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Ohio Diabetes 2010 Fact Sheet

Diabetes is a serious health condition that has continued to increase in Ohio. According to 2009 state data, it is estimated that 10.1 percent of Ohio adults have been diagnosed with diabetes. The estimated adult prevalence of diagnosed diabetes in Ohio has grown considerably (37 percent) since the year 2000. If current trends continue in our state as they have nationally, 1 in 3 Ohioans will develop diabetes sometime in their lifetime, and those with diabetes will lose an average of 10 -15 years of potential life. Diabetes can lead to serious health-related complications. Diabetes is a leading cause of cardiovascular disease, blindness, kidney failure and non-traumatic lower extremity amputations among adults. Adults in Ohio with diabetes are 2 to 4 times more likely to have a heart attack or stroke then those without diabetes.

Ohio Diabetes Prevalence
Diagnosed Diabetes Prevalence for Ohio Adults (18+), 20091 An estimated 895,571 persons aged 18 years and older in Ohio (10.1 percent of this age group) have been diagnosed with diabetes. Undiagnosed Diabetes Prevalence for Ohio Adults (18+), 20091 Another estimated 268,671 persons aged 18 years and older in Ohio are believed to have diabetes and not know it. The total for both diagnosed and undiagnosed diabetes is estimated at over 1.1 million. Diagnosed Diabetes Prevalence for Ohio Adults (18+) by Sex, 20091 Male..................................................................................................437,410 (10.3%) Female..............................................................................................458,161 (10.0%) Diagnosed Diabetes Prevalence for Ohio Adults (18+) by Age Group, 20091 18-44 Years.......................................................................................167,388 (4.1%) 45-64 Years.......................................................................................389,403 (12.4%) 65-74 Years.......................................................................................183,872 (22.0%) 75+....................................................................................................154,677 (20.1%) Diagnosed Diabetes Prevalence for Ohio Adults (18+) by Race/Ethnicity, 20091 White, non-Hispanic...........................................................................734,501 (9.9%) Black, non-Hispanic...........................................................................124,034 (12.7%) Hispanic...............................................................................................26,829 (13.2%) Other....................................................................................................16,044 (7.0%) Diagnosed Diabetes Prevalence for Ohio Adults (18+) by Education Level, 20091 Some High School or Less................................................................................15.8% High School Graduate/GED..............................................................................13.1% Some College or Tech School............................................................................9.6% College Graduate................................................................................................5.9%

Diagnosed Diabetes Prevalence for Ohio Adults (18+) by Income Level, 20091 <$15,000…………………………….................................................................17.8% $15,000 – $24,999..........................................................................................14.6% $25,000 – $49,999..........................................................................................11.9% $50,000 and More.............................................................................................5.6% Diagnosed Diabetes Prevalence for Ohio Adults (20+) by County, 20082 The diagnosed diabetes prevalence among each individual Ohio county has been estimated by the Centers for Disease Control and Prevention, Division of Diabetes Translation.2 Jefferson, Harrison and Washington Counties have the highest estimated percentage of adults diagnosed with diabetes, exceeding 12 percent. Delaware, Medina and Union Counties have the lowest estimated percentage of adults diagnosed with diabetes, between 8.7 and 9 percent.

2008 Ohio County Estimates of the Percentage of Adults* with Diagnosed Diabetes
LAKE WILLIAMS FULTON LUCAS OTTAWA CUYAHOGA DEFIANCE HENRY WOOD SANDUSKY ERIE LORAIN PORTAGE MEDINA SUMMIT MAHONING TRUMBULL GEAUGA ASHTABULA

PAULDING PUTNAM HANCOCK

SENECA

HURON

VAN WERT ALLEN HARDIN MERCER AUGLAIZE

WYANDOT

CRAWFORD RICHLAND

ASHLAND

WAYNE

STARK

COLUMBIANA

MARION MORROW

HOLMES TUSCARAWAS

CARROLL

LOGAN SHELBY UNION CHAMPAIGN MIAMI CLARK FRANKLIN MADISON DELAWARE

KNOX COSHOCTON HARRISON

JEFFERSON

DARKE

LICKING MUSKINGUM

GUERNSEY

BELMONT

PREBLE

MONTGOMERY GREENE PICKAWAY FAYETTE

FAIRFIELD

NOBLE PERRY MORGAN MONROE

HOCKING WASHINGTON

BUTLER

WARREN

CLINTON ROSS ATHENS VINTON HIGHLAND MEIGS JACKSON BROWN ADAMS SCIOTO GALLIA

HAMILTON

Estimated Percentage 11.4 – 13.5 10.9 – 11.3 10.3 – 10.8 8.7 – 10.2

CLERMONT

PIKE

* ≥ 20 years old.
LAWRENCE

Source: Centers for Disease Control and Prevention: National Diabetes Surveillance System. Available online at: http://www.cdc.gov/diabetes/statistics/index.htm. Retrieved 12/30/2010.

Ohio Diabetes Risk Factors and Complications
Type 2 diabetes was previously called non–insulin-dependent diabetes mellitus (NIDDM) or adult-onset diabetes. In adults, type 2 diabetes accounts for about 90 percent to 95 percent of all diagnosed cases of diabetes. It usually begins as insulin resistance, a disorder in which the cells do not use insulin properly. As the need for insulin rises, the pancreas gradually loses its ability to produce it.3 Inactive lifestyles, being overweight or obese and smoking are factors that may increase the risk of developing Type 2 diabetes. These factors may also increase the risk for developing complications due to diabetes. During 2009, more than 26 percent of Ohio adults surveyed from the Ohio Behavioral Risk Factor Surveillance System stated they participated in no physical activity in the past month. Almost 67 percent of adults said they were overweight or obese, and just over 20 percent of adults answered that they are current smokers. Lifestyle changes related to these risk factors have shown to be effective at preventing diabetes, delaying the onset of diabetes or delaying the complications that can result from diabetes.

Economic Costs of Diabetes in Ohio
Diabetes is economically costly in Ohio. According to a 2007 report by the American Diabetes Association, diabetes cost Ohio $5.9 billion annually, including $3.9 billion in medical expenditures and $2 billion in reduced state productivity and premature mortality. The estimate includes only persons diagnosed with diabetes. In 2007, total charges for Ohio hospital discharges with a primary diagnosis of diabetes was approximately $442 million. Medicare was the primary payer for hospital discharges with a primary diagnosis of diabetes, responsible for 48 percent of discharge billings, followed by private insurance then Medicaid.4

Diabetes Mortality in Ohio
Deaths Among Persons with Diabetes, Ohio, 20085 Diabetes was the seventh leading cause of death in Ohio in 2008. In 2008, 3,561 deaths were directly attributed to diabetes (i.e., diabetes was listed on the death certificate as the underlying cause of death). However, diabetes is likely to be underreported as the underlying cause of death. Studies have found that about 35 percent to 40 percent of decedents with diabetes had it listed anywhere on the death certificate and about 10 percent to 15 percent had it listed as the underlying cause of death.3 Diabetes Age-Adjusted Mortality Rates (Per 100,000) by Race/Ethnicity, Ohio, 20085 The 2008 average annual age-adjusted diabetes mortality rate for Ohio was 28.4 deaths per 100,000 persons. Age-adjusted mortality rates by race/ethnicity in Ohio for 2008 were the following:     25.6 per 100,000 whites (non-Hispanic) 47.0 per 100,000 blacks (non-Hispanic) 24.8 per 100,000 Hispanics 8.2 per 100,000 persons of other races

The 2008 age-adjusted mortality rate (per 100,000) for blacks (non-Hispanic) was more than 84 percent higher than that of whites (non-Hispanic).5

Average Annual Age-Adjusted Diabetes Mortality Rate Per 100,000 Persons as an Underlying Cause of Death, Ohio 2006-2008
LAKE WILLIAMS FULTON LUCAS OTTAWA CUYAHOGA
DEFIANCE

ASHTABULA

GEAUGA

HENRY

WOOD

SANDUSKY

ERIE LORAIN PORTAGE MEDINA SUMMIT

TRUMBULL

PAULDING PUTNAM HANCOCK

SENECA

HURON

MAHONING

VAN WERT ALLEN HARDIN MERCER AUGLAIZE

WYANDOT

CRAWFORD RICHLAND

ASHLAND

WAYNE

STARK

COLUMBIANA

Ohio Rate = 28.6 per 100,000

MARION MORROW
LOGAN

HOLMES TUSCARAWAS KNOX

CARROLL JEFFERSON

SHELBY UNION DELAWARE COSHOCTON

HARRISON

DARKE MIAMI

CHAMPAIGN LICKING FRANKLIN CLARK MADISON NOBLE PERRY MORGAN HOCKING WASHINGTON CLINTON ROSS ATHENS VINTON HIGHLAND CLERMONT BROWN ADAMS SCIOTO GALLIA PIKE JACKSON MEIGS MONROE MUSKINGUM GUERNSEY BELMONT

PREBLE

MONTGOMERY GREENE PICKAWAY FAYETTE

FAIRFIELD

BUTLER

WARREN

HAMILTON

Rate per 100,000 36.5 – 54.1
29.9 - 36.4 25.4 - 29.8 12.4 – 25.3

LAWRENCE

Source: Chronic Disease and Behavioral Epidemiology Section; Center for Public Health Statistics and Informatics, Ohio Department of Health, December 2010. *The direct age adjusted rates were calculated using the bridged race post-censal estimates for 2006-2008 (July 1) as a denominator and to the U.S. 2000 standard population for age adjustment. ** ICD-10 codes E10-E14 for 2006 - 2008 deaths

The map above shows the age-adjusted mortality rates per 100,000 persons for diabetes as an underlying cause of death for Ohio by county for the years 2006 through 2008. The state rate for the same period is 28.6 per 100,000.5 The mortality rates among Ohio’s counties range from a low 12.4 per 100,000 for Crawford County to a high of 54.1 per 100,000 for Harrison County. Because diabetes is under-reported, these rankings may not reflect all diabetes-related deaths.

Diagnosed Diabetes in Persons Less than 20 Years of Age
Nationally, about 215,000 people younger than 20 years have diabetes (type 1 or type 2). This represents 0.26 percent of all people in this age group.3 By applying the national estimate to Ohio’s 2009 population, it is estimated that 8,000 people younger than 20 years have diabetes in Ohio. Estimates of undiagnosed diabetes are unavailable for this age group.
Sources: 1. 2009 Ohio Behavioral Risk Factor Surveillance System (BRFSS), Statewide BRFSS Survey, for persons who are eighteen years of age and older. Data include both type 1 and type 2 diabetes. Persons with diabetes include those who report that they have been told by a doctor that they have diabetes. Women who report diabetes only during pregnancy are not included in prevalence.

2. Centers for Disease Control and Prevention: National Diabetes Surveillance System. Available online at: http://www.cdc.gov/diabetes/statistics/index.htm. Retrieved 12/30/2010. 3. Centers for Disease Control and Prevention. National diabetes fact sheet: national estimates and general information on diabetes and prediabetes in the United States, 2011. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2011. 4. Oza-Frank, R. (October 2010). The Burden of Diabetes in Ohio: Ohio Hospital Discharge Data 2003-2007; Columbus, Ohio: Ohio Department of Health. 5. Ohio Department of Health, Ohio Vital Statistics (December 2010). Data include male and female and all ages. Data are provisional.

Caveat: Estimated number of persons with diabetes is a synthetic estimate, calculated by applying the estimated prevalence to corresponding 2009 U.S. Census Bureau estimates of the Ohio resident population for each individual category (i.e. gender, race and age). Therefore, numbers may not add up to the total Ohio adult population.

Revised: 03/04/11

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