Diabetes in California Counties

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Full text

(1)

Issued April 2009

www.caldiabetes.org

(2)

This publication was prepared in March 2009 by the California Diabetes Program using data from the

2005 California Health Interview Survey. The content included in this report may be reproduced with

the following citation:

California Diabetes Program. (2009). Diabetes in California Counties. Sacramento, CA: California

Diabetes Program, California Department of Public Health; University of California San Francisco,

Institute for Health and Aging.

Authors

Guozhong He, PhD, Karen Black, MSIS, Susan Lopez-Payan, Karin Omark, MPH, EdM, and Dean

Schillinger, MD.

Acknowledgments

Design: Maran Kammer-Perez, Studio M Graphic Design

Data analysis: Jerome Braun, PhD, University of California, Davis, Statistical Laboratory

California Diabetes Program

MS 7211, PO Box 997377

Sacramento, CA 95899-7377

Ph: 916-552-9888

www.caldiabetes.org

This publication was supported by Grant/Cooperative Agreement Number 523056 from the Centers

for Disease Control and Prevention (CDC). Its contents are solely the responsibility of the authors and

do not necessarily represent the official view of CDC.

This project was supported by the California Department of Public Health. The California Diabetes

Program is the State’s public health program for the prevention and control of diabetes, administered

by the University of California, San Francisco, Institute for Health and Aging.

(3)

County Diabetes Reports

Introduction by Dr. Dean Schillinger

What is diabetes?

Diabetes and its complications can be prevented.

What factors are associated with type 2 diabetes?

Recommendations for screening for type 2 diabetes

Costs of diabetes

California Diabetes Program

Key objectives of the California Diabetes Program

California Diabetes Program achievements

About this document

About the county diabetes reports

About the county comparisons tables

Methodolgy

References

Table of contents

Alameda County

Alpine County

Amador County

Butte County

Calaveras County

Colusa County

Contra Costa County

Del Norte County

El Dorado County

Fresno County

Glen County

Humboldt County

Imperial County

Inyo County

Kern County

Kings County

Lake County

Lassen County

Los Angeles County

Madera County

Marin County

Mariposa County

Mendocino County

Merced County

Modoc County

Mono County

Monterey County

Napa County

Nevada County

Orange County

Placer County

Plumas County

Riverside County

Sacramento County

San Benito County

San Bernardino County

San Diego County

San Francisco County

San Joaquin County

San Luis Obispo County

San Mateo County

Santa Barbara County

Santa Clara County

Santa Cruz County

Shasta County

Sierra County

Siskiyou County

Solano County

Sonoma County

Stanislaus County

Sutter County

Tehama County

Trinity County

Tulare County

Tuolumne County

Ventura County

Yolo County

Yuba County

State Diabetes Report

California

California County Comparisons

Annual A1C test

Annual cholesterol test

Diagnosed diabetes

Annual eye exam

Annual flu shot

Annual foot exam

Less than 5-a-day

Heart disease

High cholesterol

High blood pressure

Medi-Cal

Medicare

No usual source of care

Obese

Overweight

Physical inactivity

Current smoking

Uninsured

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Diabetes in California Counties i

Introduction by Dean Schillinger, MD

As a primary care physician in a safety net hospital, I see patients every day

who either have diabetes or are at high risk of developing diabetes. Our

patients are the uninsured and the underinsured, the old and the young.

Many are poor and their needs are great. I see how diabetes, for many

people, can be a devastating disease that can alter their life’s trajectory

and present a challenge to family caregivers. Over the last 15 years, I have

been working with a multidisciplinary team of clinical staff, researchers,

and public health experts to develop ways to improve communication

about diabetes and improve health outcomes. In 2008, I was able to join

the wonderful team of the California Diabetes Program to try and bridge

the gap between research and practice and to find ways to scale-up and

disseminate successful interventions into population-based solutions.

Diabetes is a complex disease that is sweeping the country. Its prevalence

is strongly influenced by social circumstances and social policy and its

management by health policy. California has nearly three million people

with diabetes, meaning that more than 1 out of 10 adult Californians has

diabetes. From 1998 to 2007, the prevalence of diagnosed diabetes rose

from 5.5 to 7.6 percent, representing a 38 percent increase in one decade.

California has the greatest number of people in the US who are newly

diagnosed with diabetes. In 2007, about 7.9 million (29 percent, or nearly

1 in 3) adults in California had prediabetes, a condition that often precedes

type 2 diabetes. Prevalence of gestational diabetes (diabetes that occurs

in the context of pregnancy) has increased 60 percent in California in just

seven years, from 3.3 percent of hospital deliveries in 1998 to 5.3 percent

in 2005. In addition, small studies suggest a consistent increase in diabetes

among children and youth. California’s ethnically diverse population has a

higher risk and prevalence of type 2 diabetes. Total health care and related

costs for the treatment of diabetes in California alone is about $24.5

billion each year. As such, diabetes in California represents a significant

and growing economic drain for families, employers, and communities,

especially during these difficult economic times.

This document presents some key diabetes statistics in California counties.

Its purpose is to provide background information and facts about

diabetes. In California, diabetes data are not captured in one statewide

registry. Therefore, we have used data collected from the 2005 California

Health Interview Survey (CHIS) and compiled a summary of information

for each county. CHIS is the nation’s largest state health survey. A

random-dial telephone survey conducted every two years on a wide range of

health topics, CHIS data give a detailed picture of the health and health

care needs of California’s large and diverse population. CHIS 2005 is

currently the best data source in terms of county-level information,

sub-population analyses, and diabetes indicators. More than 50,000

Dr. Schillinger is a Professor

of Medicine at University of

California, San Francisco,

Director of the UCSF Center for

Vulnerable Populations, and

Chief of the California Diabetes

Program in the California

Department of Public Health.

His role as a practicing clinician

at San Francisco General

Hospital, a safety net hospital,

has put him in a unique

position to pursue influential

and relevant research and

advocacy related to improving

care for vulnerable populations.

(5)

Californians are surveyed by CHIS. Participants in the CHIS survey are chosen at random and the sample is

extensive enough to be statistically representative of California’s diverse population. CHIS is especially known

for its hard-to-find data on ethnic subgroups.

The information herein can be used by county health departments, community-based organizations,

and those providing clinical services to make strategic decisions about their current and future activities.

Environmental planners, industry partners, the media, restaurants, schools, parks and recreation services, and

many other groups also need to engage with these data to inform their work and modify their activities to

help create the conditions in which people can make healthy choices.

Compared to prior years, there are a number of new components to this report and some striking findings

worthy of special comment. For this report, we have added annual cholesterol tests, annual eye exams, and

annual flu shots received by people with diabetes under the Diabetes and Related Services section; current

smoking in the Diabetes Risk Factors section; and a new section, Health Status and Access to Care, which

includes history of high blood pressure, high cholesterol, heart disease, type of insurance (Medicare,

Medi-Cal, uninsured), and no usual source of care. All data are reported by county demographics in the general

adults population and for adults with diabetes, when applicable. All data are reported in percentage rates.

The county adult population total and adults with diagnosed diabetes total are provided at the top of each

county table. Unlike the previous report, total numbers for each health condition/status are not provided in

this report. Readers can easily calculate the total number by simply multiplying the rate with either the county

adult population or the diagnosed diabetes population.

Notable findings include:

especially high rates of diabetes in California’s Central Valley;

high prevalence of being uninsured and having diabetes (especially among the Hispanic/Latino

population), and the tremendous county-by-county variation in coverage of uninsured people with

diabetes; and

growing prevalence of diabetes in young adults (ages 18-44) and the behavioral and health access risk

profiles that make them particularly vulnerable to developing complications in the prime of their lives.

These include especially high rates of con-current tobacco use (20%) and heart disease (8%), high rates of

un-insurance (30%), and low rates of receipt of recommended services such as eye exams and influenza

vaccination.

The California Diabetes Program serves as a coordinating leader for organizations working to prevent diabetes

and its complications in California’s diverse communities. We hope you will find these data useful and seek

additional resources on our Diabetes Information Resource Center (DIRC) at www.caldiabetes.org.

(6)

Diabetes in California Counties

What is diabetes?

Diabetes is a chronic medical condition marked by high levels of blood glucose (a form of sugar) resulting

from defects in insulin production, insulin action, or both.

(1)

There are several types of diabetes.

Type 1 diabetes, previously known as juvenile diabetes, is an autoimmune disease in which the body does

not produce the hormone insulin. There is no known way to prevent type 1 diabetes.

Type 2 diabetes, previously known as adult-onset diabetes, is a metabolic disease in which the body does

not make enough insulin or use it effectively. Type 2 diabetes can be prevented or delayed by maintaining

a healthy weight and exercising regularly.

Gestational diabetes occurs in pregnant women who have never had diabetes before but have higher

than normal blood glucose levels during pregnancy. Without intervention, women with gestational

diabetes have a 40-60 percent chance of developing type 2 diabetes within 5-10 years.

(1)

Prediabetes is a condition that raises the risk of developing type 2 diabetes, heart disease, and stroke.

People with prediabetes have blood glucose levels higher than normal but not high enough to be

classified as diabetes. Without intervention, about 25 percent of people with prediabetes will develop

diabetes within 3-5 years.

(2)

Diabetes is the leading cause of blindness, amputations, and kidney failure, and is a major contributor to

heart attacks and strokes.

(1)

Overall, the risk for death among people with diabetes is about twice that of

people of similar age without diabetes.

(1)

Diabetes reduces life expectancy by eighteen years if diagnosed at age 20, fourteen years if diagnosed at

age 40, and ten years if diagnosed at age 60.

(3)

Diabetes and its complications can be prevented.

In 2002, a national clinical trial demonstrated that type 2 diabetes can be delayed or prevented by healthy

lifestyle changes, including moderate weight loss and engagement in regular moderate-intensity physical

activity.

(4)

The California Diabetes Program works with many partner organizations to promote awareness

of diabetes risk factors, increase prediabetes screening, and support healthy communities that encourage

healthy lifestyles.

For people with diabetes, application of comprehensive, evidence-based diabetes detection, care, and

multidisciplinary management strategies can also reduce the impact of diabetes and prevent or delay

serious complications. Access to health care is critical for people with diabetes. Management of blood sugar

levels, blood pressure, and blood lipids/cholesterol are particularly important. Regular services should also

include eye, foot, kidney, and dental exams, as well as flu and pneumococcal vaccinations. Since diabetes

must be managed on a daily basis by the person with the disease, self-management education is required

and includes blood sugar monitoring, healthy diet, physical activity, weight management, and medication

adherence, including aspirin therapy. Since tobacco use increases the risk of complications for people with

diabetes, smoking cessation is strongly encouraged. Because the list of essential disease management

recommendations is long and ever-changing, the California Diabetes Program promotes user-friendly clinical

guidelines, multilingual tools, and educational programs to assist the clinician, the patient, and their family to

succeed in managing the disease.

(7)

What factors are associated with type 2 diabetes?

There are both genetic and environmental factors that contribute to the development of type 2 diabetes.

These can include:

Being overweight or obese

Being physically inactive

Having a family history of diabetes

Being over 45 years old

Having high blood pressure

Having had a baby over 9 pounds or having a history of gestational diabetes

Having prediabetes

Coming from a minority ethnic group

Having lower educational attainment

Having a lower income

Living in neighborhoods with a high concentration of fast food restaurants

Recommendations for screening for type 2 diabetes

(5)

Routine testing for diabetes should be considered in all individuals at age 45 years and above; if normal, testing

should be repeated at three-year intervals. Additionally, testing should be considered at any age or be carried out

more frequently in individuals who are overweight and have additional risk factors. A diabetes risk assessment

tool created by the California Diabetes Program will soon be available on DIRC (www.caldiabetes.org). This tool

will provide internet users with a personalized risk assessment for prediabetes and diabetes.

Costs of diabetes

Direct medical costs for diabetes (e.g., hospitalizations, medical care, and treatment supplies) in California

account for about $18.7 billion annually, with another $5.8 billion spent on indirect costs such as disability

payments, time lost from work, and premature death.

(6)

California Diabetes Program

Established in 1981, the California Diabetes Program is a partnership between the California Department

of Public Health and the University of California, San Francisco, Institute for Health and Aging and is funded

primarily by the Centers for Disease Control and Prevention (CDC). Guided by national and state goals as

well as community input, the program is a coordinating leader for hundreds of multi-sector partners at the

individual, community, health care, policy, and environmental levels.

The mission of the California Diabetes Program is to prevent diabetes and its complications in California’s

diverse communities. The program is a national model and is grounded in the translation of scientific evidence

into public health practice.

(8)

Diabetes in California Counties

Key objectives of the California Diabetes Program are to:

Conduct

Surveillance

to monitor statewide diabetes health status and risk factors.

Provide

Communications

to increase awareness about diabetes.

Guide

Public Policy

to support people with and at risk for diabetes.

Offer leadership, guidance, and resources for

Community Health Interventions

.

Improve the quality of care in

Health Care Delivery Systems

.

Reduce diabetes-related

Health Disparities

.

California Diabetes Program achievements

Diabetes Primary Prevention Initiative (DPPI)

The DPPI was funded by the Centers for Disease Control and Prevention (CDC) with the goal of exploring

the translation of scientific evidence for diabetes prevention into feasible programs that could be

conducted outside of the research setting in the face of limited resources. The California Diabetes Program

has participated in all three focus areas of the DPPI project including the Intervention Focus Area to seek

to translate those findings into an intervention using the Improvement and Chronic Care Models, the

Surveillance Focus Area to develop a diabetes primary prevention surveillance system, and the System

Dynamics Modeling Focus Area to test the utility of system dynamics modeling to support goal setting

and decision-making.

U.S./Mexico Border Diabetes Project

To respond to a diabetes crisis in a high-risk population, the California Diabetes Program serves on the

scientific and intervention advisory committees of the U.S./Mexico Border Diabetes Project, a binational

project to determine the prevalence of diabetes along the border and to implement programs tailored to

the needs of the region.

Diabetes Information Resource Center (DIRC)

To improve communications with organizations throughout the state, the California Diabetes Program

created the online Diabetes Information Resource Center (DIRC), with more than 50,000 annual visits. DIRC

features Profiles of partner organizations working to prevent or control diabetes; Resources such as patient

education materials in multiple languages, surveillance reports, and intervention research studies; an

Event Calendar; and a discussion Forum. DIRC serves as the foundation for the Program’s communications

and outreach activities and is a national model for public health information technology.

Tobacco Cessation and Diabetes

To encourage health care providers to assist their diabetes patients with smoking cessation, the California

Diabetes Program partnered with diabetes educators to create a statewide cessation promotion

campaign. The campaign trained diabetes educators to ask their patients if they smoke, advise them

to quit, and refer them to the California Smokers’ Helpline. The campaign increased the percentage of

diabetes educators who refer patients to the Helpline.

North Central Valley

To examine whether diabetes prevention could be accomplished outside of rigorous research studies, the

California Diabetes Program partnered with Sutter Hospitals and the Sacramento Bee newspaper through

funding from CDC’s DPPI. Newspaper employees were screened for diabetes; if they were at high risk, they

were enrolled in a Sutter wellness program. Participants lost weight and increased their physical activity.

San Francisco Bay Area

To support local communities’ efforts to efficiently combat diabetes, the California Diabetes Program

developed a diabetes system dynamics model to illustrate factors affecting diabetes burden, including

(9)

obesity and prediabetes in the general population and the quality of diabetes medical care. Members of

the Regional Diabetes Collaborative (RDC) of San Benito, Santa Cruz, and Monterey Counties were trained

to use the model, which helped them identify service gaps and strengths and coordinate actions.

South Central Valley

To address the need for professional development and better communication among Central Valley

public health practitioners, the California Diabetes Program served as the chair of the Central Valley

Chronic Disease Partnership (CVCDP), which has hosted three health symposiums attended by a total of

853 participants representing 30 cities. Participants expressed appreciation for the opportunity to attend

high-quality educational conferences in Central California and for addressing the challenges of delivering

health care in an underserved area.

Los Angeles Area

To ensure that people with diabetes receive recommended care, the California Diabetes Program and

Diabetes Coalition of California developed a Team Care Tool Kit, which guides health care providers in

creating an interdisciplinary team to collaborate with patients to help manage their diabetes. The Team

Care Tool Kit has been downloaded from DIRC more than 4,000 times. A health organization in San

Bernardino County has used the tool kit, coupled with staff training, to implement team care in its system.

San Diego Area

To lead and guide community health interventions, the California Diabetes Program provided technical

assistance to the San Diego Diabetes Coalition in conducting an evaluation of its partnership. Members

were surveyed about the strengths and attributes of the Coalition, revealing strong support for its

leadership and a desire to take more concrete actions to address diabetes.

About this document

This document was developed using data from the 2005 California Health Interview Survey (CHIS).

It contains two sets of information about California and its counties: tables displaying the percent rate (%)

of diabetes and related indicators, and tables showing rankings of the prevalence of diabetes and related

indicators.

As with any data, the findings presented here have their limitations. Data from CHIS are reported by

respondents; this type of self-reported data may underestimate diabetes prevalence because many people do

not know that they have diabetes. As many as 40% of the people with diabetes are undiagnosed, resulting in

self-report rates as much as 68% lower than actual rates.

(7)

About the county diabetes reports

The county diabetes reports compare the general population in California and within each county (adults

with and without diabetes) to the adult population with diabetes, present information divided by county, age,

gender, and race/ethnicity, and include the following indicators:

Diabetes care for people with diabetes: rates of annual A1C testing, cholesterol testing, eye exams, foot

exams, and flu shots. These indicators are part of recommended care for people with diabetes

Diabetes risk factors in people with and without diabetes: smoking, overweight, obesity, inactivity, and

less than 5 servings of fruits and vegetables a day. These indicators are risk factors for the development of

type 2 diabetes and can affect diabetes control in those who are already diagnosed.

(10)

Diabetes in California Counties

disease. These chronic diseases are common co-morbidities with diabetes and can increase the risk for

developing type 2 diabetes.

Access to care by people with and without diabetes: type of insurance (Medicare, Medi-Cal, no insurance)

and no usual source of care. The type of insurance and access to health care can affect a person’s ability to

diagnose and treat his/her diabetes.

This information offers counties an in-depth picture of the health of their populations.

About the county comparison tables

The county comparisons list counties and the state average from best to worst for each compared health

indicator. A ranking of “1” represents the county has the best rate of the compared health indicator in

California, and a ranking of “59” represents the county has worst rate, vice versa. For some indicators, having a

high prevalence or rate is desirable and achieves a high ranking; for example, counties with higher rates of A1C

tests are ranked higher (closer to number 1). In other cases, having a high prevalence or rate is undesirable and

achieves a low ranking; for example, counties with higher rates of obesity are ranked lower (closer to number

59). This information allows counties to gauge their health status relative to other counties.

When comparing rates across counties in the county comparison tables, readers should also consider the

age-adjusted rates, which offer some degree of standardized comparison, and confidence intervals, which show if

there is any statistical significance to the differences between counties.

For more information about the specific methodology used in generating this information, please see the

Methodology section at the end of the report.

(11)

California Diabetes Program

www.caldiabetes.org

Diabetes and Related Care

All Adults

Age

Gender

Race/Ethnicity

18-44

45-64

65+

Male

Female

White

Latino

Afr. Amer.

Asian

Other

Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Population 100 55.0 31.8 13.2 48.5 51.5 42.3 19.1 12.5 23.1 2.9 * Diagnosed diabetes 6.5 1.5 11.4 15.8 7.2 5.9 5.1 6.0 12.3 7.0 1.6 * Annual A1C test 84.9 88.5 82.4 87.9 84.6 85.2 80.9 62.8 92.7 98.3 * Annual cholesterol test 82.3 40.0 86.8 90.5 82.6 81.9 95.8 46.4 98.1 74.2 * Annual eye exam 75.3 44.1 78.6 81.6 78.9 71.2 59.6 59.0 85.1 98.3 * Annual foot exam 65.3 49.8 62.1 76.7 59.2 72.2 56.0 54.3 92.6 61.3 * Annual flu shot 51.1 28.8 49.9 61.7 61.3 39.5 56.7 47.4 28.2 66.8 *

Diabetes Risk Factors

All Adults

Age

Gender

Race/Ethnicity

18-44

45-64

65+

Male

Female

White

Latino

Afr. Amer.

Asian

Other

Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Current smoking 14.2 11.5 15.0 20.1 15.2 11.6 8.5 8.0 19.1 20.6 9.6 1.0 13.6 9.0 11.3 6.0 13.1 12.8 15.7 17.8 35.6 * Overweight 31.8 34.4 27.4 52.4 34.8 27.5 43.1 39.4 38.6 38.4 25.5 29.9 31.3 26.3 48.3 45.2 26.0 41.8 21.5 31.5 38.4 * Obese 16.5 43.4 12.9 14.3 23.2 55.2 15.5 34.1 15.6 35.1 17.3 53.0 15.7 60.8 18.3 33.0 31.2 41.8 7.3 27.4 24.8 * Physical inactivity 8.2 15.9 5.8 5.5 11.5 17.5 10.3 17.0 7.2 12.4 9.2 19.9 6.7 16.1 7.9 15.6 17.4 23.6 6.8 8.8 3.9 * Less than 5-a-day 49.9 60.7 51.1 77.6 45.7 64.3 55.0 47.9 39.6 45.9 59.6 77.6 44.4 60.0 52.9 57.6 52.4 51.6 57.9 74.3 35.4 *

Health Status and Access

to Care

All Adults

Age

Gender

Race/Ethnicity

18-44

45-64

65+

Male

Female

White

Latino

Afr. Amer.

Asian

Other

Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab High blood pressure 24.1 59.8 9.0 29.9 32.6 56.5 66.8 77.2 22.5 60.9 25.6 58.6 26.0 68.9 14.4 46.9 36.4 65.2 22.8 50.6 19.6 * High cholesterol 20.0 31.1 12.0 30.6 27.9 28.7 34.2 35.5 23.2 37.0 17.0 24.3 20.7 28.6 13.9 20.2 15.7 9.7 26.7 60.8 15.2 * Heart disease 5.7 18.5 1.1 14.9 8.6 16.5 18.1 23.2 5.9 18.7 5.5 18.2 6.4 26.9 3.5 25.6 7.7 11.4 5.2 9.4 5.4 * Medicare 13.7 38.7 0.1 0.0 3.3 13.5 94.9 97.2 11.7 41.6 15.5 35.4 17.0 37.4 7.0 26.5 18.7 59.8 11.6 30.0 3.6 * Medi-cal 10.5 23.5 7.0 35.7 9.2 21.5 28.0 22.2 8.6 22.5 12.3 24.6 6.5 11.0 11.4 26.0 24.0 55.7 10.7 8.3 2.4 * Uninsured 18.9 17.5 25.3 37.0 15.2 23.2 1.2 0.0 21.2 22.4 16.8 11.8 10.0 2.0 42.9 52.9 20.8 9.1 13.4 18.4 26.9 * No usual source of care 11.4 3.6 17.6 9.6 4.6 2.9 2.0 2.6 15.4 1.6 7.7 6.0 9.7 0.0 10.7 11.3 13.6 3.3 12.0 3.5 27.9 *

Alameda County Diabetes Report

(12)

California Diabetes Program

www.caldiabetes.org

California Diabetes Program. (2009). Diabetes in California Counties. Sacramento, CA: California Diabetes Program, California Department of Public Health; University of California San Francisco, Institute for Health and Aging.

Estimates are based on the 2005 California Health Interview Survey. Refer to the Methodology section for a full explanation of the data and methods used.

A blank cell indicates that no statistics are provided. A cell with “*” indicates that no statistically reliable estimates are available for the subpopulation due to sample size limitations. The numbers in the table are estimated percents.

• • • Diabetes prevalence rate includes diagnosed type 1 and type 2 diabetes.

GEN=General adult population; DIAB=Adult population with diagnosed diabetes. Less-than-5-A-Day refers to the consumption of 4 or less fruits and vegetables per day. •

• •

Diabetes in California Counties

Diabetes and Related Care

All Adults

Age

Gender

Race/Ethnicity

18-44

45-64

65+

Male

Female

White

Latino

Afr. Amer.

Asian

Other

Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Population 100.0 36.9 39.2 23.9 49.6 50.4 86.8 8.7 0.0 0.0 4.4 Diagnosed diabetes 5.9 1.1 4.7 15.3 5.5 6.3 4.8 12.7 0.0 0.0 13.7 Annual A1C test 94.8 * 87.4 97.9 94.3 95.2 96.3 93.0 * * 87.6 Annual cholesterol test 100.0 * 100.0 100.0 100.0 100.0 100.0 100.0 * * 100.0 Annual eye exam 83.7 * 81.4 83.1 98.3 71.2 81.7 93.0 * * 80.3 Annual foot exam 64.7 * 60.5 63.1 72.4 58.2 59.5 80.4 * * 72.3 Annual flu shot 61.9 * 46.3 76.5 76.3 49.7 62.6 68.9 * * 44.6

Diabetes Risk Factors

All Adults

Age

Gender

Race/Ethnicity

18-44

45-64

65+

Male

Female

White

Latino

Afr. Amer.

Asian

Other

Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Current smoking 18.7 8.7 27.4 * 19.1 16.9 4.5 5.5 19.5 0.0 17.9 16.1 19.0 7.0 13.0 19.6 * * * * 22.8 0.0 Overweight 35.4 37.8 25.5 * 40.7 22.7 41.9 49.5 42.2 42.8 28.6 33.6 36.9 42.9 24.9 39.4 * * * * 26.2 0.0 Obese 20.9 56.3 25.0 * 21.1 58.6 14.2 50.5 23.2 57.2 18.6 55.6 19.0 48.8 31.8 60.6 * * * * 37.2 100.0 Physical inactivity 8.9 9.4 3.9 * 7.1 7.6 19.4 11.4 7.4 15.3 10.3 4.4 9.3 10.0 8.8 12.6 * * * * 0.0 0.0 Less than 5-a-day 52.8 55.1 49.0 * 55.7 67.9 54.1 43.7 44.1 36.6 61.5 70.8 53.5 41.8 54.7 88.5 * * * * 36.1 84.7

Health Status and Access

to Care

All Adults

Age

Gender

Race/Ethnicity

18-44

45-64

65+

Male

Female

White

Latino

Afr. Amer.

Asian

Other

Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab High blood pressure 29.3 56.4 17.9 * 26.8 40.8 50.8 70.4 25.1 49.7 33.3 62.1 29.0 50.9 28.5 93.0 * * * * 35.2 27.7 High cholesterol 16.9 47.4 11.6 * 21.2 45.2 18.2 42.8 16.5 12.5 17.4 77.1 17.3 54.1 12.2 43.8 * * * * 18.9 7.9 Heart disease 10.9 17.1 3.6 * 4.5 6.9 32.9 24.1 11.0 14.1 10.9 19.7 11.9 15.8 5.3 31.2 * * * * 3.4 0.0 Medicare 26.4 68.0 0.9 * 6.3 23.8 99.0 97.7 25.6 74.6 27.2 62.4 28.6 74.8 13.5 68.9 * * * * 9.1 20.3 Medi-cal 8.0 24.8 10.0 * 5.8 39.6 8.5 9.2 3.4 10.7 12.5 36.8 6.0 23.8 12.2 11.5 * * * * 38.0 55.4 Uninsured 18.3 0.0 35.4 * 12.8 0.0 0.8 0.0 20.8 0.0 15.9 0.0 17.4 0.0 28.4 0.0 * * * * 15.6 0.0 No usual source of care 13.8 0.0 23.2 * 8.7 0.0 7.6 0.0 17.9 0.0 9.8 0.0 13.0 0.0 28.5 0.0 * * * * 0.9 0.0

Alpine County Diabetes Report

Alpine has a total of 1,064 adults; among those 63 have diabetes.

Smaller population counties were aggregated into county groups and shared the same average rates within the county group. See details in the Methodology section. •

(13)

California Diabetes Program

www.caldiabetes.org

Diabetes and Related Care

All Adults

Age

Gender

Race/Ethnicity

18-44

45-64

65+

Male

Female

White

Latino

Afr. Amer.

Asian

Other

Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Population 100.0 36.9 39.2 23.9 49.6 50.4 86.8 8.7 0.0 0.0 4.4 Diagnosed diabetes 5.9 1.1 4.7 15.3 5.5 6.3 4.8 12.7 0.0 0.0 13.7 Annual A1C test 94.8 * 87.4 97.9 94.3 95.2 96.3 93.0 * * 87.6 Annual cholesterol test 100.0 * 100.0 100.0 100.0 100.0 100.0 100.0 * * 100.0 Annual eye exam 83.7 * 81.4 83.1 98.3 71.2 81.7 93.0 * * 80.3 Annual foot exam 64.7 * 60.5 63.1 72.4 58.2 59.5 80.4 * * 72.3 Annual flu shot 61.9 * 46.3 76.5 76.3 49.7 62.6 68.9 * * 44.6

Diabetes Risk Factors

All Adults

Age

Gender

Race/Ethnicity

18-44

45-64

65+

Male

Female

White

Latino

Afr. Amer.

Asian

Other

Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Current smoking 18.7 8.7 27.4 * 19.1 16.9 4.5 5.5 0.0 1.0 17.9 16.1 19.0 7.0 13.0 19.6 * * * * 22.8 0.0 Overweight 35.4 37.8 25.5 * 40.7 22.7 41.9 49.5 42.2 42.8 28.6 33.6 36.9 42.9 24.9 39.4 * * * * 26.2 0.0 Obese 20.9 56.3 25.0 * 21.1 58.6 14.2 50.5 23.2 57.2 18.6 55.6 19.0 48.8 31.8 60.6 * * * * 37.2 100.0 Physical inactivity 8.9 9.4 3.9 * 7.1 7.6 19.4 11.4 7.4 15.3 10.3 4.4 9.3 10.0 8.8 12.6 * * * * 0.0 0.0 Less than 5-a-day 52.8 55.1 49.0 * 55.7 67.9 54.1 43.7 44.1 36.6 61.5 70.8 53.5 41.8 54.7 88.5 * * * * 36.1 84.7

Health Status and Access

to Care

All Adults

Age

Gender

Race/Ethnicity

18-44

45-64

65+

Male

Female

White

Latino

Afr. Amer.

Asian

Other

Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab High blood pressure 29.3 56.4 17.9 * 26.8 40.8 50.8 70.4 25.1 49.7 33.3 62.1 29.0 50.9 28.5 93.0 * * * * 35.2 27.7 High cholesterol 16.9 47.4 11.6 * 21.2 45.2 18.2 42.8 16.5 12.5 17.4 77.1 17.3 54.1 12.2 43.8 * * * * 18.9 7.9 Heart disease 10.9 17.1 3.6 * 4.5 6.9 32.9 24.1 11.0 14.1 10.9 19.7 11.9 15.8 5.3 31.2 * * * * 3.4 0.0 Medicare 26.4 68.0 0.9 * 6.3 23.8 99.0 97.7 25.6 74.6 27.2 62.4 28.6 74.8 13.5 68.9 * * * * 9.1 20.3 Medi-cal 8.0 24.8 10.0 * 5.8 39.6 8.5 9.2 3.4 10.7 12.5 36.8 6.0 23.8 12.2 11.5 * * * * 38.0 55.4 Uninsured 18.3 0.0 35.4 * 12.8 0.0 0.8 0.0 20.8 0.0 15.9 0.0 17.4 0.0 28.4 0.0 * * * * 15.6 0.0 No usual source of care 13.8 0.0 23.2 * 8.7 0.0 7.6 0.0 17.9 0.0 9.8 0.0 13.0 0.0 28.5 0.0 * * * * 0.9 0.0

Amador County Diabetes Report

(14)

California Diabetes Program

www.caldiabetes.org

California Diabetes Program. (2009). Diabetes in California Counties. Sacramento, CA: California Diabetes Program, California Department of Public Health; University of California San Francisco, Institute for Health and Aging.

Estimates are based on the 2005 California Health Interview Survey. Refer to the Methodology section for a full explanation of the data and methods used.

A blank cell indicates that no statistics are provided. A cell with “*” indicates that no statistically reliable estimates are available for the subpopulation due to sample size limitations. The numbers in the table are estimated percents.

• • • Diabetes prevalence rate includes diagnosed type 1 and type 2 diabetes.

GEN=General adult population; DIAB=Adult population with diagnosed diabetes. Less-than-5-A-Day refers to the consumption of 4 or less fruits and vegetables per day. •

• •

Diabetes in California Counties

Diabetes and Related Care

All Adults

Age

Gender

Race/Ethnicity

18-44

45-64

65+

Male

Female

White

Latino

Afr. Amer.

Asian

Other

Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Population 100.0 45.4 33.3 21.3 48.1 51.9 82.6 10.9 1.5 1.1 4.0 Diagnosed diabetes 9.7 3.4 13.6 16.8 14.4 5.2 6.9 23.8 57.9 0.0 13.8 Annual A1C test 83.4 46.5 98.0 80.9 87.8 72.2 85.2 92.6 38.1 * * Annual cholesterol test 95.4 87.7 100.0 93.0 100.0 83.7 95.6 92.6 100.0 * * Annual eye exam 65.8 54.3 62.2 75.2 60.4 79.6 80.4 15.3 100.0 * * Annual foot exam 61.3 62.0 48.7 76.9 61.2 61.6 76.2 7.7 100.0 * * Annual flu shot 40.3 7.7 25.6 73.2 41.5 37.4 64.1 7.7 0.0 * *

Diabetes Risk Factors

All Adults

Age

Gender

Race/Ethnicity

18-44

45-64

65+

Male

Female

White

Latino

Afr. Amer.

Asian

Other

Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Current smoking 17.0 6.5 18.8 0.0 20.8 8.6 7.1 6.8 16.6 3.5 17.3 14.3 18.2 8.1 3.5 0.0 28.9 20.6 0.0 * 29.9 * Overweight 32.8 25.0 33.8 11.5 28.3 13.4 37.4 45.6 35.5 18.3 30.2 42.2 33.8 41.6 28.4 0.0 3.4 0.0 12.5 * 38.3 * Obese 23.9 63.4 22.9 88.5 30.3 69.5 15.9 44.8 28.2 71.0 19.9 44.0 20.5 50.5 47.0 100.0 67.7 79.4 0.0 * 21.4 * Physical inactivity 13.9 36.2 7.0 9.3 17.8 51.9 22.8 27.9 14.5 33.1 13.5 44.0 12.9 27.3 22.2 69.4 27.1 17.5 0.0 * 11.4 * Less than 5-a-day 51.6 50.1 54.0 88.5 48.8 40.1 50.7 46.1 46.7 48.2 56.0 55.0 52.8 50.2 43.9 50.0 51.2 82.5 12.5 * 57.8 *

Health Status and Access

to Care

All Adults

Age

Gender

Race/Ethnicity

18-44

45-64

65+

Male

Female

White

Latino

Afr. Amer.

Asian

Other

Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab High blood pressure 28.8 55.6 14.2 54.3 29.5 41.9 59.1 73.3 28.9 47.0 28.8 77.6 29.5 78.7 17.5 0.0 96.6 100.0 27.8 * 22.1 * High cholesterol 23.3 24.0 18.4 11.5 30.8 31.3 21.8 20.2 20.4 16.6 25.9 43.0 23.5 31.7 9.8 7.5 60.7 38.1 34.2 * 37.6 * Heart disease 7.4 23.9 0.6 12.3 6.9 21.3 22.7 32.3 6.9 17.3 7.8 40.7 7.7 33.7 1.8 7.4 10.1 17.5 0.0 * 18.3 * Medicare 26.4 58.9 1.3 9.3 14.8 45.8 97.8 96.9 23.3 56.7 29.2 64.4 27.1 64.8 20.8 69.7 27.1 17.5 27.8 * 25.6 * Medi-cal 15.4 45.5 14.0 55.1 18.6 58.1 13.6 25.3 14.7 47.4 16.1 40.4 12.9 27.5 30.5 76.8 57.9 100.0 27.8 * 7.9 * Uninsured 20.1 4.3 33.4 20.0 14.4 2.4 0.6 0.0 24.1 0.0 16.3 15.4 19.8 4.0 24.7 7.4 3.4 0.0 0.0 * 24.4 * No usual source of care 14.0 0.0 24.6 0.0 7.7 0.0 1.2 0.0 19.7 0.0 8.6 0.0 13.4 0.0 22.7 0.0 21.8 0.0 0.0 * 2.6 *

Butte County Diabetes Report

(15)

California Diabetes Program

www.caldiabetes.org

Diabetes and Related Care

All Adults

Age

Gender

Race/Ethnicity

18-44

45-64

65+

Male

Female

White

Latino

Afr. Amer.

Asian

Other

Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Population 100.0 36.9 39.2 23.9 49.6 50.4 86.8 8.7 0.0 0.0 4.4 Diagnosed diabetes 5.9 1.1 4.7 15.3 5.5 6.3 4.8 12.7 0.0 0.0 13.7 Annual A1C test 94.8 * 87.4 97.9 94.3 95.2 96.3 93.0 * * 87.6 Annual cholesterol test 100.0 * 100.0 100.0 100.0 100.0 100.0 100.0 * * 100.0 Annual eye exam 83.7 * 81.4 83.1 98.3 71.2 81.7 93.0 * * 80.3 Annual foot exam 64.7 * 60.5 63.1 72.4 58.2 59.5 80.4 * * 72.3 Annual flu shot 61.9 * 46.3 76.5 76.3 49.7 62.6 68.9 * * 44.6

Diabetes Risk Factors

All Adults

Age

Gender

Race/Ethnicity

18-44

45-64

65+

Male

Female

White

Latino

Afr. Amer.

Asian

Other

Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Current smoking 18.7 8.7 27.4 * 19.1 16.9 4.5 5.5 19.5 0.0 17.9 16.1 19.0 7.0 13.0 19.6 * * * * 22.8 0.0 Overweight 35.4 37.8 25.5 * 40.7 22.7 41.9 49.5 42.2 42.8 28.6 33.6 36.9 42.9 24.9 39.4 * * * * 26.2 0.0 Obese 20.9 56.3 25.0 * 21.1 58.6 14.2 50.5 23.2 57.2 18.6 55.6 19.0 48.8 31.8 60.6 * * * * 37.2 100.0 Physical inactivity 8.9 9.4 3.9 * 7.1 7.6 19.4 11.4 7.4 15.3 10.3 4.4 9.3 10.0 8.8 12.6 * * * * 0.0 0.0 Less than 5-a-day 52.8 55.1 49.0 * 55.7 67.9 54.1 43.7 44.1 36.6 61.5 70.8 53.5 41.8 54.7 88.5 * * * * 36.1 84.7

Health Status and Access

to Care

All Adults

Age

Gender

Race/Ethnicity

18-44

45-64

65+

Male

Female

White

Latino

Afr. Amer.

Asian

Other

Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab High blood pressure 29.3 56.4 17.9 * 26.8 40.8 50.8 70.4 25.1 49.7 33.3 62.1 29.0 50.9 28.5 93.0 * * * * 35.2 27.7 High cholesterol 16.9 47.4 11.6 * 21.2 45.2 18.2 42.8 16.5 12.5 17.4 77.1 17.3 54.1 12.2 43.8 * * * * 18.9 7.9 Heart disease 10.9 17.1 3.6 * 4.5 6.9 32.9 24.1 11.0 14.1 10.9 19.7 11.9 15.8 5.3 31.2 * * * * 3.4 0.0 Medicare 26.4 68.0 0.9 * 6.3 23.8 99.0 97.7 25.6 74.6 27.2 62.4 28.6 74.8 13.5 68.9 * * * * 9.1 20.3 Medi-cal 8.0 24.8 10.0 * 5.8 39.6 8.5 9.2 3.4 10.7 12.5 36.8 6.0 23.8 12.2 11.5 * * * * 38.0 55.4 Uninsured 18.3 0.0 35.4 * 12.8 0.0 0.8 0.0 20.8 0.0 15.9 0.0 17.4 0.0 28.4 0.0 * * * * 15.6 0.0 No usual source of care 13.8 0.0 23.2 * 8.7 0.0 7.6 0.0 17.9 0.0 9.8 0.0 13.0 0.0 28.5 0.0 * * * * 0.9 0.0

Calaveras County Diabetes Report

(16)

10

California Diabetes Program

www.caldiabetes.org

California Diabetes Program. (2009). Diabetes in California Counties. Sacramento, CA: California Diabetes Program, California Department of Public Health; University of California San Francisco, Institute for Health and Aging.

Estimates are based on the 2005 California Health Interview Survey. Refer to the Methodology section for a full explanation of the data and methods used.

A blank cell indicates that no statistics are provided. A cell with “*” indicates that no statistically reliable estimates are available for the subpopulation due to sample size limitations. The numbers in the table are estimated percents.

• • • Diabetes prevalence rate includes diagnosed type 1 and type 2 diabetes.

GEN=General adult population; DIAB=Adult population with diagnosed diabetes. Less-than-5-A-Day refers to the consumption of 4 or less fruits and vegetables per day. •

• •

Diabetes in California Counties

10 11

Diabetes and Related Care

All Adults

Age

Gender

Race/Ethnicity

18-44

45-64

65+

Male

Female

White

Latino

Afr. Amer.

Asian

Other

Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Population 100.0 46.5 31.3 22.1 49.4 50.6 73.0 20.8 0.8 1.6 3.8 Diagnosed diabetes 9.4 3.2 13.8 16.2 9.1 9.8 8.0 9.2 20.9 24.1 28.7 Annual A1C test 84.9 100.0 85.9 77.4 78.5 90.7 92.1 49.7 * * 100.0 Annual cholesterol test 89.7 100.0 82.4 94.2 84.4 94.5 97.9 68.1 * * 91.8 Annual eye exam 68.8 38.4 76.1 72.6 82.8 56.1 73.9 54.1 * * 51.3 Annual foot exam 60.0 90.5 44.1 66.6 53.3 66.1 57.8 68.1 * * 73.8 Annual flu shot 49.2 9.5 32.2 86.2 43.2 54.7 54.2 26.0 * * 59.8

Diabetes Risk Factors

All Adults

Age

Gender

Race/Ethnicity

18-44

45-64

65+

Male

Female

White

Latino

Afr. Amer.

Asian

Other

Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Current smoking 23.7 16.5 27.7 21.4 24.3 14.8 14.3 16.6 24.8 16.1 22.5 17.0 25.2 13.7 19.1 22.1 0.0 * 14.9 * 28.6 8.2 Overweight 32.7 30.6 27.9 24.2 39.3 39.6 33.7 22.3 44.9 29.5 20.8 31.5 33.1 22.1 27.3 7.3 53.4 * 45.0 * 47.2 82.0 Obese 33.0 48.4 33.1 44.9 41.6 55.6 20.7 41.0 33.4 50.3 32.6 46.5 29.9 44.0 43.4 92.7 46.6 * 45.8 * 27.2 18.0 Physical inactivity 18.7 20.4 13.1 0.0 21.5 11.1 26.4 39.9 23.4 22.9 14.0 18.0 17.0 19.8 20.3 18.4 67.5 * 24.1 * 29.9 0.0 Less than 5-a-day 53.5 49.0 62.5 30.7 44.6 53.5 47.2 51.2 49.0 54.2 57.9 44.4 56.0 63.3 51.8 11.2 20.9 * 33.3 * 30.2 12.4

Health Status and Access

to Care

All Adults

Age

Gender

Race/Ethnicity

18-44

45-64

65+

Male

Female

White

Latino

Afr. Amer.

Asian

Other

Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab High blood pressure 27.5 46.0 13.1 0.0 31.5 44.9 52.2 66.5 25.1 39.3 29.8 52.1 29.8 53.8 17.9 26.0 46.6 * 45.0 * 24.3 40.2 High cholesterol 24.9 46.8 17.2 29.1 37.1 74.8 23.9 20.3 28.5 54.7 21.4 39.5 24.6 33.3 22.4 65.0 0.0 * 35.8 * 44.1 88.9 Heart disease 9.8 20.1 3.8 0.0 7.8 11.8 25.5 38.5 12.2 28.9 7.5 12.1 11.5 28.2 2.8 0.0 46.6 * 0.0 * 13.8 22.2 Medicare 24.8 44.8 1.4 0.0 7.7 21.4 98.1 91.7 24.0 43.9 25.6 45.7 29.9 49.5 7.5 26.0 20.9 * 0.0 * 33.5 61.2 Medi-cal 17.9 36.7 21.0 61.6 14.3 31.6 16.7 32.7 17.9 20.8 18.0 51.2 15.1 28.2 18.9 45.9 67.5 * 66.7 * 35.4 71.0 Uninsured 29.0 13.3 45.3 44.9 24.9 13.5 0.5 0.0 34.5 13.5 23.6 13.1 22.2 10.0 51.5 34.8 46.6 * 66.7 * 15.2 0.0 No usual source of care 15.6 0.0 24.3 0.0 11.3 0.0 3.7 0.0 21.1 0.0 10.3 0.0 12.1 0.0 30.8 0.0 0.0 * 9.2 * 6.8 0.0

Colusa County Diabetes Report

Colusa has a total of 15,210 adults; among those 1,430 have diabetes.

Smaller population counties were aggregated into county groups and shared the same average rates within the county group. See details in the Methodology section. •

(17)

California Diabetes Program

www.caldiabetes.org

Diabetes and Related Care

All Adults

Age

Gender

Race/Ethnicity

18-44

45-64

65+

Male

Female

White

Latino

Afr. Amer.

Asian

Other

Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Population 100.0 50.3 34.7 15.0 48.5 51.5 58.9 18.6 8.8 11.0 2.8 Diagnosed diabetes 5.3 2.4 4.1 17.5 6.1 4.5 3.3 6.2 5.3 14.3 4.5 Annual A1C test 75.0 60.1 88.5 74.6 62.5 90.8 89.0 75.2 100.0 48.2 * Annual cholesterol test 93.1 100.0 84.5 94.5 95.2 90.4 90.2 85.0 100.0 100.0 * Annual eye exam 86.4 76.4 72.6 98.5 90.2 81.6 86.0 75.2 100.0 93.6 * Annual foot exam 59.6 23.7 68.0 71.6 53.9 66.7 61.7 37.1 100.0 58.3 * Annual flu shot 75.0 77.5 45.3 89.8 75.4 74.5 73.3 85.0 64.6 74.2 *

Diabetes Risk Factors

All Adults

Age

Gender

Race/Ethnicity

18-44

45-64

65+

Male

Female

White

Latino

Afr. Amer.

Asian

Other

Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Current smoking 13.2 7.9 17.6 15.3 10.4 8.6 4.8 4.1 15.5 10.0 11.0 5.3 11.5 9.1 17.4 16.1 19.3 0.0 7.5 0.0 24.6 * Overweight 34.6 26.8 31.0 62.1 39.8 30.5 34.4 8.3 42.9 31.7 26.8 20.5 35.5 22.8 35.9 48.3 30.8 0.0 24.4 25.8 58.5 * Obese 24.9 49.3 23.6 37.9 28.7 61.1 20.9 48.1 24.5 44.7 25.4 55.1 22.7 67.2 33.6 51.7 48.0 100.0 4.6 6.4 21.9 * Physical inactivity 12.0 40.1 8.9 30.3 9.8 28.9 27.0 50.6 12.8 53.4 11.2 23.3 10.6 30.0 9.5 52.0 20.2 0.0 17.8 58.8 8.7 * Less than 5-a-day 50.9 49.8 54.0 23.6 47.3 46.1 48.8 63.9 41.3 45.7 59.9 54.9 48.2 55.5 48.6 46.5 66.7 13.8 58.1 55.1 44.8 *

Health Status and Access

to Care

All Adults

Age

Gender

Race/Ethnicity

18-44

45-64

65+

Male

Female

White

Latino

Afr. Amer.

Asian

Other

Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab High blood pressure 30.4 69.8 15.7 55.3 37.3 43.1 63.7 91.0 31.7 71.7 29.1 67.5 31.6 72.2 24.9 70.5 40.3 57.1 27.5 67.8 21.7 * High cholesterol 19.5 24.2 16.7 22.6 20.4 24.1 27.0 25.0 18.0 12.4 21.0 39.1 19.5 34.5 18.7 15.5 21.4 43.3 20.0 6.4 18.7 * Heart disease 6.4 29.5 0.5 0.0 4.9 12.1 29.4 52.5 7.6 27.1 5.2 32.5 7.2 26.2 1.0 0.0 4.3 0.0 12.8 58.3 4.5 * Medicare 16.0 56.4 1.3 15.3 3.1 21.5 95.3 94.3 15.6 58.3 16.4 54.0 20.0 68.5 8.3 42.8 8.4 0.0 15.7 64.6 6.8 * Medi-cal 8.7 27.6 8.3 0.0 6.0 13.3 16.3 48.2 9.0 29.1 8.5 25.8 5.7 24.3 8.8 5.1 21.9 0.0 15.2 55.1 4.3 * Uninsured 14.8 6.6 21.9 28.6 10.6 0.0 0.7 0.0 12.8 6.3 16.7 7.0 7.5 3.8 36.3 23.7 24.0 0.0 9.5 0.0 18.5 * No usual source of care 8.4 0.7 12.9 0.0 4.1 0.0 3.4 1.5 9.9 1.3 7.1 0.0 3.5 2.0 23.3 0.0 10.1 0.0 8.2 0.0 9.0 *

Contra Costa County Diabetes Report

(18)

12

California Diabetes Program

www.caldiabetes.org

California Diabetes Program. (2009). Diabetes in California Counties. Sacramento, CA: California Diabetes Program, California Department of Public Health; University of California San Francisco, Institute for Health and Aging.

Estimates are based on the 2005 California Health Interview Survey. Refer to the Methodology section for a full explanation of the data and methods used.

A blank cell indicates that no statistics are provided. A cell with “*” indicates that no statistically reliable estimates are available for the subpopulation due to sample size limitations. The numbers in the table are estimated percents.

• • • Diabetes prevalence rate includes diagnosed type 1 and type 2 diabetes.

GEN=General adult population; DIAB=Adult population with diagnosed diabetes. Less-than-5-A-Day refers to the consumption of 4 or less fruits and vegetables per day. •

• •

Diabetes in California Counties

12 13

Diabetes and Related Care

All Adults

Age

Gender

Race/Ethnicity

18-44

45-64

65+

Male

Female

White

Latino

Afr. Amer.

Asian

Other

Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Population 100.0 38.4 38.5 236.1 48.7 51.3 87.0 4.9 0.2 2.6 5.3 Diagnosed diabetes 5.6 1.6 5.1 13.2 6.7 4.6 6.3 3.4 * 0.0 0.0 Annual A1C test 78.3 * 75.8 75.5 76.6 80.6 79.4 * * * * Annual cholesterol test 93.7 * 82.0 100.0 89.2 100.0 93.5 * * * * Annual eye exam 67.7 * 52.7 70.7 70.4 63.9 66.7 * * * * Annual foot exam 37.3 * 72.6 22.1 42.7 29.8 35.3 * * * * Annual flu shot 44.3 * 32.6 61.0 52.4 33.2 45.7 * * * *

Diabetes Risk Factors

All Adults

Age

Gender

Race/Ethnicity

18-44

45-64

65+

Male

Female

White

Latino

Afr. Amer.

Asian

Other

Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Current smoking 21.1 23.2 32.2 * 14.6 20.9 13.5 29.5 18.7 18.0 23.4 30.5 20.8 24.0 16.5 * * * 0.0 * 37.1 * Overweight 35.1 37.8 38.5 * 39.9 9.2 21.3 43.5 46.3 37.5 24.4 38.1 37.4 39.0 28.3 * * * 0.0 * 18.1 * Obese 24.0 59.8 24.8 * 23.1 84.0 24.2 56.5 24.7 58.4 23.3 61.9 21.0 58.6 35.0 * * * 43.6 * 54.7 * Physical inactivity 15.4 26.1 10.7 * 13.2 16.3 27.1 37.8 10.1 13.1 20.5 44.1 14.4 26.9 19.7 * * * 37.9 * 14.6 * Less than 5-a-day 48.9 50.5 49.2 * 52.0 58.8 43.4 55.5 43.8 32.3 53.8 75.8 51.0 50.7 41.1 * * * 0.0 * 43.6 *

Health Status and Access

to Care

All Adults

Age

Gender

Race/Ethnicity

18-44

45-64

65+

Male

Female

White

Latino

Afr. Amer.

Asian

Other

Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab High blood pressure 33.1 66.4 20.2 * 35.4 67.9 50.7 79.1 33.0 55.6 33.2 81.4 32.1 68.5 24.5 * * * 43.6 * 49.2 * High cholesterol 28.0 50.9 28.0 * 33.0 41.5 19.6 46.8 25.5 41.1 30.3 64.5 27.9 49.4 16.1 * * * 43.6 * 33.9 * Heart disease 8.9 26.7 3.9 * 6.2 16.3 21.8 38.9 7.6 29.3 10.2 23.1 9.3 27.5 3.6 * * * 0.0 * 11.6 * Medicare 27.1 64.2 0.0 * 10.3 29.1 100.0 100.0 20.6 52.5 33.2 80.4 28.6 64.9 7.7 * * * 37.9 * 15.4 * Medi-cal 16.8 20.2 20.6 * 11.7 34.7 18.7 15.0 16.7 22.2 16.8 17.4 15.9 20.8 35.5 * * * 0.0 * 18.1 * Uninsured 15.3 7.6 25.6 * 13.8 21.7 0.5 0.0 15.1 13.0 15.5 0.0 14.3 7.8 26.6 * * * 0.0 * 28.3 * No usual source of care 6.9 14.7 6.6 * 8.2 15.1 5.1 17.5 6.6 6.1 7.1 26.7 7.3 13.4 10.9 * * * 0.0 * 0.0 *

Del Norte County Diabetes Report

Del Norte has a total of 23,018 adults; among those 1,289 have diabetes.

Smaller population counties were aggregated into county groups and shared the same average rates within the county group. See details in the Methodology section. •

(19)

California Diabetes Program

www.caldiabetes.org

Diabetes and Related Care

All Adults

Age

Gender

Race/Ethnicity

18-44

45-64

65+

Male

Female

White

Latino

Afr. Amer.

Asian

Other

Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Population 100.0 41.0 42.1 16.9 49.3 50.7 87.3 8.8 1.1 0.5 2.3 Diagnosed diabetes 5.6 1.7 4.4 18.3 7.7 3.6 5.8 0.0 43.8 0.0 6.4 Annual A1C test 90.3 * 93.3 93.3 94.2 81.9 89.1 * * * * Annual cholesterol test 87.2 * 73.0 100.0 90.6 80.0 85.6 * * * * Annual eye exam 65.8 * 66.4 64.9 66.6 64.2 61.6 * * * * Annual foot exam 66.8 * 71.9 78.4 64.8 70.9 72.0 * * * * Annual flu shot 57.1 * 26.0 88.5 58.9 53.4 61.1 * * * *

Diabetes Risk Factors

All Adults

Age

Gender

Race/Ethnicity

18-44

45-64

65+

Male

Female

White

Latino

Afr. Amer.

Asian

Other

Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Current smoking 14.8 7.8 17.4 * 15.7 18.5 6.4 3.1 13.2 2.5 16.4 18.9 15.0 8.8 9.4 * 30.0 * 0.0 * 25.3 * Overweight 39.4 31.8 33.4 * 45.1 36.2 39.4 36.2 50.2 31.7 28.9 32.1 38.5 35.7 44.2 * 39.0 * 32.6 * 54.5 * Obese 17.7 49.8 16.7 * 16.7 45.3 22.5 41.4 15.7 55.9 19.5 37.0 16.6 43.7 25.9 * 43.8 * 0.0 * 18.6 * Physical inactivity 11.2 26.9 7.2 * 10.6 8.6 22.2 43.8 8.9 17.4 13.4 46.8 10.3 30.2 22.4 * 0.0 * 0.0 * 9.8 * Less than 5-a-day 47.3 31.7 51.1 * 44.8 18.5 44.2 31.7 38.2 24.6 56.1 46.8 49.2 26.4 32.8 * 43.8 * 47.1 * 32.8 *

Health Status and Access

to Care

All Adults

Age

Gender

Race/Ethnicity

18-44

45-64

65+

Male

Female

White

Latino

Afr. Amer.

Asian

Other

Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab High blood pressure 25.8 61.2 8.2 * 30.2 76.6 57.4 65.4 29.6 57.9 22.0 68.0 25.8 65.7 27.1 * 31.5 * 20.3 * 18.6 * High cholesterol 23.2 40.7 20.0 * 22.8 37.7 31.9 36.4 22.1 28.6 24.2 66.0 21.1 36.4 35.6 * 52.8 * 11.7 * 44.2 * Heart disease 9.5 35.2 0.3 * 10.7 42.3 29.2 38.7 12.4 32.8 6.8 40.4 9.9 39.5 9.5 * 0.0 * 0.0 * 2.4 * Medicare 18.4 56.7 0.0 * 4.8 8.6 96.8 98.2 17.5 56.3 19.2 57.5 19.6 60.7 6.0 * 32.9 * 20.3 * 12.3 * Medi-cal 9.6 11.2 16.2 * 3.2 9.0 9.6 0.0 9.4 16.6 9.8 0.0 7.3 3.3 28.7 * 43.8 * 35.4 * 0.0 * Uninsured 11.8 10.6 18.0 * 9.5 20.4 2.2 0.0 16.1 6.1 7.5 20.0 10.3 11.9 27.2 * 0.0 * 0.0 * 16.8 * No usual source of care 8.0 3.9 12.2 * 5.7 0.0 3.4 0.0 9.8 0.0 6.2 11.9 7.2 4.3 16.6 * 0.0 * 0.0 * 9.1 *

El Dorado County Diabetes Report

(20)

14

California Diabetes Program

www.caldiabetes.org

California Diabetes Program. (2009). Diabetes in California Counties. Sacramento, CA: California Diabetes Program, California Department of Public Health; University of California San Francisco, Institute for Health and Aging.

Estimates are based on the 2005 California Health Interview Survey. Refer to the Methodology section for a full explanation of the data and methods used.

A blank cell indicates that no statistics are provided. A cell with “*” indicates that no statistically reliable estimates are available for the subpopulation due to sample size limitations. The numbers in the table are estimated percents.

• • • Diabetes prevalence rate includes diagnosed type 1 and type 2 diabetes.

GEN=General adult population; DIAB=Adult population with diagnosed diabetes. Less-than-5-A-Day refers to the consumption of 4 or less fruits and vegetables per day. •

• •

Diabetes in California Counties

14 15

Diabetes and Related Care

All Adults

Age

Gender

Race/Ethnicity

18-44

45-64

65+

Male

Female

White

Latino

Afr. Amer.

Asian

Other

Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Population 100.0 57.0 29.7 13.3 49.2 50.8 42.1 43.3 2.6 10.3 1.8 Diagnosed diabetes 7.8 1.9 10.8 26.7 10.3 5.5 7.4 7.8 1.9 10.8 10.7 Annual A1C test 81.5 51.2 74.8 96.8 78.6 86.6 88.9 67.2 * 100.0 100.0 Annual cholesterol test 93.4 69.6 100.0 94.8 96.3 88.2 89.3 94.6 * 100.0 100.0 Annual eye exam 65.4 34.4 77.1 64.3 68.9 59.0 65.1 51.9 * 100.0 100.0 Annual foot exam 76.3 73.3 73.0 80.2 79.4 70.7 64.9 78.5 * 100.0 78.8 Annual flu shot 64.9 15.5 62.3 82.5 66.3 62.5 56.4 61.7 * 100.0 75.0

Diabetes Risk Factors

All Adults

Age

Gender

Race/Ethnicity

18-44

45-64

65+

Male

Female

White

Latino

Afr. Amer.

Asian

Other

Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Current smoking 20.2 17.4 18.2 32.4 28.3 19.5 10.4 10.8 24.3 12.9 16.1 25.5 24.9 34.4 17.0 6.0 14.8 * 10.9 0.0 44.5 21.2 Overweight 34.8 40.9 31.3 22.0 37.4 49.6 43.8 38.7 49.3 52.8 20.7 19.4 32.4 35.5 36.9 40.6 54.1 * 34.3 65.5 14.8 0.0 Obese 23.0 41.3 20.5 48.9 28.8 35.7 21.0 44.0 20.6 26.1 25.4 68.6 26.3 47.3 24.7 46.7 17.0 * 0.0 0.0 47.4 100.0 Physical inactivity 11.2 10.0 9.3 0.0 15.1 12.3 10.9 11.0 12.9 10.2 9.6 9.6 13.3 24.0 10.9 0.0 10.3 * 4.0 0.0 11.6 21.2 Less than 5-a-day 52.5 57.6 54.5 52.1 48.3 54.2 53.5 62.5 42.7 51.1 62.0 69.5 53.6 59.0 50.5 50.1 57.6 * 52.9 81.3 66.4 46.2

Health Status and Access

to Care

All Adults

Age

Gender

Race/Ethnicity

18-44

45-64

65+

Male

Female

White

Latino

Afr. Amer.

Asian

Other

Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab High blood pressure 23.7 71.7 9.6 38.9 35.1 72.4 58.7 81.1 23.9 73.2 23.4 68.9 34.3 74.1 12.9 59.6 30.5 * 23.2 100.0 25.5 100.0 High cholesterol 18.2 23.7 15.2 35.2 22.4 23.9 21.5 19.9 18.2 16.9 18.2 35.9 20.7 22.9 17.8 31.2 19.3 * 10.2 0.0 12.9 21.2 Heart disease 5.4 26.3 0.9 0.0 5.1 13.9 25.7 45.6 6.9 33.3 4.0 13.7 7.2 13.5 4.1 29.9 0.0 * 5.8 53.3 2.9 21.2 Medicare 13.3 50.9 0.7 0.0 4.1 22.2 88.0 92.6 12.8 49.4 13.8 53.5 21.5 60.5 6.1 39.6 8.3 * 10.0 61.5 22.5 21.2 Medi-cal 17.8 27.9 22.5 18.9 7.7 25.9 20.6 32.5 15.3 22.1 20.3 38.5 6.4 25.7 30.8 38.5 33.8 * 7.2 0.0 11.7 21.2 Uninsured 31.2 11.5 43.9 0.0 19.9 23.5 1.7 4.1 34.6 13.8 27.8 7.4 20.2 4.7 44.1 19.4 15.7 * 25.1 0.0 32.1 53.8 No usual source of care 18.0 0.0 24.7 0.0 13.2 0.0 0.3 0.0 21.5 0.0 14.6 0.0 10.6 0.0 27.9 0.0 12.9 * 11.1 0.0 0.0 0.0

Fresno County Diabetes Report

(21)

California Diabetes Program

www.caldiabetes.org

Diabetes and Related Care

All Adults

Age

Gender

Race/Ethnicity

18-44

45-64

65+

Male

Female

White

Latino

Afr. Amer.

Asian

Other

Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Population 100.0 46.5 31.3 22.1 49.4 50.6 73.0 20.8 0.8 1.6 3.8 Diagnosed diabetes 9.4 3.2 13.8 16.2 9.1 9.8 8.0 9.2 20.9 24.1 28.7 Annual A1C test 84.9 100.0 85.9 77.4 78.5 90.7 92.1 49.7 * * 100.0 Annual cholesterol test 89.7 100.0 82.4 94.2 84.4 94.5 97.9 68.1 * * 91.8 Annual eye exam 68.8 38.4 76.1 72.6 82.8 56.1 73.9 54.1 * * 51.3 Annual foot exam 60.0 90.5 44.1 66.6 53.3 66.1 57.8 68.1 * * 73.8 Annual flu shot 49.2 9.5 32.2 86.2 43.2 54.7 54.2 26.0 * * 59.8

Diabetes Risk Factors

All Adults

Age

Gender

Race/Ethnicity

18-44

45-64

65+

Male

Female

White

Latino

Afr. Amer.

Asian

Other

Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Current smoking 23.7 16.5 27.7 21.4 24.3 14.8 14.3 16.6 24.8 16.1 22.5 17.0 25.2 13.7 19.1 22.1 0.0 * 14.9 * 28.6 8.2 Overweight 32.7 30.6 27.9 24.2 39.3 39.6 33.7 22.3 44.9 29.5 20.8 31.5 33.1 22.1 27.3 7.3 53.4 * 45.0 * 47.2 82.0 Obese 33.0 48.4 33.1 44.9 41.6 55.6 20.7 41.0 33.4 50.3 32.6 46.5 29.9 44.0 43.4 92.7 46.6 * 45.8 * 27.2 18.0 Physical inactivity 18.7 20.4 13.1 0.0 21.5 11.1 26.4 39.9 23.4 22.9 14.0 18.0 17.0 19.8 20.3 18.4 67.5 * 24.1 * 29.9 0.0 Less than 5-a-day 53.5 49.0 62.5 30.7 44.6 53.5 47.2 51.2 49.0 54.2 57.9 44.4 56.0 63.3 51.8 11.2 20.9 * 33.3 * 30.2 12.4

Health Status and Access

to Care

All Adults

Age

Gender

Race/Ethnicity

18-44

45-64

65+

Male

Female

White

Latino

Afr. Amer.

Asian

Other

Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab High blood pressure 27.5 46.0 13.1 0.0 31.5 44.9 52.2 66.5 25.1 39.3 29.8 52.1 29.8 53.8 17.9 26.0 46.6 * 45.0 * 24.3 40.2 High cholesterol 24.9 46.8 17.2 29.1 37.1 74.8 23.9 20.3 28.5 54.7 21.4 39.5 24.6 33.3 22.4 65.0 0.0 * 35.8 * 44.1 88.9 Heart disease 9.8 20.1 3.8 0.0 7.8 11.8 25.5 38.5 12.2 28.9 7.5 12.1 11.5 28.2 2.8 0.0 46.6 * 0.0 * 13.8 22.2 Medicare 24.8 44.8 1.4 0.0 7.7 21.4 98.1 91.7 24.0 43.9 25.6 45.7 29.9 49.5 7.5 26.0 20.9 * 0.0 * 33.5 61.2 Medi-cal 17.9 36.7 21.0 61.6 14.3 31.6 16.7 32.7 17.9 20.8 18.0 51.2 15.1 28.2 18.9 45.9 67.5 * 66.7 * 35.4 71.0 Uninsured 29.0 13.3 45.3 44.9 24.9 13.5 0.5 0.0 34.5 13.5 23.6 13.1 22.2 10.0 51.5 34.8 46.6 * 66.7 * 15.2 0.0 No usual source of care 15.6 0.0 24.3 0.0 11.3 0.0 3.7 0.0 21.1 0.0 10.3 0.0 12.1 0.0 30.8 0.0 0.0 * 9.2 * 6.8 0.0

Glen County Diabetes Report

(22)

1

California Diabetes Program

www.caldiabetes.org

California Diabetes Program. (2009). Diabetes in California Counties. Sacramento, CA: California Diabetes Program, California Department of Public Health; University of California San Francisco, Institute for Health and Aging.

Estimates are based on the 2005 California Health Interview Survey. Refer to the Methodology section for a full explanation of the data and methods used.

A blank cell indicates that no statistics are provided. A cell with “*” indicates that no statistically reliable estimates are available for the subpopulation due to sample size limitations. The numbers in the table are estimated percents.

• • • Diabetes prevalence rate includes diagnosed type 1 and type 2 diabetes.

GEN=General adult population; DIAB=Adult population with diagnosed diabetes. Less-than-5-A-Day refers to the consumption of 4 or less fruits and vegetables per day. •

• •

Diabetes in California Counties

1 1

Diabetes and Related Care

All Adults

Age

Gender

Race/Ethnicity

18-44

45-64

65+

Male

Female

White

Latino

Afr. Amer.

Asian

Other

Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Population 100.0 52.8 32.0 15.2 48.9 51.1 84.8 5.8 0.3 2.7 6.5 Diagnosed diabetes 6.1 2.7 7.4 15.2 5.5 6.7 6.1 8.5 * 0.0 7.4 Annual A1C test 75.2 90.9 61.3 80.0 58.6 88.4 73.8 71.5 * * 95.2 Annual cholesterol test 93.0 100.0 89.1 92.7 94.0 92.2 92.1 100.0 * * 95.2 Annual eye exam 73.9 66.8 77.1 75.0 70.8 76.4 71.7 71.5 * * 100.0 Annual foot exam 42.2 46.4 28.9 53.2 43.5 41.1 35.6 77.0 * * 77.1 Annual flu shot 46.9 42.9 46.8 49.4 44.2 49.0 45.1 28.5 * * 84.8

Diabetes Risk Factors

All Adults

Age

Gender

Race/Ethnicity

18-44

45-64

65+

Male

Female

White

Latino

Afr. Amer.

Asian

Other

Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Current smoking 19.3 15.9 22.3 19.5 20.2 27.0 7.0 2.3 20.5 20.8 18.1 12.1 19.3 15.7 15.3 28.5 * * 0.0 * 31.7 5.5 Overweight 38.2 34.9 36.1 37.0 39.0 30.3 43.9 38.4 45.0 27.7 31.7 40.6 37.3 33.9 46.7 51.5 * * 45.8 * 40.9 28.4 Obese 20.2 55.9 15.6 50.5 26.6 63.3 23.3 51.6 21.2 67.3 19.3 46.8 20.3 55.6 16.9 48.5 * * 0.0 * 31.3 66.7 Physical inactivity 8.6 18.1 5.5 8.9 10.2 22.6 16.0 19.1 8.4 19.5 8.8 17.0 9.2 21.5 5.4 0.0 * * 0.0 * 8.4 0.0 Less than 5-a-day 45.9 50.3 41.5 39.2 50.6 59.5 51.4 47.5 37.1 41.1 54.4 57.5 48.0 54.1 32.1 0.0 * * 20.3 * 42.3 60.4

Health Status and Access

to Care

All Adults

Age

Gender

Race/Ethnicity

18-44

45-64

65+

Male

Female

White

Latino

Afr. Amer.

Asian

Other

Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab Gen Diab High blood pressure 26.2 60.9 14.3 46.0 32.8 67.2 53.9 63.5 26.6 61.8 25.9 60.2 28.2 63.4 14.8 28.5 * * 2.7 * 17.8 66.7 High cholesterol 22.7 40.1 18.9 37.4 25.9 52.4 29.4 29.0 21.2 38.0 24.2 41.7 21.7 37.0 17.0 28.5 * * 30.0 * 38.9 84.8 Heart disease 6.3 16.8 2.1 0.0 5.6 5.9 22.3 38.4 6.1 23.4 6.5 11.5 6.5 15.8 3.7 0.0 * * 0.0 * 8.8 44.6 Medicare 18.0 43.8 0.7 0.0 9.6 17.6 95.3 97.7 17.0 50.4 18.9 38.5 19.3 42.3 9.0 48.5 * * 0.0 * 15.6 54.9 Medi-cal 16.7 32.7 19.2 33.3 12.8 41.0 16.1 23.8 13.5 30.9 19.8 34.2 14.0 28.8 34.5 71.5 * * 43.2 * 24.4 34.7 Uninsured 24.5 11.3 34.4 17.1 19.1 18.7 1.5 0.0 29.5 13.9 19.7 9.2 22.2 10.2 39.4 28.5 * * 27.0 * 31.1 4.8 No usual source of care 10.0 1.2 14.3 0.0 6.9 0.0 2.0 3.2 12.6 0.0 7.6 2.2 9.7 1.5 12.3 0.0 * * 24.2 * 6.3 0.0

Humboldt County Diabetes Report

Figure

Updating...

References

Updating...