PMID- 28033588 OWN - NLM STAT- MEDLINE DCOM- 20180417 LR - 20191210 IS - 1873-2054 (Electronic) IS - 1353-8292 (Print) IS - 1353-8292 (Linking) VI - 43 DP - 2017 Jan TI - Neighborhood social and physical environments and type 2 diabetes mellitus in African Americans: The Jackson Heart Study. PG - 128-137 LID - S1353-8292(16)30508-1 [pii] LID - 10.1016/j.healthplace.2016.12.001 [doi] AB - Using data from Jackson Heart Study, we investigated the associations of neighborhood social and physical environments with prevalence and incidence of type 2 diabetes mellitus (T2DM) in African Americans (AA). Among non-diabetic participants at baseline (n=3670), 521 (14.2%) developed T2DM during a median follow-up of 7.3 years. Measures of neighborhood social environments, and food and physical activity resources were derived using survey-and GIS-based methods. Prevalence ratios (PR) and Hazard ratios (HR) were estimated using generalized estimating equations and Cox proportional hazards models. Higher neighborhood social cohesion was associated with a 22% lower incidence of T2DM while higher density of unfavorable food stores was associated with a 34% higher incidence of T2DM after adjusting for individual-level risk factors (HR=0.78 [95% CI:0.62, 0.99] and HR=1.34 [1.12, 1.60], respectively). In addition, neighborhood problems was also associated with prevalence of T2DM (PR=1.12 [1.03, 1.21]) independent of individual-level risk factors. Our findings suggest that efforts to strengthen community ties or to attract healthy food retail outlets might be important strategies to consider for prevention of T2DM in AA. CI - Published by Elsevier Ltd. FAU - Gebreab, Samson Y AU - Gebreab SY AD - National Human Genome Research Institute, Genomics of Metabolic, Cardiovascular and Inflammatory Branch, Cardiovascular Section, Social Epidemiology Research Unit, 10 Center Drive, Room 7N316, MSC 1644, Bethesda. Electronic address: samson.gebreab@nih.gov. FAU - Hickson, DeMarc A AU - Hickson DA AD - School of Public Health Initiative, Jackson State University, Jackson, MS, USA. FAU - Sims, Mario AU - Sims M AD - Department of Medicine, University of Mississippi Medical Center, Jackson, MS, USA. FAU - Wyatt, Sharon B AU - Wyatt SB AD - School of Nursing, University of Mississippi Medical Center, Jackson, MS, USA. FAU - Davis, Sharon K AU - Davis SK AD - National Human Genome Research Institute, Genomics of Metabolic, Cardiovascular and Inflammatory Branch, Cardiovascular Section, Social Epidemiology Research Unit, 10 Center Drive, Room 7N320, MSC 1644, Bethesda, MD, USA. FAU - Correa, Adolfo AU - Correa A AD - Department of Medicine, University of Mississippi Medical Center, Jackson, MS, USA. FAU - Diez-Roux, Ana V AU - Diez-Roux AV AD - Center for Integrative Approaches to Health Disparities, Philadelphia, PA, USA; School of Public Health, Drexel University, Philadelphia, PA, USA. LA - eng GR - P60 MD002249/MD/NIMHD NIH HHS/United States GR - HHSN268201300048C/HL/NHLBI NIH HHS/United States GR - Z99 HG999999/Intramural NIH HHS/United States GR - HHSN268201300049C/HL/NHLBI NIH HHS/United States GR - HHSN268201300047C/HL/NHLBI NIH HHS/United States GR - R01 HL071759/HL/NHLBI NIH HHS/United States GR - HHSN268201300050C/HL/NHLBI NIH HHS/United States GR - HHSN268201300046C/HL/NHLBI NIH HHS/United States PT - Journal Article DEP - 20161227 PL - England TA - Health Place JT - Health & place JID - 9510067 MH - Adult MH - *Diabetes Mellitus, Type 2/epidemiology/ethnology MH - Diet, Healthy MH - *Environment Design MH - Exercise MH - Female MH - Health Behavior MH - Humans MH - Incidence MH - Longitudinal Studies MH - Male MH - Prevalence MH - *Residence Characteristics MH - Risk Factors MH - *Social Environment MH - Socioeconomic Factors MH - United States/epidemiology/ethnology PMC - PMC5774670 MID - NIHMS839355 OTO - NOTNLM OT - African Americans OT - Food stores OT - Longitudinal analysis OT - Neighborhood measures OT - Physical activity resources OT - Prevention OT - Social environments OT - Type 2 diabetes mellitus EDAT- 2016/12/30 06:00 MHDA- 2018/04/18 06:00 PMCR- 2018/01/19 CRDT- 2016/12/30 06:00 PHST- 2016/02/11 00:00 [received] PHST- 2016/11/28 00:00 [revised] PHST- 2016/12/01 00:00 [accepted] PHST- 2016/12/30 06:00 [pubmed] PHST- 2018/04/18 06:00 [medline] PHST- 2016/12/30 06:00 [entrez] PHST- 2018/01/19 00:00 [pmc-release] AID - S1353-8292(16)30508-1 [pii] AID - 10.1016/j.healthplace.2016.12.001 [doi] PST - ppublish SO - Health Place. 2017 Jan;43:128-137. doi: 10.1016/j.healthplace.2016.12.001. Epub 2016 Dec 27.