Journal article
Neighborhood social and economic change and diabetes incidence: The HeartHealthyHoods study
Health & place, v 58, 102149
Jul 2019
PMID: 31220800
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
We studied the association between neighborhood social and economic change and type 2 diabetes incidence in the city of Madrid (Spain). We followed 199,621 individuals living in 393 census tracts for diabetes incidence for 6 years using electronic health records, starting in 2009. We measured neighborhood social and economic change from 2005 to 2009 using a finite mixture model with 16 indicators that resulted in four types of neighborhood change. Adjusted results showed an association between neighborhood change and diabetes incidence: compared to those living in Aging/Stable areas, people living in Declining SES, New Housing and Improving SES areas have an 8% (HR = 0.92, 95% CI 0.87 to 0.99), 9% (HR = 0.91, 95% CI 0.81 to 1.01) and 11% (HR = 0.89, 95% CI 0.81 to 0.98) decrease in diabetes incidence. This evidence can help guide policies for diabetes prevention by focusing efforts on specific urban areas.
•Little research on neighborhood dynamics and diabetes outcomes.•We explored the association between neighborhood change and diabetes incidence.•We measured neighborhood social and economic change in Madrid (Spain).•We followed 200,000 people aged 40 or above for 6 years for diabetes incidence.•Stable areas had increased diabetes incidence, independent of neighborhood socioeconomic status.
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Details
- Title
- Neighborhood social and economic change and diabetes incidence: The HeartHealthyHoods study
- Creators
- Usama Bilal - Bloomberg (United States)Thomas A. Glass - BloombergIsabel del Cura-Gonzalez - Primary Care Research Unit, Gerencia de Atención Primaria, Madrid, SpainLuis Sanchez-Perruca - Primary Care Research Unit, Gerencia de Atención Primaria, Madrid, Spain; Red de Investigación en Servicios de Salud y Enfermedades Crónicas (REDISSEC) ISCIII, Madrid, Spain.David D. Celentano - BloombergManuel Franco - University of Alcalá
- Publication Details
- Health & place, v 58, 102149
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative
- Web of Science ID
- WOS:000482101600019
- Scopus ID
- 2-s2.0-85067288685
- Other Identifier
- 991019167344704721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health