Evidence map›Paper›PMID 32100614›Full record

ArticleThe Diabetes educator2020

Neighborhood Influences on Physical Activity Among Low-Income African American Adults With Type 2 Diabetes Mellitus.

Soim Park, Wayne W Zachary, Joel Gittelsohn, Charlene C Quinn, Pamela J Surkan

Abstract read
In one paragraph

Article in The Diabetes educator, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

15 citing papers in PubMed, 2 syntheses or guidelines 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

5 authors.

Soim ParkDepartment of International Health, Johns Hopkins School of Public Health, Baltimore, Maryland.ORCID 0000-0003-3217-1210
Wayne W ZacharyStarship Health Technologies, Blue Bell, Pennsylvania.
Joel GittelsohnDepartment of International Health, Johns Hopkins School of Public Health, Baltimore, Maryland.
Charlene C QuinnSchool of Medicine, University of Maryland, Baltimore, Maryland.
Pamela J SurkanDepartment of International Health, Johns Hopkins School of Public Health, Baltimore, Maryland.

Funding

A diabetes networking tool to enhance self-management through social networksR21NR015577 · NINR · JOHNS HOPKINS UNIVERSITY · PI SURKAN, PAMELA J, ZACHARY, WAYNE W · 2015 to 2016
$460k
A generalized Diabetes Networking Tool (DNT) to enhance social support for patient self managementR43DK119079 · NIDDK · STARSHIP HEALTH TECHNOLOGIES · PI SURKAN, PAMELA J, ZACHARY, WAYNE W · 2018 to 2018
$253k
NIDDK NIH HHS R43 DK119079NINR NIH HHS R21 NR015577
6 · The paper itself

Abstract

purposeThe purpose of the study was to explore the influences of the neighborhood environment on physical activity (PA) among people living with type 2 diabetes mellitus (T2DM) in a community with limited resources.

methodsParticipants were adults with T2DM and their family members or friends who help in the management of T2DM and who were living in a low-income African American (AA) community. Health care providers working in the neighborhood were also included. Using an emergent design, qualitative data were collected through 7 focus group discussions (N = 63) and 13 in-depth interviews. Verbatim transcriptions were analyzed via thematic coding to explore contextual factors that limit PA and meaning around neighborhood features that promote or discourage PA.

resultsLevels of PA were strongly limited by neighborhood insecurity and a lack of recreational facilities in the neighborhood. People with T2DM and physical/mobility disabilities were more affected by the neighborhood environment than those without disabilities, particularly due to perceived safety concerns and social stigma. Despite socioeconomic inequalities within neighborhoods, participants showed resilience and made efforts to overcome social-environmental barriers to PA, applied various coping strategies, and received social support.

conclusionsResults suggested that in an underserved neighborhood, individual barriers to physical activity were amplified by neighborhood-level factors such as crime, especially among individuals who have T2DM and disabilities. Socioeconomic inequalities should be addressed further to improve management of T2DM and its complications.

Indexed as

Residence CharacteristicsAdultBlack or African AmericanDiabetes Mellitus, Type 2ExerciseFamilyFemaleHealth PersonnelHumansMaleMedically Underserved AreaMiddle AgedPovertySocial EnvironmentVulnerable Populations

Identifiers

PMID32100614
PMCPMC7469716

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.