Date of Conferral



Doctor of Public Health (DrPH)


Public Health


David Anderson


AbstractChronic kidney disease (CKD) is a recognized global health burden that has affected 10-15% of the general adult population, which is caused by diabetes and has disproportionately affected minority populations such as African Americans. Despite the prevalence of diabetes and hypertension, other variables could predispose this racial group to CKD, hence the need for this study. The purpose of this cross-sectional quantitative study using secondary data analysis methods was to investigate to what extent various factors such as gender, diet, age, exercise, socioeconomic status, diabetes, and hypertension were associated with the prevalence of CKD among African Americans residents in Maryland, compared with their level of association with CKD as found in a combined group of six other Centers for Disease Control and Prevention (CDC) Region B states. The theoretical framework for this study was the social cognitive theory of the health behavior model. The data source was an extracted subset of Region B data from the national-level CDC Behavioral Risk Factors Surveillance System Survey. Using weighted population data, the study showed that statistically significant relationships existed between such predictors as diabetes, hypertension, diet, gender, exercise, socioeconomic status, and occurrence of CKD among the study population (p = 0.001). This study may influence positive social change through social policies that targets the improvement of health literacy and equality among minority populations, especially African Americans, in this case those residing in region B states.