Currently, about 22 million (22 percent) of women 18 years ...



Women and Diabetes April, 2003

Prevalence

• Nationally, diagnosed diabetes (*including gestational diabetes) among women has increased almost 50 percent over the past decade.[i]

• Approximately 2% - 5% of all pregnancies in the US are complicated by diabetes.[ii]

• Over 290,000 (9.7%) adult Kentuckians have diabetes, one third of whom are undiagnosed.

• Diabetes prevalence in Kentucky is increasing. In 2001, 6.7% of the adult population in Kentucky had been told by a doctor they had diabetes.

• Among women in Kentucky diabetes prevalence has increased from 4.0% in 1995 to 6.4% in 2001.

Source: Kentucky Department of Public Health, BRFSS, 2001

• Women with less than a high school education have a higher prevalence of diabetes than women with more education.

*Gestational Diabetes is defined as being told by a doctor that you have diabetes only during pregnancy.

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Source: Kentucky Department for Public Health, BRFSS, 2001.

• Diabetes occurs among all ages and races, but the elderly and certain racial groups, such as African-Americans, are affected disproportionately.

• The national prevalence of diabetes is at least 2 – 4 times higher among black, Hispanic, American Indian, and Asian/Pacific Islander women than among white women.[iii]

• More African-American women in Kentucky have diabetes than white women.[iv]

Source: Kentucky Department for Public Health, BRFSS, 2001.

• The prevalence of diabetes increases as women age, with the highest prevalence among women aged 55 and over.

Source: Kentucky Department for Public Health, BRFSS 2001

• The prevalence of diabetes is higher in rural Kentucky than urban.

Source: Kentucky Department of Public Health, BRFSS.

• In 2001, Cumberland Valley ADD had the highest prevalence of diabetes with 9.7 percent, while the Bluegrass ADD had the lowest prevalence at 4 percent.[v]

• One in every two adult Kentuckians is at increased risk of developing diabetes due to risk factors such as age, obesity, and sedentary lifestyle.

• Obesity rates for women in Kentucky have risen from 12.7 percent in 1990 to 23.6 percent in 2001.[vi]

• In 2001, 36.3 percent of adult women in Kentucky reported no physical activity in the prior month, compared to 28.1 percent of women nationwide.[vii]

Mortality and Morbidity

• Diabetes was the 4th leading cause of death for black women in Kentucky and the 7th leading cause of death for white women in 2000.

Source: Kentucky Department of Public Health, 2000 Kentucky Annual Vital Statistics Report.

• For all age groups, more women than men were hospitalized in Kentucky in 2000, with a primary diagnosis of diabetes.[viii]

• In Kentucky, 13 percent of all hospitalizations had diabetes listed as the primary or secondary reason for admission.[ix]

• Women are at greater risk for blindness due to diabetes than men.[x]

• Diabetes is a major contributor to health problems such as heart disease, stroke, blindness, kidney disease, and non-traumatic leg and foot amputations.[xi]

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[i] CDC Press Release: CDC to Convene Task Force on Diabetes and Women, October 22, 2001.

[ii] Beckles, GLA, Thompson-Reid PE, editors. Diabetes and Women’s Health Across the Life Stages: A Public Health Perspective. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Division of Diabetes Translation, 2001.

[iii] Beckles, GLA, Thompson-Reid PE, editors. Diabetes and Women’s Health Across the Life Stages: A Public Health Perspective. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Division of Diabetes Translation, 2001.

[iv] Kentucky Department for Public Health, BRFSS data.

[v] Kentucky Department for Public Health, BRFSS, 2001.

[vi] CDC, BRFSS 2001.

[vii] CDC, BRFSS, 2001.

[viii] Kentucky Department for Public Health, Health Policy Development Branch, 2000 Inpatient Hospital Discharge File.

[ix] Impact of Diabetes in Kentucky, 1999

[x] Harris MI, Klein R, Cowie CC, Rowland M, Byrd-Holt DD. Is the risk of diabetic retinopathy greater in non-Hispanic blacks and Mexican Americans than in non-Hispanic whites with type 2 diabetes? A U.S. population study. Diabetes Care 1998;21(8):1230-5.

[xi] CDC Press Release: CDC to Convene Task Force on Diabetes and Women, October 22, 2001

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Office of Women’s Physical and Mental Health Fact Sheet

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