ArticleDiabetes research and clinical practice2014
Effect of neighborhood factors on diabetes self-care behaviors in adults with type 2 diabetes.
Article in Diabetes research and clinical practice, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 31 citations in OpenAlex.
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- Relationship Between Patient Activation and Type 2 Diabetes Mellitus Self-management and Clinical Outcomes in Saudi Arabian Primary Care Setting.American journal of health promotion : AJHP · 2024Article
- The Impact of Neighborhoods on Diabetes Risk and Outcomes: Centering Health Equity.Diabetes care · 2023Review
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- Illuminating Racial Inequity in Diabetes Control: Differences Based on Gender and Geography.Journal of racial and ethnic health disparities · 2021Article
- Social capital and cost-related medication nonadherence (CRN): A retrospective longitudinal cohort study using the Health and Retirement Study data, 2006-2016.SSM - population health · 2020Article
- Moving Diabetes Upstream: the Social Determinants of Diabetes Management and Control Among Immigrants in the US.Current diabetes reports · 2020Review
- Age Disparities Among Patients With Type 2 Diabetes and Associated Rates of Hospital Use and Diabetic Complications.Preventing chronic disease · 2019Article
- Skin Deep: Enhanced Variable May Help Explain Racial Disparities in Type 2 Diabetes and Prediabetes.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2017Article
- Explaining Racial/Ethnic Dietary Patterns in Relation to Type 2 Diabetes: An Analysis of NHANES 2007-2012.Ethnicity & disease · 2016Article
- Influence of Race, Ethnicity and Social Determinants of Health on Diabetes Outcomes.The American journal of the medical sciences · 2016Review
- Proportion of Brazilian diabetes patients that achieve treatment goals: implications for better quality of care.Diabetology & metabolic syndrome · 2015Article
- Qualitative Exploration of Geospatially Identified Bright Spots and Priority Areas to Improve Diabetes Management.Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveThe objective of this study was to identify latent variables for neighborhood factors and diabetes self-care and examine the effect of neighborhood factors on diabetes self-care in adults with type 2 diabetes. RESEARCH DESIGN AND
methods615 subjects were recruited from an academic medical center and a Veterans affairs medical center in the southeastern United States. Validated scales were used to assess neighborhood factors and diabetes-related self-care. Confirmatory factor analysis (CFA) was used to determine the latent constructs. Structural equation modeling (SEM) was then used to assess the relationship between neighborhood factors and diabetes self-care.
resultsBased on a theoretical framework, CFA yielded four latent variables for neighborhood factors (neighborhood violence, access to healthy food, social support, and neighborhood esthetics) and one latent variable diabetes self-care (including diet, exercise, foot care, blood sugar testing and medication adherence). SEM showed that social support (r=0.28, p<0.001) and access to healthy foods (r=-0.16, p=0.003) were significantly associated with self-care behaviors, while neighborhood violence (r=-0.06, p<0.001) and esthetics (r=-0.07, p=0.278) were not χ(2) (180, N=611)=192, p=0.26, RMSEA=0.01, CFI=0.999). In the final trimmed model, social support (r=0.31, p<0.001) and access to healthy foods (r=-0.20, p<0.001) remained significantly associated with self-care behaviors χ(2) (76, N=611)=60, p=0.91, RMSEA=0.00, CFI=1.0).
conclusionThis study developed latent factors for neighborhood characteristics and diabetes self-care and found that social support and access to healthy foods were significantly associated with diabetes self-care and should be considered as targets for future interventions.
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