Abstract:
:We studied the association between neighborhood social and economic change and type 2 diabetes incidence in the city of Madrid (Spain). We followed 199,621 individuals living in 393 census tracts for diabetes incidence for 6 years using electronic health records, starting in 2009. We measured neighborhood social and economic change from 2005 to 2009 using a finite mixture model with 16 indicators that resulted in four types of neighborhood change. Adjusted results showed an association between neighborhood change and diabetes incidence: compared to those living in Aging/Stable areas, people living in Declining SES, New Housing and Improving SES areas have an 8% (HR = 0.92, 95% CI 0.87 to 0.99), 9% (HR = 0.91, 95% CI 0.81 to 1.01) and 11% (HR = 0.89, 95% CI 0.81 to 0.98) decrease in diabetes incidence. This evidence can help guide policies for diabetes prevention by focusing efforts on specific urban areas.
journal_name
Health Placejournal_title
Health & placeauthors
Bilal U,Glass TA,Del Cura-Gonzalez I,Sanchez-Perruca L,Celentano DD,Franco Mdoi
10.1016/j.healthplace.2019.102149subject
Has Abstractpub_date
2019-07-01 00:00:00pages
102149eissn
1353-8292issn
1873-2054pii
S1353-8292(18)31070-0journal_volume
58pub_type
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