Evidence map›Paper›PMID 42424017›Full record

ArticleJournal of racial and ethnic health disparities2026

Where You Live Shapes Diabetes Risk: Multilevel Determinants of Type 2 Diabetes in the East South Central United States.

Ferial Ahmadi, Maryam Karimi, Rouzbeh Nazari, Alireza Eskandarinejad, Mohammad Reza Nikoo

Abstract read
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In one paragraph

Article in Journal of racial and ethnic health disparities, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Ferial AhmadiSchool of Public Health, The University of Memphis, Memphis, TN, 38152, USA.ORCID http://orcid.org/0000-0001-5901-6072
Maryam KarimiSchool of Public Health, The University of Memphis, Memphis, TN, 38152, USA.ORCID http://orcid.org/0000-0002-9603-818X
Rouzbeh NazariDepartment of Civil Engineering, The University of Memphis, 3815 Central Ave, 104 Engineering Science Building, Memphis, TN, 38152, USA. rnazari@memphis.edu.ORCID http://orcid.org/0000-0002-0664-438X
Alireza EskandarinejadDepartment of Civil Engineering, The University of Memphis, 3815 Central Ave, 104 Engineering Science Building, Memphis, TN, 38152, USA.ORCID http://orcid.org/0000-0001-8831-2807
Mohammad Reza NikooDepartment of Civil and Architectural Engineering, Sultan Qaboos University, Masqat, Oman.ORCID http://orcid.org/0000-0002-3740-4389

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Type 2 diabetes melittus (T2DM) remains a major public health challenge in the United States, particularly in the east south central regions. his study investigated behavioral, socioeconomic, and built environment determinants of county-level diabetes prevalence across Alabama, Kentucky, Mississippi, and Tennessee using linear mixed-effects and Random Forest models. The results indicated that food insecurity (β = 0.057, p < 0.001), smoking (β = 0.151, p < 0.001), poverty (β = 0.027, p < 0.001), the percentage of uninsured individuals (β = 0.072, p < 0.001), and the percentage of Black residents (β = 0.058, p < 0.001) were significantly associated with higher T2DM prevalence. Significant interactions were observed between obesity and physical inactivity (β = 0.0030, p < 0.001), obesity and alcohol consumption (β = - 0.0120, p < 0.001), and obesity and social deprivation (β = - 0.00081, p < 0.001), indicating that the association between obesity and diabetes prevalence varied according to behavioral and socioeconomic conditions. The Random Forest model demonstrated strong predictive performance (R

Indexed as

Built environmentMachine learningSpatial analysisType 2 diabetesUrban health

Identifiers

PMID42424017

What OpenQuestion holds

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Registered trials

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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.