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Perceived neighborhood social cohesion and type 2 diabetes mellitus by age, sex/gender, and race/ethnicity in the United States.
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- Author(s): Williams PC;Williams PC;Williams PC; Alhasan DM; Alhasan DM; Gaston SA; Gaston SA; Henderson KL; Henderson KL; Henderson KL; Braxton Jackson W 2nd; Braxton Jackson W 2nd; Jackson CL; Jackson CL; Jackson CL
- Source:
Preventive medicine [Prev Med] 2023 May; Vol. 170, pp. 107477. Date of Electronic Publication: 2023 Mar 12.- Publication Type:
Journal Article; Research Support, N.I.H., Intramural- Language:
English - Source:
- Additional Information
- Source: Publisher: Academic Press Country of Publication: United States NLM ID: 0322116 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1096-0260 (Electronic) Linking ISSN: 00917435 NLM ISO Abbreviation: Prev Med Subsets: MEDLINE
- Publication Information: Original Publication: New York, Academic Press.
- Subject Terms:
- Abstract: In prior research, perceived low neighborhood social cohesion (nSC) has been associated with prevalence of type 2 diabetes mellitus (T2DM); however, few studies have investigated the nSC-T2DM relationship among a large, racially/ethnically diverse, and nationally representative sample of the U.S. population. We used National Health Interview Survey (2013-2018) data to determine overall, age-, sex/gender-, and racial/ethnic-specific associations between nSC and T2DM among 170,432 adults. Self-reported nSC was categorized as low, medium, and high. T2DM was determined by participants being told they had diabetes by a health professional. We used Poisson regression with robust variance to estimate prevalence ratios (PRs) and 95% confidence intervals (CI) while adjusting for confounders. Mean age was 47.4 ± 0.1 years, 52% were women, and 69% self-identified as Non-Hispanic (NH)-White. Low vs. high nSC was associated with a higher prevalence of T2DM (PR = 1.22 [95% CI: 1.16-1.27]), after adjustment. A higher prevalence of T2DM was observed among participants 31-49 years old who perceived low vs. high nSC (PR = 1.36 [95% CI: 1.20-1.54]) and among participants ≥50 years old (PR = 1.18 [95% CI: 1.13-1.24]). Hispanic/Latinx women 18-30 years old in neighborhoods with low vs. high social cohesion had a higher prevalence of T2DM (PR = 3.70 [95% CI: 1.40-9.80]), whereas NH-Black women 18-30 years old in neighborhoods with medium vs. high social cohesion had a lower prevalence of T2DM (PR = 0.35 [95% CI: 0.14-0.89]). Our findings support the literature by demonstrating an association between neighborhood environment and T2DM as well as extend it by identifying determinants for intervention for T2DM.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
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- Contributed Indexing: Keywords: Community support; Minoritized groups; Residence characteristics; Social support; Type 2 diabetes mellitus
- Publication Date: Date Created: 20230314 Date Completed: 20230414 Latest Revision: 20240502
- Publication Date: 20240502
- Accession Number: PMC10106280
- Accession Number: 10.1016/j.ypmed.2023.107477
- Accession Number: 36918070
- Source:
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