ArticleInternational journal of health geographics2010
Spatial patterns of diabetes related health problems for vulnerable populations in Los Angeles.
Article in International journal of health geographics, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
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Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it, 59 citations in OpenAlex.
- Combining Geospatial Analysis with Dementia Risk Utilising General Practice Data: A Systematic Review.The journal of prevention of Alzheimer's disease · 2018Pooled it
- Spatial pattern of body mass index among adults in the diabetes study of Northern California (DISTANCE).International journal of health geographics · 2014Trial
- Regional-level spatial accessibility and diabetes management in South Korea: a multilevel analysis using national longitudinal data.BMC public health · 2026Article
- Mapping disparities in diabetic eye exam adherence using geographic information systems.PloS one · 2026Article
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- Hide Your Distance: Privacy Risks and Protection in Spatial Accessibility Analysis.Proceedings of the ... ACM SIGSPATIAL International Conference on Advances in Geographic Information Systems : ACM GIS. ACM SIGSPATIAL International Conference on Advances in Geographic Information Systems · 2023Article
- Clinical and Pharmacotherapeutic Profile of Patients with Type 2 Diabetes Mellitus Admitted to a Hospital Emergency Department.Biomedicines · 2023Article
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- Efficiency of fine scale and spatial regression in modelling associations between healthcare service spatial accessibility and their utilization.International journal of health geographics · 2021Article
- Geographical clustering and socioeconomic factors associated with hypoglycemic events requiring emergency assistance in Andalusia (Spain).BMJ open diabetes research & care · 2021Article
- Understanding shared decision-making experience among vulnerable population: Focus group with food bank clients.Journal of clinical and translational science · 2020Article
- Development of the Australian neighborhood social fragmentation index and its association with spatial variation in depression across communities.Social psychiatry and psychiatric epidemiology · 2019Article
- Spatial clustering patterns of child weight status in a southeastern US county.Applied geography (Sevenoaks, England) · 2018Article
- Using Indirect Measures to Identify Geographic Hot Spots of Poor Glycemic Control: Cross-sectional Comparisons With an A1C Registry.Diabetes care · 2018Article
- Identifying Geographic Disparities in Diabetes Prevalence Among Adults and Children Using Emergency Claims Data.Journal of the Endocrine Society · 2018Article
- Risk factors for recurrent emergency department visits for hyperglycemia in patients with diabetes mellitus.International journal of emergency medicine · 2017Article
- Assessing the Reliability of Performing Citywide Chronic Disease Surveillance Using Emergency Department Data from Sentinel Hospitals.Population health management · 2017Article
- Geographic Information Systems to Assess External Validity in Randomized Trials.American journal of preventive medicine · 2017Article
- Do the risk factors for type 2 diabetes mellitus vary by location? A spatial analysis of health insurance claims in Northeastern Germany using kernel density estimation and geographically weighted regression.International journal of health geographics · 2016Article
- Determining Chronic Disease Prevalence in Local Populations Using Emergency Department Surveillance.American journal of public health · 2015Article
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRates for Diabetes Mellitus continue to rise in most urban areas of the United States, with a disproportionate burden suffered by minorities and low income populations. This paper presents an approach that utilizes address level data to understand the geography of this disease by analyzing patients seeking diabetes care through an emergency department in a Los Angeles County hospital. The most vulnerable frequently use an emergency room as a common care access point, and such care is especially costly. A fine scale GIS analysis reveals hotspots of diabetes related health problems and provides output useful in a clinic setting. Indeed these results were used to support the work of a progressive diabetes clinic to guide management and intervention strategies.
resultsHotspots of diabetes related health problems, including neurological and kidney issues were mapped for vulnerable populations in a central section of Los Angeles County. The resulting spatial grid of rates and significance were overlaid with new patient residential addresses attending an area clinic. In this way neighbourhood diabetes health characteristics are added to each patient's individual health record. Of the 29 patients, 4 were within statistically significant hotspots for at least one of the conditions being investigated.
conclusionsAlthough exploratory in nature, this approach demonstrates a novel method to conduct GIS based investigations of urban diabetes while providing support to a progressive diabetes clinic looking for novel means of managing and intervention. In so doing, this analysis adds to a relatively small literature on fine scale GIS facilitated diabetes research. Similar data should be available for most hospitals, and with due consideration for preserving spatial confidentiality, analysis outputs such as those presented here should become more commonly employed in other investigations of chronic diseases.
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