Consider the following case study: According to the 2016 Georgia Health Assessment report, between 2000 and 2013, there were 223,924 diabetes-related hospitalizations, in Georgia, with an age adjusted rate of 179.1 per 100,000 persons. Among adults ≥ 18 years, the age-adjusted discharge rate was highest among males (182.3 per 100,000 persons) and NH blacks (323.7 per 100,000 persons). The age specific hospital discharge rate was highest among those ≥ 65 years (322.4 per 100,000 persons). Age-adjusted hospital discharge rate for diabetes-related hospitalizations, Georgia, 2000-2012 From 2012 to 2013, the prevalence of diabetes among Georgia adults was 10.5 percent. The prevalence was highest among: those aged 65-74 (25.8 percent vs. 2.3 percent for those aged 18-24); females (10.6 percent vs. 10.3 percent in males); NH blacks (12.5 percent vs. 9.7 percent for NH whites); less than high school graduates (14.3 percent vs. 7.5 percent for college graduates); those with insurance plan (11.5 percent vs. 6.8 percent for those without an insurance plan); and those making $15,000 or less per year (13.1 percent vs. 7.8 percent for those making $75,000 or more per year). The county health department is concerned about the rising prevalence of diabetes in your rural community. Healthy People 2020 has included diabetes as a focal objective to improve the health of local communities. 1. Access the Healthy People 2020 Diabetes Objective and GA DPH Diabetes Data by County. 2. Answer the following questions in a 1-to-2-page paper: a. What factors influence rural communities as opposed to urban areas for diabetes? Provide examples to support your explanation. b. Compare and contrast the income, access to healthcare, transportation and education issues between a rural community and an urban area. c. Provide an analysis of what you determine to be the main issue to address. Prioritize your solutions and justify your response.
