Internal Med Medical News about Obesity; Diabetes; Socioeconomic Analysis

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A Socioeconomic Analysis of Obesity and Diabetes in New York City
Preventing Chronic Disease, 06/30/09

Wallach JB et al. - The New York City government has arguably become the nation’s most aggressive municipal government in enacting administrative policies to combat the development and progression of diabetes. Many of its policies, particularly eliminating artificial trans fats from its restaurants, have attracted national headlines and have been copied in other cities. However, diabetes in the city varies widely among different socioeconomic groups. Therefore, more focused efforts need to be undertaken to intervene in the demographic segments at highest risk to tackle more efficiently and effectively the only major health problem that is worsening in the city.

Exclusive Author Commentary
Jonathan B. Wallach, 06/30/09

While New York is generally viewed as a fit, pedestrian-friendly city, it is experiencing a worsening diabetes epidemic with a prevalence that is roughly 60% higher than the national average. The municipal government should be credited for its aggressive efforts to combat diabetes and obesity (an important pre-disposing factor for development of type 2 diabetes), which have served as a model for other governmental interventions throughout the country. However, the epidemic in this very diverse city demonstrates enormous socioeconomic disparities, which must be addressed and understood to develop more efficient and effective targeted interventions. This approach can likewise be used to address the diabetes epidemics in other socioeconomically diverse cities throughout the country.

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