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Geographical patterns of end-stage renal disease incidence and risk factors in rural and urban areas of South Carolina.
Health Place. 2007 Mar; 13(1):179-87.HP

Abstract

To assess the geographical patterns of end-stage renal disease (ESRD) incidence and to identify the risk factors on the regional differences, the authors conducted an ecological study on incidence of ESRD and related risk factors in the 46 counties of South Carolina (SC). Age and gender adjusted, race specific incidence rates for each county in SC were calculated for the 11,346 ESRD patients of all ages who registered in the United States Renal Data Systems Network 6 from 1990 to 1999. County level exposure measures on population physician density, hospitalization rates of diabetes and hypertension, per capita income, percent college degree, and percent below poverty were evaluated. There was a significant increase in mean incidence rates of ESRD from 1990 to 1999 in SC (p<0.0001). The incidence rates were consistently higher in rural than in urban counties. Population physician density (relative risk (RR) 0.49, 95% confidence interval (95%Cl, 0.41-0.58) and rural residence (adjusted RR 1.66, 95%Cl 1.59-1.74) were significantly associated with ESRD incidence. The strong relationship between ESRD and physician density suggests that access to adequate treatment of diabetes and hypertension is of paramount importance for ESRD prevention, and has important public policy implications.

Authors+Show Affiliations

SHARP, Washington State Department of Labor and Industries, Olympia, WA, USA. fanj235@lni.wa.govNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

16443385

Citation

Fan, Z Joyce, et al. "Geographical Patterns of End-stage Renal Disease Incidence and Risk Factors in Rural and Urban Areas of South Carolina." Health & Place, vol. 13, no. 1, 2007, pp. 179-87.
Fan Z, Lackland DT, Lipsitz SR, et al. Geographical patterns of end-stage renal disease incidence and risk factors in rural and urban areas of South Carolina. Health Place. 2007;13(1):179-87.
Fan, Z., Lackland, D. T., Lipsitz, S. R., Nicholas, J. S., Egan, B. M., Tim Garvey, W., & Hutchison, F. N. (2007). Geographical patterns of end-stage renal disease incidence and risk factors in rural and urban areas of South Carolina. Health & Place, 13(1), 179-87.
Fan Z, et al. Geographical Patterns of End-stage Renal Disease Incidence and Risk Factors in Rural and Urban Areas of South Carolina. Health Place. 2007;13(1):179-87. PubMed PMID: 16443385.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Geographical patterns of end-stage renal disease incidence and risk factors in rural and urban areas of South Carolina. AU - Fan,Z Joyce, AU - Lackland,Daniel T, AU - Lipsitz,Stuart R, AU - Nicholas,Joyce S, AU - Egan,Brent M, AU - Tim Garvey,W, AU - Hutchison,Florence N, Y1 - 2006/01/27/ PY - 2005/04/08/received PY - 2005/11/28/revised PY - 2005/12/09/accepted PY - 2006/1/31/pubmed PY - 2007/5/3/medline PY - 2006/1/31/entrez SP - 179 EP - 87 JF - Health & place JO - Health Place VL - 13 IS - 1 N2 - To assess the geographical patterns of end-stage renal disease (ESRD) incidence and to identify the risk factors on the regional differences, the authors conducted an ecological study on incidence of ESRD and related risk factors in the 46 counties of South Carolina (SC). Age and gender adjusted, race specific incidence rates for each county in SC were calculated for the 11,346 ESRD patients of all ages who registered in the United States Renal Data Systems Network 6 from 1990 to 1999. County level exposure measures on population physician density, hospitalization rates of diabetes and hypertension, per capita income, percent college degree, and percent below poverty were evaluated. There was a significant increase in mean incidence rates of ESRD from 1990 to 1999 in SC (p<0.0001). The incidence rates were consistently higher in rural than in urban counties. Population physician density (relative risk (RR) 0.49, 95% confidence interval (95%Cl, 0.41-0.58) and rural residence (adjusted RR 1.66, 95%Cl 1.59-1.74) were significantly associated with ESRD incidence. The strong relationship between ESRD and physician density suggests that access to adequate treatment of diabetes and hypertension is of paramount importance for ESRD prevention, and has important public policy implications. SN - 1353-8292 UR - https://www.unboundmedicine.com/medline/citation/16443385/Geographical_patterns_of_end_stage_renal_disease_incidence_and_risk_factors_in_rural_and_urban_areas_of_South_Carolina_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1353-8292(05)00096-1 DB - PRIME DP - Unbound Medicine ER -