XXXX management and vaccination rates in the Southeast United States, 2000 through 2007.

@entity1 @entity6 @entity55 @entity683 @entity413
OBJECTIVE: To examine trends in @entity6 management, by race and sex, in the southeast United States. DESIGN: Population-based survey. SETTING: Southeast United States (ie, Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, and Tennessee). @entity1 : Whites and Blacks surveyed through the Centers for Disease Control and Prevention Behavioral Risk Factor Surveillance System between 2000 and 2007 in the southeast United States. MAIN OUTCOME MEASURES: Total @entity6 management included personal factors (checking blood @entity413 and feet), healthcare provider factors (visiting a doctor, checking hemoglobin A1c, checking feet) and vaccinations ( @entity683 , @entity55 ). RESULTS: Vaccination levels were low throughout the study period, and a racial disparity in vaccination rates developed because trends in prevalence increased more rapidly in Whites relative to Blacks. Personal @entity6 management increased significantly in all race/sex groups with greater increases in Black than White @entity1 , resulting in White @entity1 having lower point estimates of prevalence than Black @entity1 . Healthcare provider @entity6 management increased significantly in all race/sex groups with the exception of Black @entity1 . Considering vaccinations together with personal and provider @entity6 management criteria, @entity6 management improved significantly in all race/sex groups, but remained low in 2007 (ie, 8.8%, Black @entity1 ; 14.0%, White @entity1 ; 11.5%, Black @entity1 ; 12.8% White @entity1 ). CONCLUSION: Emphasis should be placed on improving vaccination levels, @entity6 @entity1 self-management and provider-management in the southeast United States. Although @entity6 management improved over the study time period, in 2007 the percent of individuals meeting all of the @entity6 management criteria examined remained very low ranging from 8.8% in Black @entity1 to 14.0% in White @entity1 .
