PMID- 36130856 OWN - NLM STAT- MEDLINE DCOM- 20221220 LR - 20240102 IS - 1876-7583 (Electronic) IS - 1936-6574 (Print) IS - 1876-7583 (Linking) VI - 16 IP - 1 DP - 2023 Jan TI - Risk of type 2 diabetes mellitus among adults aging with vision impairment: The role of the neighborhood environment. PG - 101371 LID - S1936-6574(22)00121-2 [pii] LID - 10.1016/j.dhjo.2022.101371 [doi] AB - BACKGROUND: Vision impairment (VI) affects approximately 1 in 28 Americans over the age of 40 and the prevalence increases sharply with age. However, experiencing vision loss with aging can be very different from aging with VI acquired earlier in life. People aging with VI may be at increased risk for diabetes due to environmental barriers in accessing health care, healthy food, and recreational resources that can facilitate positive health behaviors. OBJECTIVE: This study examined the relationship between neighborhood characteristics and incident type 2 diabetes mellitus (T2DM) among a cohort of 22,719 adults aging with VI. METHODS: Data are from Optum(R) Clinformatics(R) DataMart, a private administrative claims database (2008-2017). Individuals 18 years of age and older at the time of their initial VI diagnosis were eligible for analysis. VI was determined using vision impairment, low vision, and blindness codes (ICD-9-CM, ICD-10-CM). Covariates included age, sex, and comorbidities. Cox models estimated adjusted hazard ratios (HRs) for incident T2DM. Stratified models examined differences in those aging with (age 18-64) and aging into (age 65+) vision impairment. RESULTS: Residence in neighborhoods with greater intersection density (HR = 1.26) and high-speed roads (HR = 1.22) were associated with increased risk of T2DM among older adults with VI. Living in neighborhoods with broadband internet access (HR = 0.67), optical stores (HR = 0.62), supermarkets (HR = 0.78), and gyms/fitness centers (HR = 0.63) was associated with reduced risk of T2DM for both younger and older adults with VI. CONCLUSIONS: Findings emphasize the importance of neighborhood context for mitigating the adverse consequences of vision loss for health. CI - Copyright (c) 2022 Elsevier Inc. All rights reserved. FAU - Clarke, Philippa AU - Clarke P AD - Institute for Social Research, University of Michigan, Ann Arbor, MI, USA; Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI, USA; University of Michigan Center for Disability Health and Wellness, Ann Arbor, MI, USA. Electronic address: pjclarke@umich.edu. FAU - Khan, Anam M AU - Khan AM AD - Institute for Social Research, University of Michigan, Ann Arbor, MI, USA; University of Michigan Center for Disability Health and Wellness, Ann Arbor, MI, USA. FAU - Kamdar, Neil AU - Kamdar N AD - Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI, USA; University of Michigan Center for Disability Health and Wellness, Ann Arbor, MI, USA; Department of Surgery, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA; Department of Obstetrics and Gynecology, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA. FAU - Seiler, Kristian AU - Seiler K AD - Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI, USA. FAU - Latham-Mintus, Kenzie AU - Latham-Mintus K AD - Department of Sociology, Indiana University School of Liberal Arts, Indiana University-Purdue University Indianapolis, Indianapolis, IN, USA. FAU - Peterson, Mark D AU - Peterson MD AD - Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI, USA; University of Michigan Center for Disability Health and Wellness, Ann Arbor, MI, USA; Department of Physical Medicine and Rehabilitation, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA. FAU - Meade, Michelle A AU - Meade MA AD - Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI, USA; University of Michigan Center for Disability Health and Wellness, Ann Arbor, MI, USA; Department of Physical Medicine and Rehabilitation, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA. FAU - Ehrlich, Joshua R AU - Ehrlich JR AD - Institute for Social Research, University of Michigan, Ann Arbor, MI, USA; Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI, USA; University of Michigan Center for Disability Health and Wellness, Ann Arbor, MI, USA; Department of Ophthalmology & Visual Sciences, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA. LA - eng GR - K23 EY027848/EY/NEI NIH HHS/United States GR - U01 NR020556/NR/NINR NIH HHS/United States GR - UL1 TR002240/TR/NCATS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, Non-P.H.S. DEP - 20220829 PL - United States TA - Disabil Health J JT - Disability and health journal JID - 101306633 SB - IM MH - Humans MH - Adolescent MH - Adult MH - Aged MH - Young Adult MH - Middle Aged MH - *Diabetes Mellitus, Type 2/complications MH - *Disabled Persons MH - *Vision, Low MH - Blindness/epidemiology MH - Vision Disorders/complications MH - Aging MH - Neighborhood Characteristics PMC - PMC9772041 MID - NIHMS1837196 OTO - NOTNLM OT - Aging OT - Diabetes OT - Neighborhood environment OT - Vision impairment COIS- Disclosures: NK N.K. maintains financial interest and consults for Lucent Surgical. No other author has a conflict of interest to declare. EDAT- 2022/09/22 06:00 MHDA- 2022/12/21 06:00 PMCR- 2024/01/01 CRDT- 2022/09/21 22:03 PHST- 2022/06/18 00:00 [received] PHST- 2022/08/14 00:00 [revised] PHST- 2022/08/24 00:00 [accepted] PHST- 2022/09/22 06:00 [pubmed] PHST- 2022/12/21 06:00 [medline] PHST- 2022/09/21 22:03 [entrez] PHST- 2024/01/01 00:00 [pmc-release] AID - S1936-6574(22)00121-2 [pii] AID - 10.1016/j.dhjo.2022.101371 [doi] PST - ppublish SO - Disabil Health J. 2023 Jan;16(1):101371. doi: 10.1016/j.dhjo.2022.101371. Epub 2022 Aug 29.