for diabetes-tuberculosis interaction at the individual level, there was a lack of consistent geographic overlap between both diseases at the national scale. Meaning This study adds to known risk factors associated with diabetes and identifies areas where diabetes prevalence is concentrated, including where potential overlap with tuberculosis occurs.
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