期刊
AMERICAN JOURNAL OF EPIDEMIOLOGY
卷 190, 期 2, 页码 295-304出版社
OXFORD UNIV PRESS INC
DOI: 10.1093/aje/kwaa206
关键词
diabetes; HbA1c; neighborhood deprivation; obesity; socioeconomic status
资金
- Intramural Research Program of the National Institutes of Health
- National Institute of Environmental Health Sciences [Z01 ES 102945]
A study conducted in the US Gulf Coast region found that neighborhood deprivation is associated with higher rates of obesity and diabetes, with the most deprived individuals being more at risk. These findings suggest that socioeconomic factors play a significant role in the prevalence of these health conditions in the area.
Socioeconomic status has been associated with cardiovascular disease risk factors. However, few studies have examined this relationship among populations in the US Gulf Coast region. We assessed neighborhood deprivation in relation to obesity and diabetes in 9,626 residents participating in the Gulf Long-Term Follow-Up Study (2011-present) who completed a home visit (2011-2013) with height, weight, waist, and hip measurements. Obesity was categorized as body mass index of at least 30, and diabetes was defined by doctor's diagnosis or prescription medication. Participant home addresses were linked to an established Area Deprivation Index and categorized into 4 levels (1 = least deprived). In adjusted, modified Poisson regression models, participants with greatest deprivation were more likely to have obesity compared with those with least deprivation (adjusted prevalence ratio (aPR) = 1.21, 95% confidence interval (CI): 1.08, 1.35), central obesity (aPR = 1.11, 95% CI: 1.04, 1.19), and diabetes (aPR = 1.49, 95% CI: 1.03, 2.14). Repeated analyses among a subgroup of participants (n = 3,016) whose hemoglobin A1C values were measured 3 years later indicated the association with diabetes (defined as diagnosis, medications, or hemoglobin A1C >= 6.5) was similar (aPR = 1.46, 95% CI: 1.14, 1.86). Results suggest neighborhood deprivation is associated with obesity and diabetes in a US region with high baseline prevalence.
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