SUN-838 - From Endocrine Disorders to Cardiovascular Mortality: A Regional Lens on Health Disparities

Background:
Bibb County, Georgia, exhibits a disproportionate burden of endocrine related cardiovascular risk factors, including obesity, diabetes, and hypertension. County level surveillance shows adult obesity at 30%, diabetes prevalence at 11.8%, and hypertension at 28.8%, all exceeding or matching state and national benchmarks. These metabolic burdens intersect with structural inequities—persistent poverty, limited preventive care access, and racial disparities—contributing to elevated cardiovascular morbidity and premature mortality.

Objective:
To characterize endocrine related cardiovascular risk in Bibb County and identify socioeconomic and racial disparities contributing to disproportionate cardiometabolic disease burden.

Methods:
A descriptive ecological analysis was conducted using publicly available datasets from the Georgia Department of Public Health OASIS platform, CDC chronic disease indicators, and County Health Rankings. Variables included obesity, diabetes, hypertension, premature mortality, socioeconomic vulnerability, and racial composition. Cardiovascular risk patterns were examined in the context of structural determinants such as poverty, food access, and healthcare availability.

Results:
Bibb County ranked 129th in health outcomes statewide, reflecting substantial cardiometabolic burden. Obesity, diabetes, and hypertension rates were elevated relative to state and national estimates, with disproportionate clustering in predominantly Black, low-income neighborhoods. These communities also experienced higher rates of premature mortality and emergency department utilization for uncontrolled chronic disease. Structural contributors included limited access to primary and specialty care, transportation barriers, and high neighborhood level socioeconomic vulnerability.
Life expectancy in Bibb County (72.7 years) lagged behind Georgia and U.S. averages, consistent with the cumulative impact of endocrine driven cardiovascular risk.

Conclusions:
Endocrine related cardiovascular risk in Bibb County is amplified by intersecting socioeconomic and racial disparities. Elevated obesity, diabetes, and hypertension prevalence—combined with structural barriers to preventive and specialty care—drive disproportionate cardiovascular morbidity and premature mortality. Targeted, place-based interventions that expand access to endocrine and cardiovascular services, strengthen community partnerships, and address upstream social determinants are essential to reducing cardiometabolic disparities in this high burden region.

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