The Burden of Diabetes Mortality by County, Race, and Ethnicity in the U.S., 2000–2019
Authors' conclusion
Since 2000, progress has been made in reducing diabetes mortality rates. Nonetheless, diabetes mortality remains too high for many Americans. Interventions focusing on communities at highest risk are vital to resolving persistent health inequities.
Study context
- Population
- U.S. counties, five racial and ethnic populations, 2000–2019; U.S. National Vital Statistics System death registration data
- Comparison
- Diabetes mortality by race and ethnicity and county
- Outcome
- Age-standardized diabetes mortality rates
- Follow-up
- 2000 to 2019
Methodological detailscounty level, corrected for misclassification of race and ethnicity on death certificates
- County level
- Corrected for misclassification of race and ethnicity on death certificates
Main finding
As reported in the abstract
Age-standardized diabetes mortality rate, national level (deaths per 100,000) · 2019
AIAN
35.6
UI 32.1–39.4
Black
31.9
UI 31.5–32.3
Latino
19.7
UI 19.3–20.2
White
17.6
UI 17.5–17.8
Asian
12.6
UI 12.1–13.1
- U.S. age-standardized diabetes mortality, 2000
- 28.1 deaths per 100,000 (95% UI 27.9-28.2)
- U.S. age-standardized diabetes mortality, 2019
- 19.1 deaths per 100,000 (UI 19.0-19.2)
Further findings
| Outcome | Values |
|---|---|
| County-level heterogeneity in diabetes mortality · 2019 | AIAN median 31.9 (IQR 18.7–50.3) |
County-level heterogeneity in diabetes mortality · 2019
- Substantial heterogeneity across counties within each racial and ethnic population; greatest in AIAN
- For each population, mortality rates declined in most counties from 2000 to 2019
Original publication
The Burden of Diabetes Mortality by County, Race, and Ethnicity in the U.S., 2000–2019. Diabetes Care. Published 10 February 2025. doi:10.
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