Neighborhood Deprivation, Obesity, and Diabetes in Residents of the US Gulf Coast

Abstract 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...

Full description

Saved in:
Bibliographic Details
Published in:American journal of epidemiology 2021-02, Vol.190 (2), p.295-304
Main Authors: Hu, Michael D, Lawrence, Kaitlyn G, Bodkin, Mark R, Kwok, Richard K, Engel, Lawrence S, Sandler, Dale P
Format: Article
Language:English
Subjects:
Adult
Aged
Alcohol Drinking - epidemiology
Body mass
Body Mass Index
Body size
Cardiovascular diseases
Cigarette Smoking - epidemiology
Confidence intervals
Deprivation
Diabetes
Diabetes mellitus
Diabetes Mellitus - epidemiology
Diagnosis
Female
Glucose
Glycated Hemoglobin A
Health risks
Hemoglobin
Humans
Male
Middle Aged
Neighborhoods
Obesity
Obesity - epidemiology
Prevalence
Regression analysis
Regression models
Residence Characteristics - statistics & numerical data
Risk analysis
Risk Factors
Social Class
Socioeconomic Factors
Socioeconomics
Southeastern United States - epidemiology
Statistical analysis
Subgroups
Texas - epidemiology
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract 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.
ISSN:0002-9262
1476-6256
DOI:10.1093/aje/kwaa206