Return to Activity: How Do Urban-Rural Disparities Affect Diabetes-Related Death Rates?

CME/CE Test

How Do Urban-Rural Disparities Affect Diabetes-Related Death Rates?

You are a member of the healthcare team advising a rural area health maintenance organization about diabetes trends. On the basis of an analysis of Centers for Disease Control and Prevention's Wide-Ranging Online Data for Epidemiologic Research (CDC WONDER) by Kobo and colleagues, which one of the following statements about trends in diabetes-related mortality in urban and rural areas in the US from 1999-2019 is correct?

Urban and rural areas had a significant decrease in diabetes age-adjusted mortality rate (AAMR) as the underlying cause of death

AAMRs as underlying and contributing causes of death were higher in females and declined more in males

Elderly patients had a greater temporal increase in diabetes-related AAMR than younger people

Diabetes-related AAMRs of American Indians fell in all areas, but those of Blacks and Whites fell significantly in urban but not rural areas
According to the analysis of CDC WONDER by Kobo and colleagues, which one of the following statements about clinical and public health implications of trends in diabetes-related mortality in urban and rural areas in the US from 1999-2019 is correct?

From 1999 to 2019, the rural-urban diabetes-related mortality gap has increased by 50%, mainly among males and those younger than 55 years

A synchronized effort is needed to improve cardiovascular health and health care access in rural areas and to decrease diabetes-related mortality

Economic and policy interventions to reduce urban-rural disparity in diabetes deaths should focus exclusively on disease treatment

Cardiometabolic risk varies with ethnicity and regions solely because of biological differences