Spatial spillover and the socio-ecological determinants of diabetes-related mortality across US counties.

ABSTRACT: The spatial structure of diabetes-related mortality in US counties is evident from previous studies. However, it is not clear if spatial variation in diabetes-related mortality is associated with spatial variation in socioecological factors. We analyze the spatial spillover effect of changes in socioeconomic gradients (education, employment, household income), retail food environments, and access to health care, on diabetes-related mortality rates across the United States. Seven-year aggregates of multiple cause mortality data from the CDC WONDER compressed mortality database were merged with several sources of county-level data to examine mortality clusters, factors associated with the clusters, and spatial spillover effects in 3109 continuous US counties. The results suggest that high di

SUBMITTER: Turi KN 

PROVIDER: S-EPMC9555791 | biostudies-literature | 2017 Aug

REPOSITORIES: biostudies-literature