Abstract：
:Little is known about how neighborhood crime may relate to health in diabetes patients. We examined associations between individuals' perceptions of neighborhood safety or violent crime and stress, physical activity, body mass index (BMI) or hemoglobin A1c (HbA1c) in a sample (n=721) of adults (mean age:63) with diabetes. Self-reported neighborhood safety, violent crime, physical activity, and stress were collected and linked to clinical measures of BMI and HbA1c. Approximately 54% and 15% of patients reported neighborhood safety concerns and violent crimes, respectively. Any neighborhood safety concerns (β=1.14, 95% C.I. 0.04-2.24) and violent crime (β=2.04, 95% C.I. 0.34-3.73) were associated with BMI in adjusted analysis. Any violent crime was associated with class II-III obesity (BMI≥35) (OR=1.34, 95% C.I.: 1.02, 1.75). There were no significant associations between neighborhood safety concerns or violent crime with stress, physical activity, or HbA1c. Neighborhood safety is associated with BMI and obesity. Further studies, including longitudinal designs, are needed to study how people with diabetes may be influenced by a sense of poor personal safety in their neighborhoods.
journal_name
Health Placejournal_title
Health & placeauthors
Tamayo A,Karter AJ,Mujahid MS,Warton EM,Moffet HH,Adler N,Schillinger D,Hendrickson O'Connell B,Laraia Bdoi
10.1016/j.healthplace.2016.03.007subject
Has Abstractpub_date
2016-05-01 00:00:00pages
116-21eissn
1353-8292issn
1873-2054pii
S1353-8292(16)30016-8journal_volume
39pub_type
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