ArticleBMJ open2018
Association of neighbourhood socioeconomic status and diabetes burden using electronic health records in Madrid (Spain): the HeartHealthyHoods study.
Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed.
- Area-level socioeconomic status and children's body weight: examining the role of unhealthy food environments.Nutrition journal · 2026Article
- 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
- The role of cardiovascular risk factors on educational and regional inequalities in mortality in Spain 2016-2022: An analysis using multiple causes of death.SSM - population health · 2026Article
- Article
- Assessment of Hemoglobin A1c Management and Prescription Cost Due to Polypharmacy Among Patients With Diabetes in Iran Based on the STEPS Iran 2016 Survey and a Prescription Database: A Multi-level, Cross-sectional National Study.Archives of Iranian medicine · 2024Article
- Age and sex differences in the association between neighborhood socioeconomic environment and incident diabetes: Results from the diabetes location, environmental attributes and disparities (LEAD) network.SSM - population health · 2023Article
- Socioeconomic Inequalities as a Cause of Health Inequities in Spain: A Scoping Review.Healthcare (Basel, Switzerland) · 2023Article
- Dietary patterns, socioeconomic disparities, and risk of type 2 diabetes in the Sister Study.Diabetes research and clinical practice · 2023Article
- Influence of neighborhood-level socioeconomic deprivation and individual socioeconomic position on risk of developing type 2 diabetes in older men: a longitudinal analysis in the British Regional Heart Study cohort.BMJ open diabetes research & care · 2023Article
- Comparing the sociodemographic characteristics of participants and non-participants in the population-based Tromsø Study.BMC public health · 2023Article
- Article
- The role of neighborhood inequalities on diabetes prevention care: a mini-review.Frontiers in clinical diabetes and healthcare · 2023Review
- Comparing Global and Spatial Composite Measures of Neighborhood Socioeconomic Status Across US Counties.Journal of urban health : bulletin of the New York Academy of Medicine · 2022Article
- Neighborhood greenspace and risk of type 2 diabetes in a prospective cohort: the Multi-Ethncity Study of Atherosclerosis.Environmental health : a global access science source · 2022Article
- Effectiveness and Practicality of eKTANG as a Digital Treatment for Diabetes and Relevant Influence Factors.Iranian journal of public health · 2022Article
- Exercise facilities and the prevalence of obesity and type 2 diabetes in the city of Madrid.Diabetologia · 2022Article
- The health potential of neighborhoods: A population-wide study in the Netherlands.SSM - population health · 2021Article
- Cultural Adaptation and Evaluation of the Perceived Nutrition Environment Measures Survey to the Mediterranean Spanish Context (NEMS-P-MED).Nutrients · 2020Article
- Residential distance from high-voltage overhead power lines and risk of Alzheimer's dementia and Parkinson's disease: a population-based case-control study in a metropolitan area of Northern Italy.International journal of epidemiology · 2019Article
- Socioeconomic Inequalities in the Retail Food Environment around Schools in a Southern European Context.Nutrients · 2019Article
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Authors and funding
5 authors.
Funding
Abstract
objectiveTo study the association between neighbourhood socioeconomic status and diabetes prevalence, incidence, and control in the entire population of northeastern Madrid, Spain.
settingElectronic health records of the primary-care system in four districts of Madrid (Spain).
participants269 942 people aged 40 or older, followed from 2013 to 2014. EXPOSURE: Neighbourhoodsocioeconomic status (NSES), measured using a composite index of seven indicators from four domains of education, wealth, occupation and living conditions. PRIMARY OUTCOME MEASURES: Diagnosis of diabetes based on ICPC-2 codes and glycated haemoglobin (HbA1c %).
resultsIn regression analyses adjusted by age and sex and compared with individuals living in low NSES neighbourhoods, men living in medium and high NSES neighbourhoods had 10% (95% CI: 6% to 15%) and 29% (95% CI: 25% to 32%) lower prevalence of diabetes, while women had 27% (95% CI: 23% to 30%) and 50% (95% CI: 47% to 52%) lower prevalence of diabetes. Moreover, the hazard of diabetes in men living in medium and high NSES neighbourhoods was 13% (95% CI: 1% to 23%) and 20% (95% CI: 9% to 29%) lower, while the hazard of diabetes in women living in medium and high NSES neighbourhoods was 17% (95% CI: 3% to 29%) and 31% (95% CI: 20% to 41%) lower. Individuals living in medium and high SES neighbourhoods had 8% (95% CI: 2% to 15%) and 15% (95% CI: 9% to 21%) lower prevalence of lack of diabetes control, and a decrease in average HbA1c % of 0.05 (95% CI: 0.01 to 0.10) and 0.11 (95% CI: 0.06 to 0.15).
conclusionsDiabetes prevalence, incidence and lack of control increased with decreasing NSES in a southern European city. Future studies should provide mechanistic insights and targets for intervention to address this health inequity.
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