학술논문

Neighborhood Environment and Metabolic Risk in Hispanics/Latinos From the Hispanic Community Health Study/Study of Latinos
Document Type
article
Source
American Journal of Preventive Medicine. 63(2)
Subject
Public Health
Health Sciences
Behavioral and Social Science
Nutrition
Prevention
Obesity
Diabetes
Basic Behavioral and Social Science
Clinical Research
Aetiology
2.3 Psychological
social and economic factors
Metabolic and endocrine
Adult
Diabetes Mellitus
Female
Glycated Hemoglobin
Hispanic or Latino
Humans
Male
Neighborhood Characteristics
Prediabetic State
Risk Factors
Medical and Health Sciences
Education
Biomedical and clinical sciences
Health sciences
Language
Abstract
IntroductionThis study examines the associations of neighborhood environments with BMI, HbA1c, and diabetes across 6 years in Hispanic/Latino adults.MethodsParticipants from the Hispanic Community Health Study/Study of Latinos San Diego site (n=3,851, mean age=39.4 years, 53.3% women, 94.0% Mexican heritage) underwent assessment of metabolic risk factors and diabetes status (categorized as normoglycemia, prediabetes, and diabetes) at baseline (2008-2011) and approximately 6 years later (2014-2017). In the Study of Latinos Community and Surrounding Areas Study ancillary study (2015-2020), participant baseline addresses were geocoded, and neighborhoods were defined using 800-meter circular buffers. Neighborhood variables representing socioeconomic deprivation, residential stability, social disorder, walkability, and greenness were created using Census and other public databases. Analyses were conducted in 2020-2021.ResultsComplex survey regression analyses revealed that greater neighborhood socioeconomic deprivation was associated with higher BMI (β=0.14, p