Adults with diabetes residing in "food swamps" have higher hospitalization rates.

ABSTRACT:

Objective

To examine the relationship between food swamps and hospitalization rates among adults with diabetes.

Data sources

Blue Cross Blue Shield Association Community Health Management Hub^® 2014, AHRQ Health Care Cost and Utilization Project state inpatient databases 2014, and HHS Area Health Resources File 2010-2014.

Study design

Cross-sectional analysis of 784 counties across 15 states. Food swamps were measured using a ratio of fast food outlets to grocers. Multivariate linear regression estimated the association of food swamp severity and hospitalization rates. Population-weighted models were controlled for comorbidities; Medicaid; emergency room utilization; percentage of population that is female, Black, Hispanic, and over age 65; and state fixed e

SUBMITTER: Phillips AZ 

PROVIDER: S-EPMC6341203 | biostudies-literature | 2019 Feb

REPOSITORIES: biostudies-literature