ArticleJournal of diabetes investigation2019
Type 2 diabetes mellitus and neighborhood deprivation index: A spatial analysis in Zhejiang, China.
Article in Journal of diabetes investigation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed.
- Individual and Contextual Socioeconomic Position on Type 2 Diabetes Risk in LMICs: A Multilevel Analysis.Annals of the New York Academy of Sciences · 2026Article
- Associations of age at type 2 diabetes diagnosis with ethnicity and socioeconomic deprivation: observational study in 11.5 million people in England.International journal for equity in health · 2026Observational
- The spatial distribution of diagnosed Type 2 diabetes mellitus and cardiovascular disease incidence in Valencia, 2015-2022: a retrospective, registry-based study.BMC public health · 2026Article
- Association Between Estimated Glucose Disposal Rate and Chronic Kidney Disease in Elderly Patients with Type 2 Diabetes Mellitus: A Cross-Sectional Study in Zhejiang, China.Clinical interventions in aging · 2026Article
- Investigating the relationship between social deprivation and health outcomes in China: using spatial regression analysis approach.BMC public health · 2025Article
- The Impact of Sunshine Duration on Myopia in Central China: Insights from Populational and Spatial Analysis in Hubei.International journal of general medicine · 2024Article
- Russian subject-level index of multidimensional deprivation and its association with all-cause and infant mortality.Journal of preventive medicine and hygiene · 2022Article
- Spatiotemporal Analysis and Risk Assessment Model Research of Diabetes among People over 45 Years Old in China.International journal of environmental research and public health · 2022Article
- Epidemiological characteristics and temporal-spatial analysis of overseas imported dengue fever cases in outbreak provinces of China, 2005-2019.Infectious diseases of poverty · 2022Article
- The Prevalence of Diabetes, Prediabetes and Associated Risk Factors in Hangzhou, Zhejiang Province: A Community-Based Cross-Sectional Study.Diabetes, metabolic syndrome and obesity : targets and therapy · 2022Article
- Impact of the GeneXpert® MTB/RIF rapid molecular test on tuberculosis detection: temporal trends and vulnerable territories.Revista latino-americana de enfermagem · 2021Article
- The Effects of Social, Personal, and Behavioral Risk Factors and PMInternational journal of environmental research and public health · 2020Article
- Type 2 diabetes mellitus and neighborhood deprivation index: A spatial analysis in Zhejiang, China.Journal of diabetes investigation · 2019Article
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Abstract
AIMS/
introductionMany studies have reported that socioeconomically disadvantaged people or people who live in deprived areas are more vulnerable to diabetes complications. However, few such studies were carried out in China. The present study examined the spatial association between the incidence of type 2 diabetes mellitus and neighborhood deprivation in Zhejiang, China, from a spatial epidemiology perspective. MATERIALS AND
methodsType 2 diabetes mellitus data (2012-2016) in the present study were derived from a population-based diabetes registry system maintained by Zhejiang Provincial Center for Disease Control and Prevention. Principal components analysis was used to combine different socioeconomic variables together into a composited Neighborhood Deprivation Index. We applied the global Moran's I and Anselin's local Moran's I statistics to explore the spatial patterns of type 2 diabetes mellitus incidence and Neighborhood Deprivation Index.
resultsType 2 diabetes mellitus incidence (Moran's I: 0.531, P < 0.001) and Neighborhood Deprivation Index (Moran's I: 0.772, P < 0.001) showed positive statistically significant global Moran's I index values, showing a tendency towards clustering. The local Moran's I analyses showed that type 2 diabetes mellitus incidence hot spots were mainly located in urban centers, and type 2 diabetes mellitus incidence cold spots appeared in the provincial capital area (Hangzhou city) and western and south-western regions of Zhejiang; the hot spots of the less deprived areas were concentrated in urban centers (except Lishui city), and the cold spots of the most deprived areas were clustered in western and south-western regions of Zhejiang.
conclusionsThe study showed that the incidence of type 2 diabetes mellitus was higher in affluent areas than the deprived areas across the study period. It will be significant to focus preventive efforts on the least deprived areas.
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