ArticleJournal of diabetes investigation2020
Association between environmental quality and diabetes in the USA.
Article in Journal of diabetes investigation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
What it found
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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.
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.
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Who cites it
15 citing papers in PubMed, 24 citations in OpenAlex.
- Built Environment, Community Safety, and Diabetes in the Deep South: A County Level Geospatial Analysis.Journal of racial and ethnic health disparities · 2026Article
- The intersection of place and health: examining the association of social determinants of health and diabetes in children and adolescents in Florida.BMC public health · 2026Article
- The missing link: electronic health record linkage across species offers opportunities for improving One Health.JAMIA open · 2025Article
- Effects of the leisure-time physical activity environment on odds of glycemic control among a nationwide cohort of United States veterans with a new type-2 diabetes diagnosis.Preventive medicine · 2025Article
- Environmental Quality, Extreme Heat, and Healthcare Expenditures.International journal of environmental research and public health · 2024Article
- Cumulative environmental quality is associated with breast cancer incidence differentially by summary stage and urbanicity.Scientific reports · 2023Article
- Transportation-related Environmental Mixtures and Diabetes Prevalence and Control in Urban/Metropolitan Counties in the United States.Journal of the Endocrine Society · 2023Article
- Stress and human health in diabetes: A report from the 19Journal of clinical and translational science · 2023Article
- Impact of land use and food environment on risk of type 2 diabetes: A national study of veterans, 2008-2018.Environmental research · 2022Article
- Latent growth trajectories of county-level diabetes prevalence in the United States, 2004-2017, and associations with overall environmental quality.Environmental epidemiology (Philadelphia, Pa.) · 2022Article
- Diabetes control is associated with environmental quality in the USA.Endocrine connections · 2021Article
- Article
- FHIR PIT: an open software application for spatiotemporal integration of clinical data and environmental exposures data.BMC medical informatics and decision making · 2020Article
- Association between environmental quality and diabetes in the USA.Journal of diabetes investigation · 2020Article
- Empowering communities: The role of wearable devices in environmental justice.International public health journalArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 4 institutions in 1 country.
Funding
Abstract
AIMS/
introductionCaloric excess and physical inactivity fail to fully account for the rise of diabetes prevalence. Individual environmental pollutants can disrupt glucose homeostasis and promote metabolic dysfunction. However, the impact of cumulative exposures on diabetes risk is unknown. MATERIALS AND
methodsThe Environmental Quality Index, a county-level index composed of five domains, was developed to capture the multifactorial ambient environmental exposures. The Environmental Quality Index was linked to county-level annual age-adjusted population-based estimates of diabetes prevalence rates. Prevalence differences (PD, annual difference per 100,000 persons) and 95% confidence intervals (CI) were estimated using random intercept mixed effects linear regression models. Associations were assessed for overall environmental quality and domain-specific indices, and all analyses were stratified by four rural-urban strata.
resultsComparing counties in the highest quintile/poorest environmental quality to those in the lowest quintile/best environmental quality, counties with poor environmental quality demonstrated lower total diabetes prevalence rates. Associations varied by rural-urban strata; overall better environmental quality was associated with lower total diabetes prevalence rates in the less urbanized and thinly populated strata. When considering all counties, good sociodemographic environments were associated with lower total diabetes prevalence rates (prevalence difference 2.77, 95% confidence interval 2.71-2.83), suggesting that counties with poor sociodemographic environments have an annual prevalence rate 2.77 per 100,000 persons higher than counties with good sociodemographic environments.
conclusionsIncreasing attention has focused on environmental exposures as contributors to diabetes pathogenesis, and the present findings suggest that comprehensive approaches to diabetes prevention must include interventions to improve environmental quality.
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What OpenQuestion holds
Registered trials
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.