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

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 neigh-borhood factors and a small proportion of the variation explained by school and neighborhood contexts.

Automated summary

Using data from the Add Health study, this research examines the relationship between adolescent school and neighborhood contexts and the likelihood of diabetes in young adulthood. The study finds that individual-level factors have the strongest association with young adult diabetes, with smaller contributions from school and neighborhood factors, and a small proportion of variance explained by school and neighborhood contexts.