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Diabetes Care 27:1515-1517, 2004
© 2004 by the American Diabetes Association, Inc.

Letters: Observations

Understanding the Associations Between Statewide Diabetes Prevalence and Air Pollution Emissions

Elia B. Marquez, MS, Benjamin R. Diaz, MS and Patrick L. Gurian, PHD

From the Environmental Science and Engineering Program, University of Texas at El Paso, El Paso, Texas

Address correspondence to Dr. Patrick Gurian, Department of Civil Engineering, University of Texas at El Paso, El Paso, TX 79968. E-mail: pgurian@utep.edu

The first 20% of the full text of this article appears below.

In a recent letter in Diabetes Care, Lockwood (1) presented a statistically significant correlation between statewide diabetes prevalence and statewide total air pollution emissions reported in the Environmental Protection Agency’s (EPA) toxic release inventory (TRI) database (r = 0.54, P < 0.0001). Lockwood noted that such a correlation does not necessarily result from a causal relationship, but called for further research into understanding the association between air pollution and diabetes. In response, Nicolich (2) took issue with Lockwood’s use of statewide data. To demonstrate that correlations based on statewide data may not show causal relationships, Nicolich presented four highly statistically significant correlations between statewide diabetes prevalence and factors that would not be expected to be causal factors in diabetes: latitude of the state capital, longitude of the state capital, state population, and numerical position of the state name on . . . [Full Text of this Article]


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Copyright © 2004 by the American Diabetes Association.