Racial, Ethnic, and Urban/Rural Differences in Transitions into Diabetes: Evidence from the Health and Retirement Survey Biomarker and Self-Reported Data
We examine differences in transitions between stages of type 2 diabetes across racial, ethnic, and urban/rural statuses. The individual-level data from the 2006 to 2012 waves of the Health and Retirement Survey (HRS) and county-level data from the 1990-2000 U.S. Censuses, the Dartmouth Atlas of Health Care, and the Inter-university Consortium for Political and Social Research are used to analyze the transition from the stage of prediabetic to diabetic, and the transition from having no diabetes to being prediabetic and diabetic. The HRS includes both biomarker data and self- reported doctors’ diagnoses of diabetes, which allow us to identify people who are prediabetic and undiagnosed diabetics. The likelihood of reporting the transition from prediabetes to diabetes increases with the degree of rurality. Adding county-level proxies for structural disadvantage and individual-level correlates to the regressions attenuate race/ethnicity and rurality disparities in the development of diabetes.
Chung, Hyeran, and Mary Arends-Kuenning. 2022. "Racial, Ethnic, and Urban/Rural Differences in Transitions into Diabetes: Evidence from the Health and Retirement Survey Biomarker and Self-Reported Data." Journal of Rural Social Sciences, 37(1): Article 5. Available at: https://egrove.olemiss.edu/jrss/vol37/iss1/5