ArticleDiabetes care2022
Neighborhood Socioeconomic Environment and Risk of Type 2 Diabetes: Associations and Mediation Through Food Environment Pathways in Three Independent Study Samples.
Article in Diabetes care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Association between Community Food Environments and Health Outcomes in High-Income Countries: A Systematic Literature Review.Current nutrition reports · 2025Pooled it
- Association Between Various Metrics of the Rural Food Environment and Diabetes and Obesity.Preventing chronic disease · 2026Article
- The social environment and cognitive aging over the life course: laying out critical concepts and research gaps.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026Review
- Association between healthiness of community food environments and diet-related health outcomes in regional Australia: an ecological study.BMC public health · 2026Article
- Area deprivation, social vulnerability, and post-pregnancy blood pressure.medRxiv : the preprint server for health sciences · 2026Article
- Measuring access to culturally appropriate food and associations with diabetes among Asian Americans and Native Hawaiians or Pacific Islanders.Public health nutrition · 2025Article
- A Geographic Weighted Regression Analysis of the Health Opportunity Index and Stroke Prevalence in Health and Human Services Region 3.International journal of environmental research and public health · 2025Article
- Assessing Measurement Invariance in Neighborhood Socioeconomic Environment Across Levels of Urbanicity.Journal of urban health : bulletin of the New York Academy of Medicine · 2025Article
- Neighborhood Retail Food Environment and 6-Year Changes in Cardiometabolic Health in Hispanics/Latinos: HCHS/SOL CASAS.Journal of racial and ethnic health disparities · 2025Article
- Impact of Commercial Food Environments on Local Type 2 Diabetes Burden: Cross-Sectional and Ecological Multimodeling Study.JMIR public health and surveillance · 2025Article
- BMI as a Mediator in the Relationship Between Dietary Trace Elements and Type 2 Diabetes Mellitus: Findings from a Rural Cohort.Nutrients · 2025Article
- Trends of Large for Gestational Age and Macrosomia and Their Mediating Effect on the Association Between Diabetes Mellitus and Obstetric Hemorrhage.Maternal & child nutrition · 2025Article
- Association between neighborhood deprivation and type 2 diabetes risk among ADHD patients: a nationwide population-based cohort study.Frontiers in public health · 2025Article
- Considerations and recommendations for collaborative research networks in epidemiology: Lessons learned from the diabetes LEAD Network.Journal of clinical and translational science · 2025Article
- Income-Related Disparities in Mortality Among Young Adults With Type 2 Diabetes.JAMA network open · 2024Article
- Defining diabetes status using medication groups in Medicare data: Trends in prescribing diabetes medications to patients without a diabetes diagnosis over time.Diabetes, obesity & metabolism · 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
- Article
- Assessing the association between food environment and dietary inflammation by community type: a cross-sectional REGARDS study.International journal of health geographics · 2023Article
- The Impact of Neighborhoods on Diabetes Risk and Outcomes: Centering Health Equity.Diabetes care · 2023Review
Corrections and comments
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Authors and funding
23 authors.
Funding
Abstract
objectiveWe examined whether relative availability of fast-food restaurants and supermarkets mediates the association between worse neighborhood socioeconomic conditions and risk of developing type 2 diabetes (T2D). RESEARCH DESIGN AND
methodsAs part of the Diabetes Location, Environmental Attributes, and Disparities Network, three academic institutions used harmonized environmental data sources and analytic methods in three distinct study samples: 1) the Veterans Administration Diabetes Risk (VADR) cohort, a national administrative cohort of 4.1 million diabetes-free veterans developed using electronic health records (EHRs); 2) Reasons for Geographic and Racial Differences in Stroke (REGARDS), a longitudinal, epidemiologic cohort with Stroke Belt region oversampling (N = 11,208); and 3) Geisinger/Johns Hopkins University (G/JHU), an EHR-based, nested case-control study of 15,888 patients with new-onset T2D and of matched control participants in Pennsylvania. A census tract-level measure of neighborhood socioeconomic environment (NSEE) was developed as a community type-specific z-score sum. Baseline food-environment mediators included percentages of 1) fast-food restaurants and 2) food retail establishments that are supermarkets. Natural direct and indirect mediating effects were modeled; results were stratified across four community types: higher-density urban, lower-density urban, suburban/small town, and rural.
resultsAcross studies, worse NSEE was associated with higher T2D risk. In VADR, relative availability of fast-food restaurants and supermarkets was positively and negatively associated with T2D, respectively, whereas associations in REGARDS and G/JHU geographies were mixed. Mediation results suggested that little to none of the NSEE-diabetes associations were mediated through food-environment pathways.
conclusionsWorse neighborhood socioeconomic conditions were associated with higher T2D risk, yet associations are likely not mediated through food-environment pathways.
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Registered trials
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