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Geographic and Social Factors Associated With Chronic Disease Self-Management Program Participation: Going the “Extra-Mile” for Disease Prevention


Workshops and participants are clustered primarily in urban counties and around the following cities: Chicago, Rockford, Bloomington-Normal, Champaign-Urbana, Decatur, St. Louis, and Carbondale. A few workshops and participants are found in several rural counties, some in northwestern Illinois, in western Illinois, and in southeastern Illinois.

Figure 1.
Location of workshop sites for the Chronic Disease Self-Management Program and the Diabetes Self-Management Program and distribution of participants’ home addresses by rural and urban counties in Illinois during 2016–2017. We used the dot-density function to indicate the correct number of participants per county while protecting information on participants’ exact residential locations. Data sources: Illinois Pathways to Health (19), US Census Bureau (20).

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Figure 2.
Simple slopes describing the association between the distance in miles between a participant’s home address to a workshop site and the number of program sessions completed among from adults aged 50 or older in the Chronic Disease Self-Management Program or the Diabetes Self-Management Program in Illinois during 2016–2017. We used a participant’s home address and criteria from the US Census Bureau’s Office of Management and Budget (13,14) to determine whether the participant lived in a rural county or an urban county. Abbreviation: SE, standard error.

Distance Between Participant’s Home Address and Workshop Site, Miles Participant’s County of Residence, No. of Sessions Completed
Urban Rural
0 4.166 4.322
1 4.137 4.364
2 4.108 4.406
3 4.079 4.448
4 4.050 4.490
5 4.021 4.532
6 3.992 4.574
7 3.963 4.616
8 3.934 4.658
9 3.905 4.700
10 3.876 4.742

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Page last reviewed: March 7, 2019