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        Emerging Infectious Diseases Journal
        MMWR


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        Volume 3: No. 1, January 2006

        COMMUNITY CASE STUDY
        Barriers to Diabetes Self-Management Education Programs in Underserved Rural Arkansas: Implications for Program Evaluation

        Counties with Pre-existing Programs

        Counties with Newly Established Programs

        Benton

        Washington

        Sebastian

        Pope

        Garland

        Clark

        Faulkner

        Pulaski

        Jefferson

        Craighead

        Baxter

        Monroe

        Columbia

        Quachita

        Union

        Drew

        Ashley

        Chicot

        Phillips

        Crittenden

        Woodruff

        White

        Cleburne

        Figure 1. Distribution of pre-existing and newly established American Diabetes Association-recognized diabetes self-management education (DSME) programs in Arkansas, by county.

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        County

        Prevalence of Diabetes, %

        Arkansas

        8.0-9.9

        Ashley

        10.0-10.9

        Baxter

        ?0.0-10.9

        Benton

        4.8-7.9

        Boone

        4.8-7.9

        Bradley

        10.0-10.9

        Calhoun

        10.0-10.9

        Carroll

        4.8-7.9

        Chicot

        11.0-12.6

        Clark

        4.8-7.9

        Clay

        10.0-10.9

        Cleburne

        10.0-10.9

        Cleveland

        4.8-7.9

        Columbia

        4.8-7.9

        Conway

        8.0-9.9

        Craighead

        4.8-7.9

        Crawford

        4.8-7.9

        Crittenden

        8.0-9.9

        Cross

        10.0-10.9

        Dallas

        8.0-9.9

        Desha

        11.0-12.6

        Drew

        8.0-9.9

        Faulkner

        4.8-7.9

        Franklin

        4.8-7.9

        Fulton

        8.0-9.9

        Garland

        8.0-9.9

        Grant

        4.8-7.9

        Greene

        8.0-9.9

        Hempstead

        8.0-9.9

        Hot Spring

        4.8-7.9

        Howard

        4.8-7.9

        Independence

        8.0-9.9

        Izard

        8.0-9.9

        Jackson

        8.0-9.9

        Jefferson

        8.0-9.9

        Johnson

        8.0-9.9

        Lafayette

        8.0-9.9

        Lawrence

        8.0-9.9

        Lee

        11.0-12.6

        Lincoln

        4.8-7.9

        Little River

        11.0-12.6

        Logan

        8.0-9.9

        Lonoke

        4.8-7.9

        Madison

        4.8-7.9

        Marion

        8.0-9.9

        Miller

        11.0-12.6

        Mississippi

        4.8-7.9

        Monroe

        11.0-12.6

        Montgomery

        8.0-9.9

        Nevada

        4.8-7.9

        Newton

        4.8-7.9

        Perry

        8.0-9.9

        Phillips

        11.0-12.6

        Pike

        4.8-7.9

        Poinsett

        4.8-7.9

        Polk

        4.8-7.9

        Pope

        8.0-9.9

        Prairie

        4.8-7.9

        Pulaski

        8.0-9.9

        Quachita

        8.0-9.9

        Randolph

        10.0-10.9

        Saline

        4.8-7.9

        Scott

        8.0-9.9

        Searcy

        8.0-9.9

        Sebastian

        4.8-7.9

        Sevier

        4.8-7.9

        Sharp

        8.0-9.9

        St. Francis

        11.0-12.6

        Stone

        10.0-10.9

        Union

        8.0-9.9

        Van Buren

        10.0-10.9

        Washington

        4.8-7.9

        White

        4.8-7.9

        Woodruff

        11.0-12.6

        Yell

        8.0-9.9

        Figure 2. Prevalence of diabetes in Arkansas, by county, 2002. Source: Behavioral Risk Factor Surveillance System.

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        The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors’ affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.


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