Table of Contents
ISRN Public Health
Volume 2012, Article ID 359473, 5 pages
Research Article

Entrepreneurial Environment and the Prevalence of Diabetes in U.S. Counities

1Department of Sociology, Louisiana State University, 126 Stubbs Hall, Baton Rouge, LA 70803, USA
2Department of Sociology, Baylor University, 97326 One Bear Place, Waco, TX 76798, USA

Received 20 June 2012; Accepted 7 August 2012

Academic Editors: J. Konde-Lule, E. Lazcano-Ponce, K. McLeroy, and C. Rissel

Copyright © 2012 Troy C. Blanchard et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Objective. To examine whether the presence of an entrepreneurial culture in a community is associated with county-level diabetes prevalence in the U.S. after accounting for high level of spatial clustering of prevalence rates observed in prior research. Methods. We perform a county-level spatial regression analysis of CDC diabetes prevalence rates. We measure entrepreneurial culture as the number of businesses with 0 to 4 employees per 1,000 residents. Results. The level of entrepreneurial culture in a community is associated with lower rates of diabetes. Our findings show that the key measure of entrepreneurial culture has expected effects on county diabetes rates. However, we show that failure to control for spatial error dependence in previous research leads to an overestimation of the effects of entrepreneurial culture on diabetes prevalence. Conclusion. Policies aimed at curbing diabetes prevalence should utilize the business community as a key agent of social change. Researchers should also utilize spatial regression techniques when analyzing county-level diabetes prevalence rates, because of high level of spatial clustering of rates.