4.6 Article

Neighborhood social and physical environments and type 2 diabetes mellitus in African Americans: The Jackson Heart Study

期刊

HEALTH & PLACE
卷 43, 期 -, 页码 128-137

出版社

ELSEVIER SCI LTD
DOI: 10.1016/j.healthplace.2016.12.001

关键词

African Americans; Type 2 diabetes mellitus; Neighborhood measures; Social environments; Food stores; Physical activity resources; Prevention; Longitudinal analysis

资金

  1. Center for Integrative Approaches to Health Disparities - National Institute on Minority Health and Health Disparities (NIMHD) [2P60MD002249]
  2. Michigan Center for Integrative Approaches to Health Disparities - NIMHD
  3. US Environmental Protection Agency
  4. NIMHD: Environment Supplement [P60 MD002249 05S1]
  5. Multi-ethnic Study of Atherosclerosis Neighborhood Study - National Institutes of Health, National Heart, Lung, and Blood Institute [R01 HL071759]
  6. Intramural Program of the National Human Genome Research Institute, National Institutes of Health, Bethesda, MD
  7. National Heart, Lung, and Blood Institute [HHSN268201300046C, HHSN268201300047C, HHSN268201300048C, HHSN268201300049C, HHSN268201300050C]
  8. NIMHD, Bethesda, MD

向作者/读者索取更多资源

Using data from Jackson Heart Study, we investigated the associations of neighborhood social and physical environments with prevalence and incidence of type 2 diabetes mellitus (T2DM) in African Americans (AA). Among non-diabetic participants at baseline (n=3670), 521 (14.2%) developed T2DM during a median followup of 7.3 years. Measures of neighborhood social environments, and food and physical activity resources were derived using survey-and GIS-based methods. Prevalence ratios (PR) and Hazard ratios (HR) were estimated using generalized estimating equations and Cox proportional hazards models. Higher neighborhood social cohesion was associated with a 22% lower incidence of T2DM while higher density of unfavorable food stores was associated with a 34% higher incidence of T2DM after adjusting for individual-level risk factors (HR=0.78 [95% CI:0.62, 0.99] and HR=1.34 [1.12, 1.60], respectively). In addition, neighborhood problems was also associated with prevalence of T2DM (PR=1.12 [1.03, 1.21]) independent of individual-level risk factors. Our findings suggest that efforts to strengthen community ties or to attract healthy food retail outlets might be important strategies to consider for prevention of T2DM in AA.

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