ArticleJournal of general internal medicine2020
Neighborhood Environment Characteristics and Control of Hypertension and Diabetes in a Primary Care Patient Sample.
Article in Journal of general internal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
What it found
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.
- Neighborhood Safety and Hypertension Risk: A Systematic Review.Journal of the American Heart Association · 2025Pooled it
- Impact of Social Determinants of Health on Hypertension Outcomes: A Systematic Review.Hypertension (Dallas, Tex. : 1979) · 2024Pooled it
- Examining the Role of Racial and Neighborhood Context in Hypertensive Disorders of Pregnancy: A Multilevel Analysis.Journal of racial and ethnic health disparities · 2026Article
- Telemedicine Use and Hypertension Control in an Urban Community Health Center Cohort.Journal of general internal medicine · 2025Article
- Area-level socioeconomic inequalities in hypertension care cascade in China: a nationwide population-based study based on the ChinaHEART project.The Lancet regional health. Western Pacific · 2025Article
- Psychosocial profiles and blood pressure control: results from the multi-ethnic study of atherosclerosis (MESA).Journal of behavioral medicine · 2024Article
- Social Determinants of Health and Cardiovascular Risk among Adults with Diabetes: The Reasons for Geographic and Racial Differences in Stroke (REGARDS) Study.Diabetes & metabolism journal · 2024Article
- Food Environments and Cardiovascular Disease: Evidence From the Health and Retirement Study.American journal of preventive medicine · 2024Article
- Metabolic syndrome traits exhibit genotype-by-environment interaction in relation to socioeconomic status in the Mexican American family heart study.Frontiers in genetics · 2024Article
- Impact of Contextual-Level Social Determinants of Health on Newer Antidiabetic Drug Adoption in Patients with Type 2 Diabetes.International journal of environmental research and public health · 2023Article
- Association of Perceived Neighborhood Health With Hypertension Self-care.JAMA network open · 2023Article
- Article
- Social Determinants of Poor Management of Type 2 Diabetes Among the Insured.Current diabetes reports · 2020Review
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
backgroundHypertension control and diabetes control are important for reducing cardiovascular disease burden. A growing body of research suggests an association between neighborhood environment and hypertension or diabetes control among patients engaged in clinical care.
objectiveTo investigate whether neighborhood conditions (i.e., healthy food availability, socioeconomic status (SES), and crime) were associated with hypertension and diabetes control.
designCross-sectional analyses using electronic medical record (EMR) data, U.S. Census data, and secondary data characterizing neighborhood food environments. Multivariate logistic regression analyses adjusted for potential confounders. Analyses were conducted in 2017.
participantsFive thousand nine hundred seventy adults receiving primary care at three Baltimore City clinics in 2010-2011. MAIN MEASURES: Census tract-level neighborhood healthy food availability, neighborhood SES, and neighborhood crime. Hypertension control defined as systolic blood pressure < 140 mmHg and diastolic blood pressure < 90 mmHg. Diabetes control defined as HgbA1c < 7. KEY
resultsAmong patients with hypertension, neighborhood conditions were not associated with lower odds of blood pressure control after accounting for patient and physician characteristics. However, among patients with diabetes, in fully adjusted models accounting for patient and physician characteristics, we found that patients residing in neighborhoods with low and moderate SES had reduced odds of diabetes control (OR = 0.74 (95% CI = 0.57-0.97) and OR = 0.75 (95% CI = 0.57-0.98), respectively) compared to those living in high-SES neighborhoods.
conclusionsNeighborhood disadvantage may contribute to poor diabetes control among patients in clinical care. Community-based chronic disease care management strategies to improve diabetes control may be optimally effective if they also address neighborhood SES among patients engaged in care.
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