Evidence map›Paper›PMID 29590231›Full record

ArticleThe review of diabetic studies : RDS2018

Association of Socio-Environmental Determinants with Diabetes Prevalence in the Athens Metropolitan Area, Greece: A Spatial Analysis.

Antigoni Faka, Christos Chalkias, Diego Montano, Ekavi N Georgousopoulou, Anestis Tripitsidis, Efi Koloverou, Dimitris Tousoulis, Christos Pitsavos, Demosthenes B Panagiotakos

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Article in The review of diabetic studies : RDS, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Antigoni FakaDepartment of Geography, School of Environment, Geography and Applied Economics, Harokopio University, Athens, Greece.
Christos ChalkiasDepartment of Geography, School of Environment, Geography and Applied Economics, Harokopio University, Athens, Greece.
Diego MontanoClinic for Psychosomatic Medicine and Psychotherapy, Ulm University, Ulm, Germany.
Ekavi N GeorgousopoulouDepartment of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, 17671 Athens, Greece.
Anestis TripitsidisDepartment of Geography, School of Environment, Geography and Applied Economics, Harokopio University, Athens, Greece.
Efi KoloverouDepartment of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, 17671 Athens, Greece.
Dimitris TousoulisFirst Cardiology Clinic, School of Medicine, University of Athens, Greece.
Christos PitsavosFirst Cardiology Clinic, School of Medicine, University of Athens, Greece.
Demosthenes B PanagiotakosDepartment of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, 17671 Athens, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of this study was to investigate the spatial variation of diabetes in relation to the geographical variability of socio-environmental characteristics in the urban districts of Athens.

methodsA sample of 2,445 individuals from the greater area of Athens was randomly enrolled in the ATTICA study between 2001 and 2002. Diabetes was defined according to American Diabetes Association criteria. Geographical and statistical analyses were applied to examine the relationship between diabetes prevalence and factors related to education, economic status, population density, immigrant status, and availability of urban green areas. Diabetes prevalence and socio-environmental factor mapping was based on the Geographic Information Systems (GIS) technology. Variograms and spatial quasi-Poisson regression analysis evaluated the associations of diabetes with the socio-environmental variables at the municipal level.

resultsAccording to the geographical analysis and mapping, the highest proportions of people with diabetes were found in the West sector and in one district of the East and South sector each. Regression analysis revealed that the proportion of inhabitants with higher education is negatively correlated with diabetes prevalence in the regional areas of Athens.

conclusionsThe study revealed that socio-environmental status in residential areas, especially educational and economic levels, is correlated with diabetes prevalence at the aggregate level. These correlations may reflect socio-economic segregation patterns at the district level, and different prevalence rates of diabetes among individuals with higher income and educational levels.

Indexed as

Diabetes MellitusGreeceHumansPrevalenceRisk FactorsSocioeconomic Factors

Identifiers

PMID29590231
PMCPMC6230444

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.