Perceived neighborhood social cohesion and type 2 diabetes mellitus by age, sex/gender, and race/ethnicity in the United States.

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  • 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:
      Ethnicity* ; Diabetes Mellitus, Type 2*/epidemiology; Adult ; Humans ; Female ; United States/epidemiology ; Middle Aged ; Adolescent ; Young Adult ; Male ; Social Cohesion ; Hispanic or Latino ; Interpersonal Relations ; Residence Characteristics
    • 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.
      (Published by Elsevier Inc.)
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    • Grant Information:
      ZIA ES103325 United States ImNIH Intramural NIH HHS
    • 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