The association between neighborhood social and economic environment and prevalent diabetes in urban and rural communities: The Reasons for Geographic and Racial Differences in Stroke (REGARDS) study

Autor: Jalal Uddin, Gargya Malla, D. Leann Long, Sha Zhu, Nyesha Black, Andrea Cherrington, Gareth R. Dutton, Monika M. Safford, Doyle M. Cummings, Suzanne E. Judd, Emily B. Levitan, April P. Carson
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: SSM: Population Health, Vol 17, Iss , Pp 101050- (2022)
Druh dokumentu: article
ISSN: 2352-8273
DOI: 10.1016/j.ssmph.2022.101050
Popis: Objective: The association between neighborhood disadvantage and health is well-documented. However, whether these associations may differ across rural and urban areas is unclear. This study examines the association between a multi-item neighborhood social and economic environment (NSEE) measure and diabetes prevalence across urban and rural communities in the US. Methods: This study included 27,159 Black and White participants aged ≥45 years at baseline (2003–2007) from the REasons for Geographic and Racial Differences in Stroke (REGARDS) study. Each participant's residential address was geocoded. NSEE was calculated as the sum of z-scores for six US Census tract variables (% of adults with less than high school education; % of adults unemployed; % of households earning
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