Evidence map›Paper›PMID 33441365›Full record

ArticleBMJ open2021

Association of community types and features in a case-control analysis of new onset type 2 diabetes across a diverse geography in Pennsylvania.

B S Schwartz, Jonathan Pollak, Melissa N Poulsen, Karen Bandeen-Roche, Katherine Moon, Joseph DeWalle, Karen Siegel, Carla Mercado, Giuseppina Imperatore, Annemarie G Hirsch

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.5field-weighted citation impact, top 9% of its field
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

21 citing papers in PubMed, 24 citations in OpenAlex.

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  12. Use and Impact of Type 2 Diabetes Prevention Interventions.American journal of preventive medicine · 2022
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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

10 authors at 3 institutions in 1 country.

B S SchwartzEnvironmental Health and Engineering, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA bschwar1@jhu.edu.ORCID 0000-0002-0739-9865
Jonathan PollakEnvironmental Health and Engineering, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA.
Melissa N PoulsenPopulation Health Sciences, Geisinger, Danville, Pennsylvania, USA.
Karen Bandeen-RocheBiostatistics, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA.
Katherine MoonEnvironmental Health and Engineering, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA.ORCID 0000-0002-7604-075X
Joseph DeWallePopulation Health Sciences, Geisinger, Danville, Pennsylvania, USA.
Karen SiegelNational Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Carla MercadoNational Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Giuseppina ImperatoreNational Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Annemarie G HirschPopulation Health Sciences, Geisinger, Danville, Pennsylvania, USA.ORCID 0000-0001-7699-2171
Johns Hopkins University · USCenters for Disease Control and Prevention · USGeisinger Health System · US

Funding

Component A: A multi-level study of community context and type 2 diabetes and coronary heart disease using electronic health record and new primary data across nested geographies in PennsylvaniaU01DP006296 · DP · GEISINGER CLINIC · PI HIRSCH, ANNEMARIE GREGORY · 2017 to 2021
$3.8M
Component B: Coordinating Center for Community Characteristics Associated with Geographic Disparities in DiabetesU01DP006293 · DP · DREXEL UNIVERSITY · PI MCCLURE, LESLIE AIN · 2017 to 2021
$3.1M
ACL HHS U01DP006293NCCDPHP CDC HHS U01 DP006293NCCDPHP CDC HHS U01 DP006296
6 · The paper itself

Abstract

objectivesTo evaluate associations of community types and features with new onset type 2 diabetes in diverse communities. Understanding the location and scale of geographic disparities can lead to community-level interventions.

designNested case-control study within the open dynamic cohort of health system patients.

settingLarge, integrated health system in 37 counties in central and northeastern Pennsylvania, USA. PARTICIPANTS AND ANALYSIS: We used electronic health records to identify persons with new-onset type 2 diabetes from 2008 to 2016 (n=15 888). Persons with diabetes were age, sex and year matched (1:5) to persons without diabetes (n=79 435). We used generalised estimating equations to control for individual-level confounding variables, accounting for clustering of persons within communities. Communities were defined as (1) townships, boroughs and city census tracts; (2) urbanised area (large metro), urban cluster (small cities and towns) and rural; (3) combination of the first two; and (4) county. Community socioeconomic deprivation and greenness were evaluated alone and in models stratified by community types.

resultsBorough and city census tract residence (vs townships) were associated (OR (95% CI)) with higher odds of type 2 diabetes (1.10 (1.04 to 1.16) and 1.34 (1.25 to 1.44), respectively). Urbanised areas (vs rural) also had increased odds of type 2 diabetes (1.14 (1.08 to 1.21)). In the combined definition, the strongest associations (vs townships in rural areas) were city census tracts in urban clusters (1.41 (1.22 to 1.62)) and city census tracts in urbanised areas (1.33 (1.22 to 1.45)). Higher community socioeconomic deprivation and lower greenness were each associated with increased odds.

conclusionsUrban residence was associated with higher odds of type 2 diabetes than for other areas. Higher community socioeconomic deprivation in city census tracts and lower greenness in all community types were also associated with type 2 diabetes.

Indexed as

Diabetes Mellitus, Type 2AdolescentAdultAgedAged, 80 and overCase-Control StudiesChildChild, PreschoolCitiesFemaleGeographyHumansMaleMiddle AgedPennsylvaniaResidence Characteristicsdiabetes & endocrinologyepidemiologypublic health

Identifiers

PMID33441365
PMCPMC7812110
OpenAlexW3120506469

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.