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Neighborhood social and physical environments and type 2 diabetes mellitus in African Americans: The Jackson Heart Study
Journal article   Open access   Peer reviewed

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

Samson Y. Gebreab, DeMarc A. Hickson, Mario Sims, Sharon B. Wyatt, Sharon K. Davis, Adolfo Correa and Ana V. Diez-Roux
Health & place, v 43
Jan 2017
DOI: https://doi.org/10.1016/j.healthplace.2016.12.001
PMID: 28033588
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://doi.org/10.1016/j.healthplace.2016.12.001View
Published, Version of Record (VoR)CC BY-NC-ND V4.0,  Open

Abstract

African Americans Food stores Longitudinal analysis Neighborhood measures Physical activity resources Prevention Social environments Type 2 diabetes mellitus
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 follow-up 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. •African Americans experience high rates of type 2 diabetes of mellitus (T2DM).•They also tend to live in adverse neighborhood social and physical environments.•We examined the impact of these neighborhood features on T2DM in African Americans.•Higher neighborhood social cohesion was associated with lower incidence of T2DM.•Higher density of unfavorable food stores was associated with higher incidence of T2DM.•Improving community ties or attracting healthy food stores may reduce T2DM.

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22 Record Views
97 citations in Web of Science
101 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#10 Reduced Inequalities
#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Public, Environmental & Occupational Health
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