PMID- 36918070 OWN - NLM STAT- MEDLINE DCOM- 20230414 LR - 20240502 IS - 1096-0260 (Electronic) IS - 0091-7435 (Print) IS - 0091-7435 (Linking) VI - 170 DP - 2023 May TI - Perceived neighborhood social cohesion and type 2 diabetes mellitus by age, sex/gender, and race/ethnicity in the United States. PG - 107477 LID - S0091-7435(23)00057-9 [pii] LID - 10.1016/j.ypmed.2023.107477 [doi] AB - In prior research, perceived low neighborhood social cohesion (nSC) has been associated with prevalence of type 2 diabetes mellitus (T2DM); however, few studies have investigated the nSC-T2DM relationship among a large, racially/ethnically diverse, and nationally representative sample of the U.S. population. We used National Health Interview Survey (2013-2018) data to determine overall, age-, sex/gender-, and racial/ethnic-specific associations between nSC and T2DM among 170,432 adults. Self-reported nSC was categorized as low, medium, and high. T2DM was determined by participants being told they had diabetes by a health professional. We used Poisson regression with robust variance to estimate prevalence ratios (PRs) and 95% confidence intervals (CI) while adjusting for confounders. Mean age was 47.4 +/- 0.1 years, 52% were women, and 69% self-identified as Non-Hispanic (NH)-White. Low vs. high nSC was associated with a higher prevalence of T2DM (PR = 1.22 [95% CI: 1.16-1.27]), after adjustment. A higher prevalence of T2DM was observed among participants 31-49 years old who perceived low vs. high nSC (PR = 1.36 [95% CI: 1.20-1.54]) and among participants >/=50 years old (PR = 1.18 [95% CI: 1.13-1.24]). Hispanic/Latinx women 18-30 years old in neighborhoods with low vs. high social cohesion had a higher prevalence of T2DM (PR = 3.70 [95% CI: 1.40-9.80]), whereas NH-Black women 18-30 years old in neighborhoods with medium vs. high social cohesion had a lower prevalence of T2DM (PR = 0.35 [95% CI: 0.14-0.89]). Our findings support the literature by demonstrating an association between neighborhood environment and T2DM as well as extend it by identifying determinants for intervention for T2DM. CI - Published by Elsevier Inc. FAU - Williams, Patrice C AU - Williams PC AD - Epidemiology Branch, National Institute of Environmental Health Sciences, National Institute of Health, Department of Health and Human Services, Research Triangle Park, NC, USA; Department of Urban Studies and Planning, Massachusetts Institute of Technology, Cambridge, MA, USA. FAU - Alhasan, Dana M AU - Alhasan DM AD - Epidemiology Branch, National Institute of Environmental Health Sciences, National Institute of Health, Department of Health and Human Services, Research Triangle Park, NC, USA. FAU - Gaston, Symielle A AU - Gaston SA AD - Epidemiology Branch, National Institute of Environmental Health Sciences, National Institute of Health, Department of Health and Human Services, Research Triangle Park, NC, USA. FAU - Henderson, Kionna L AU - Henderson KL AD - Epidemiology Branch, National Institute of Environmental Health Sciences, National Institute of Health, Department of Health and Human Services, Research Triangle Park, NC, USA; Department of Geography, Environment, and Spatial Sciences, Michigan State University, East Lansing, MI, USA. FAU - Braxton Jackson, W 2nd AU - Braxton Jackson W 2nd AD - Social and Scientific Systems, Inc., a DLH Holdings Company, Durham, NC, USA. FAU - Jackson, Chandra L AU - Jackson CL AD - Epidemiology Branch, National Institute of Environmental Health Sciences, National Institute of Health, Department of Health and Human Services, Research Triangle Park, NC, USA; Intramural Program, National Institute on Minority Health and Health Disparities, National Institutes of Health, Department of Health and Human Services, Bethesda, MD, USA. Electronic address: Chandra.Jackson@nih.gov. LA - eng GR - ZIA ES103325/ImNIH/Intramural NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Intramural DEP - 20230312 PL - United States TA - Prev Med JT - Preventive medicine JID - 0322116 SB - IM MH - Adult MH - Humans MH - Female MH - United States/epidemiology MH - Middle Aged MH - Adolescent MH - Young Adult MH - Male MH - *Ethnicity MH - *Diabetes Mellitus, Type 2/epidemiology MH - Social Cohesion MH - Hispanic or Latino MH - Interpersonal Relations MH - Residence Characteristics PMC - PMC10106280 MID - NIHMS1888451 OTO - NOTNLM OT - Community support OT - Minoritized groups OT - Residence characteristics OT - Social support OT - Type 2 diabetes mellitus COIS- Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2023/03/15 06:00 MHDA- 2023/04/14 06:42 PMCR- 2024/05/01 CRDT- 2023/03/14 20:20 PHST- 2022/09/12 00:00 [received] PHST- 2023/03/05 00:00 [revised] PHST- 2023/03/06 00:00 [accepted] PHST- 2023/04/14 06:42 [medline] PHST- 2023/03/15 06:00 [pubmed] PHST- 2023/03/14 20:20 [entrez] PHST- 2024/05/01 00:00 [pmc-release] AID - S0091-7435(23)00057-9 [pii] AID - 10.1016/j.ypmed.2023.107477 [doi] PST - ppublish SO - Prev Med. 2023 May;170:107477. doi: 10.1016/j.ypmed.2023.107477. Epub 2023 Mar 12.