Fig 1.
Map of Florida showing geographic distribution of urban and rural counties.
Figure was created using the Free and Open Source Geographic Information System (GIS) software, QGIS. The basemaps used to create the maps were downloaded from the US Census Bureau Website: https://www.census.gov/geographies/mapping-files/time-series/geo/tiger-line-file.2010.html. The source of the data displayed in the map is Florida Department of Health. Data are available at: http://www.floridahealth.gov/programs-and-services/community-health/rural-health/_documents/rual-counties-2000-2010.pdf.
Table 1.
Summary statistics of variables considered as potential predictors of county-level Diabetes Self-management Education (DSME) program participation and its hotspots in Florida, 2010.
Fig 2.
Age-adjusted county level diabetes prevalence and diabetes self-management education program participation rates in Florida, 2007–2010.
Figure was created using the Free and Open Source Geographic Information System (GIS) software, QGIS. The basemaps used to create the maps were downloaded from the US Census Bureau Website: https://www.census.gov/geographies/mapping-files/time-series/geo/tiger-line-file.2010.html. The diabetes prevalence and diabetes self-management education (DSME) participation rate data were obtained from Florida Department of Health Website. These data are available at: http://www.flhealthcharts.com/charts/Brfss/DataViewer.aspx?bid=21 (prevalence data) and http://www.flhealthcharts.com/charts/Brfss/DataViewer.aspx?bid=51 (DSME data).
Fig 3.
Relative and absolute changes of diabetes prevalence and diabetes self-management education program participation rates in Florida between 2007 and 2010.
Figure was created using the Free and Open Source Geographic Information System (GIS) software, QGIS. The basemaps used to create the maps were downloaded from the US Census Bureau Website: https://www.census.gov/geographies/mapping-files/time-series/geo/tiger-line-file.2010.html. The diabetes prevalence and diabetes self-management education (DSME) participation rate data were obtained from Florida Department of Health Website. These data are available at: http://www.flhealthcharts.com/charts/Brfss/DataViewer.aspx?bid=21 (prevalence data) and http://www.flhealthcharts.com/charts/Brfss/DataViewer.aspx?bid=51 (DSME data).
Fig 4.
Clusters of high diabetes prevalence and high diabetes self-management education program participation rates identified in Florida using Tango’s flexible spatial scan statistics, 2007 and 2010.
Figure was created using the Free and Open Source Geographic Information System (GIS) software, QGIS. The basemaps used to create the maps were downloaded from the US Census Bureau Website: https://www.census.gov/geographies/mapping-files/time-series/geo/tiger-line-file.2010.html. The diabetes prevalence and diabetes self-management education (DSME) participation rate data were obtained from Florida Department of Health Website. These data are available at: http://www.flhealthcharts.com/charts/Brfss/DataViewer.aspx?bid=21 (prevalence data) and http://www.flhealthcharts.com/charts/Brfss/DataViewer.aspx?bid=51 (DSME data).
Table 2.
Purely spatial unadjusted high-prevalence diabetes clusters in Florida, 2007 and 2010.
Table 3.
Purely spatial risk-factor adjusted high-prevalence diabetes clusters in Florida, 2007 and 2010.
Table 4.
Purely spatial clusters of High Diabetes Self-Management Education (DSME) program participation rates in Florida, 2007 and 2010.
Table 5.
Univariable associations between county characteristics and Diabetes Self-management Education (DSME) program participation rates in Florida, 2010.
Table 6.
Results of ordinary least square regression model showing predictors of Diabetes Self-management Education (DSME) participation rates at the county level in Florida, 2010.
Fig 5.
Distribution of significant predictors of diabetes self-management education program participation rates in Florida, 2010.
Figure was created using the Free and Open Source Geographic Information System (GIS) software, QGIS. The basemaps used to create the maps were downloaded from the US Census Bureau Website: https://www.census.gov/geographies/mapping-files/time-series/geo/tiger-line-file.2010.html. The data on Hispanic population distribution can be downloaded from Florida Department of Health Website: http://www.floridahealth.gov/statistics-and-data/survey-data/behavioral-risk-factor-surveillance-system/index.html. The rural population data were downloaded from County Health Rankings Website available at: https://www.countyhealthrankings.org/app/florida/2021/measure/factors/58/data.
Table 7.
Univariable associations between county characteristics and clusters of Diabetes Self-management Education (DSME) program participation rates in Florida, 2010.
Table 8.
Results of the final logistic model showing statistically significant predictor of clusters of Diabetes Self-management Education (DSME) participation rates at the county level in Florida, 2010.