Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2016 Aug 11;6(8):e010905.
doi: 10.1136/bmjopen-2015-010905.

Influence of neighbourhood socioeconomic position on the transition to type II diabetes in older Mexican Americans: the Sacramento Area Longitudinal Study on Aging

Lorena Garcia  1 , Anne Lee  2 , Adina Zeki Al Hazzouri  3 , John M Neuhaus  2 , Sally Moyce  1 , Allison Aiello  4 , Tali Elfassy  3 , Mary N Haan  2
Affiliations

Influence of neighbourhood socioeconomic position on the transition to type II diabetes in older Mexican Americans: the Sacramento Area Longitudinal Study on Aging

Lorena Garcia et al. BMJ Open. .

Abstract

Objective: To examine the influence of neighbourhood socioeconomic position (NSEP) on development of diabetes over time.

Design: A longitudinal cohort study.

Setting: The data reported were from the Sacramento Area Latino Study on Aging, a longitudinal study of the health of 1789 older Latinos.

Participants: Community-dwelling older Mexican Americans residing in the Sacramento Metropolitan Statistical Area.

Main outcome: Multistate Markov regression were used to model transitions through four possible states over time: 1=normal; 2=pre-diabetic; 3=diabetic; and 4=death without diabetes.

Results: At baseline, nearly 50% were non-diabetic, 17.5% were pre-diabetic and nearly 33% were diabetic. At the end of follow-up, there were a total of 824 people with type 2 diabetes. In a fully adjusted MSM regression model, among non-diabetics, higher NSEP was not associated with a transition to pre-diabetes. Among non-diabetics, higher NSEP was associated with an increased risk of diabetes (HR=1.66, 95% CI 1.14 to 2.42) and decreased risk of death without diabetes (HR: 0.56, 95% CI 0.33 to 0.96). Among pre-diabetics, higher NSEP was significantly associated with a transition to non-diabetic status (HR: 1.22, 95% CI 0.99 to 1.50). Adjusting for BMI, age, education, physical activity, smoking, alcohol consumption, medical insurance and nativity did not affect this relationship.

Conclusions: Our findings show that high NSEP poses higher risk of progression from normal to diabetes compared with a lower risk of death without diabetes. This work presents a possibility that these associations are modified by nativity or culture.

Keywords: EPIDEMIOLOGY; PUBLIC HEALTH.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Association between neighbourhood socioeconomic position (NSEP) score and Hispanic Isolation Index. Q, quartile.
See this image and copyright information in PMC

References

    1. Brown AF, Ettner SL, Piette J et al. Socioeconomic position and health among persons with diabetes mellitus: a conceptual framework and review of the literature. Epidemiol Rev 2004;26:63–77. 10.1093/epirev/mxh002 - DOI - PubMed
    1. Krishnan S, Cozier YC, Rosenberg L et al. Socioeconomic status and incidence of type 2 diabetes: results from the Black Women's Health Study. Am J Epidemiol 2010;171:564–70. 10.1093/aje/kwp443 - DOI - PMC - PubMed
    1. Connolly V, Unwin N, Sherriff P et al. Diabetes prevalence and socioeconomic status: a population based study showing increased prevalence of type 2 diabetes mellitus in deprived areas. J Epidemiol Community Health 2000;54:173–7. 10.1136/jech.54.3.173 - DOI - PMC - PubMed
    1. Merkin SS, Roux AV, Coresh J et al. Individual and neighborhood socioeconomic status and progressive chronic kidney disease in an elderly population: the Cardiovascular Health Study. Soc Sci Med 2007;65:809–21. 10.1016/j.socscimed.2007.04.011 - DOI - PubMed
    1. Bosma H, van de Mheen HD, Borsboom GJ et al. Neighborhood socioeconomic status and all-cause mortality. Am J Epidemiol 2001;153:363–71. 10.1093/aje/153.4.363 - DOI - PubMed

Publication types