Issued April 2009
www.caldiabetes.org
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.
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.
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.
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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.
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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.
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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
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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.
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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.
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
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. •
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
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
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
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. •
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
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. •
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
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
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
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
