Adolescent individual, school, and neighborhood influences on young adult diabetes risk.

Autor: Milliren CE; Institutional Centers for Clinical and Translational Research, Boston Children's Hospital, 21 Autumn Street, 2nd and 3rd Floors, Boston, MA, 02115, USA., Sajjad OM; Geisel School of Medicine, Dartmouth College, 1 Rope Ferry Rd, Hanover, NH, 03755, USA., Abdel Magid HS; Department of Epidemiology and Population Health, Stanford University, Alway Building 300 Pasteur Drive, Stanford, CA, 94305, USA., Gooding HC; Division of General Pediatrics and Adolescent Medicine, Department of Pediatrics, Emory University School of Medicine, 2015 Uppergate Dr, Atlanta, GA, 30322, USA; Children's Healthcare of Atlanta, Atlanta, GA, USA., Richmond TK; Division of Adolescent and Young Adult Medicine, Boston Children's Hospital, 333 Longwood Ave 5th Floor, Boston, MA, 02115, USA; Department of Pediatrics, Harvard Medical School, 25 Shattuck Street, Boston, MA, 02115, USA., Nagata JM; Division of Adolescent & Young Adult Medicine, University of California, San Francisco, 550 16th Street, 4th Floor, Box 0503, San Francisco, CA, 94143, USA. Electronic address: jason.nagata@ucsf.edu.
Jazyk: angličtina
Zdroj: Health & place [Health Place] 2023 Sep; Vol. 83, pp. 103047. Date of Electronic Publication: 2023 Jun 08.
DOI: 10.1016/j.healthplace.2023.103047
Abstrakt: Using data from the National Longitudinal Study of Adolescent to Adult Health (Add Health), this study examines the association between adolescent school and neighborhood contexts and the likelihood of diabetes in young adulthood. We apply cross-classified multi-level modeling (CCMM) techniques to examine the simultaneous influence of non-nested school and neighborhood contexts as well as individual, school, and neighborhood-level factors (N = 14,041 participants from 128 schools, 1933 neighborhoods). Our findings suggest that individual-level factors are most associated with young adult diabetes, with small contributions from school and neighborhood factors and a small proportion of the variation explained by school and neighborhood contexts.
Competing Interests: Declaration of competing interest All authors report no conflicts of interest to disclose.
(Copyright © 2023 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE
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