TY - JOUR
T1 - Neighborhood Environment and Metabolic Risk in Hispanics/Latinos From the Hispanic Community Health Study/Study of Latinos
AU - Gallo, Linda C.
AU - Savin, Kimberly L.
AU - Jankowska, Marta M.
AU - Roesch, Scott C.
AU - Sallis, James F.
AU - Sotres-Alvarez, Daniela
AU - Talavera, Gregory A.
AU - Perreira, Krista M.
AU - Isasi, Carmen R.
AU - Penedo, Frank J.
AU - Llabre, Maria M.
AU - Estrella, Mayra L.
AU - Chambers, Earle C.
AU - Daviglus, Martha L.
AU - Brown, Scott C.
AU - Carlson, Jordan A.
N1 - Funding Information:
Contracts from HCHS/SOL provided support for authors LCG, SCR, DSA, GAT, KMP, CRI, FJP, MML, MLE, ECC, and MLD. SOL CASAS was supported by grant DK106209 from the National Institutes of Health National Institute of Diabetes and Digestive and Kidney Diseases, which provided support to authors LCG, MMJ, SCR, JFS, DSA, GAT, and JAC. LCG, GAT, ECC, and CRI were supported by grant DK111022. LCG was supported by U54TR002550. KLS was supported by grant HL079891.
Funding Information:
The authors thank the staff and participants of the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) and Study of Latinos Community and Surrounding Areas Study (SOL CASAS) for their important contributions. The HCHS/SOL is a collaborative study supported by contracts from the National Heart, Lung, and Blood Institute to the University of North Carolina (HHSN268201300001I/N01-HC-65233), University of Miami (HHSN268201300004I/N01-HC-65234), Albert Einstein College of Medicine (HHSN268201300002I/N01-HC-65235), University of Illinois at Chicago (HHSN268201300003I/N01-HC-65236 Northwestern University), and San Diego State University (HHSN268201300005I/N01-HC-65237). The following Institutes/Centers/Offices have contributed to the HCHS/SOL through a transfer of funds to the National Heart, Lung, and Blood Institute: National Institute on Minority Health and Health Disparities, National Institute on Deafness and Other Communication Disorders, National Institute of Dental and Craniofacial Research, National Institute of Diabetes and Digestive and Kidney Diseases, National Institute of Neurological Disorders and Stroke, and NIH Institution-Office of Dietary Supplements. SOL CASAS was supported by the NIH/National Institute of Diabetes and Digestive and Kidney Diseases (5 R01 DK106209). In no case did study sponsors have a role in study design; collection, analysis, or interpretation of data; writing of the report; or the decision to submit the report for publication. Contracts from HCHS/SOL provided support for authors LCG, SCR, DSA, GAT, KMP, CRI, FJP, MML, MLE, ECC, and MLD. SOL CASAS was supported by grant DK106209 from the National Institutes of Health National Institute of Diabetes and Digestive and Kidney Diseases, which provided support to authors LCG, MMJ, SCR, JFS, DSA, GAT, and JAC. LCG, GAT, ECC, and CRI were supported by grant DK111022. LCG was supported by U54TR002550. KLS was supported by grant HL079891. No financial disclosures were reported by the authors of this paper. Linda C. Gallo: Conceptualization, Methodology, Investigation, Data curation, Writing - Original Draft, Writing - Review & Editing, Visualization, Supervision, Project administration, Funding acquisition. Kimberly L. Savin: Conceptualization, Formal analysis, Writing - original draft, Writing – review and editing. Marta M. Jankowska: Conceptualization, Data curation, Formal analysis, Funding acquisition, Methodology, Validation, Visualization, Writing - original draft, Writing - review and editing. Scott C. Roesch: Conceptualization, Data curation, Formal analysis, Funding acquisition, Methodology, Validation, Writing - original draft, Writing - review and editing. James F. Sallis: Conceptualization, Data curation, Formal analysis, Funding acquisition, Methodology, Validation, Writing - original draft, Writing - review and editing. Daniela Sotres-Alvarez: Conceptualization, Data curation, Formal analysis, Funding acquisition, Methodology, Validation, Writing - original draft, Writing - review and editing. Gregory A. Talavera: Conceptualization, Methodology, Supervision, Project Administration, Funding acquisition, Writing - review and editing. Krista M. Perreira: Conceptualization, Writing - review and editing. Carmen R. Isasi: Conceptualization, Funding acquisition, Writing - review and editing. Frank J. Penedo: Conceptualization, Writing - review and editing. Maria M. Llabre: Conceptualization, Writing - review and editing. Earle C. Chambers: Conceptualization, Writing - review and editing. Martha l. Daviglus: Conceptualization, Writing - review and editing, Funding acquisition. Scott C. Brown: Conceptualization, Writing - review and editing. Jordan A. Carlson: Conceptualization, Data curation, Formal analysis, Funding acquisition, Methodology, Project administration, Validation, Visualization, Writing - original draft, Writing – review and editing.
Funding Information:
The HCHS/SOL is a collaborative study supported by contracts from the National Heart, Lung, and Blood Institute to the University of North Carolina (HHSN268201300001I/N01-HC-65233), University of Miami (HHSN268201300004I/N01-HC-65234), Albert Einstein College of Medicine (HHSN268201300002I/N01-HC-65235), University of Illinois at Chicago (HHSN268201300003I/N01-HC-65236 Northwestern University), and San Diego State University (HHSN268201300005I/N01-HC-65237). The following Institutes/Centers/Offices have contributed to the HCHS/SOL through a transfer of funds to the National Heart, Lung, and Blood Institute: National Institute on Minority Health and Health Disparities, National Institute on Deafness and Other Communication Disorders, National Institute of Dental and Craniofacial Research, National Institute of Diabetes and Digestive and Kidney Diseases, National Institute of Neurological Disorders and Stroke, and NIH Institution-Office of Dietary Supplements. SOL CASAS was supported by the NIH/National Institute of Diabetes and Digestive and Kidney Diseases (5 R01 DK106209).
Publisher Copyright:
© 2022 American Journal of Preventive Medicine
PY - 2022/8
Y1 - 2022/8
N2 - Introduction: This study examines the associations of neighborhood environments with BMI, HbA1c, and diabetes across 6 years in Hispanic/Latino adults. Methods: Participants from the Hispanic Community Health Study/Study of Latinos San Diego site (n=3,851, mean age=39.4 years, 53.3% women, 94.0% Mexican heritage) underwent assessment of metabolic risk factors and diabetes status (categorized as normoglycemia, prediabetes, and diabetes) at baseline (2008–2011) and approximately 6 years later (2014–2017). In the Study of Latinos Community and Surrounding Areas Study ancillary study (2015–2020), participant baseline addresses were geocoded, and neighborhoods were defined using 800-meter circular buffers. Neighborhood variables representing socioeconomic deprivation, residential stability, social disorder, walkability, and greenness were created using Census and other public databases. Analyses were conducted in 2020–2021. Results: Complex survey regression analyses revealed that greater neighborhood socioeconomic deprivation was associated with higher BMI (β=0.14, p<0.001) and HbA1c (β=0.08, p<0.01) levels and a higher odds of worse diabetes status (i.e., having prediabetes versus normoglycemia and having diabetes versus prediabetes; OR=1.25, 95% CI=1.06, 1.47) at baseline. Greater baseline neighborhood deprivation also was related to increasing BMI (β=0.05, p<0.01) and worsening diabetes (OR=1.27, 95% CI=1.10, 1.46) statuses, whereas social disorder was related to increasing BMI levels (β=0.05, p<0.05) at Visit 2. There were no associations of expected protective factors of walkability, greenness, or residential stability. Conclusions: Neighborhood deprivation and disorder were related to worse metabolic health in San Diego Hispanic/Latino adults of mostly Mexican heritage. Multilevel interventions emphasizing individual and structural determinants may be most effective in improving metabolic health among Hispanic/Latino individuals.
AB - Introduction: This study examines the associations of neighborhood environments with BMI, HbA1c, and diabetes across 6 years in Hispanic/Latino adults. Methods: Participants from the Hispanic Community Health Study/Study of Latinos San Diego site (n=3,851, mean age=39.4 years, 53.3% women, 94.0% Mexican heritage) underwent assessment of metabolic risk factors and diabetes status (categorized as normoglycemia, prediabetes, and diabetes) at baseline (2008–2011) and approximately 6 years later (2014–2017). In the Study of Latinos Community and Surrounding Areas Study ancillary study (2015–2020), participant baseline addresses were geocoded, and neighborhoods were defined using 800-meter circular buffers. Neighborhood variables representing socioeconomic deprivation, residential stability, social disorder, walkability, and greenness were created using Census and other public databases. Analyses were conducted in 2020–2021. Results: Complex survey regression analyses revealed that greater neighborhood socioeconomic deprivation was associated with higher BMI (β=0.14, p<0.001) and HbA1c (β=0.08, p<0.01) levels and a higher odds of worse diabetes status (i.e., having prediabetes versus normoglycemia and having diabetes versus prediabetes; OR=1.25, 95% CI=1.06, 1.47) at baseline. Greater baseline neighborhood deprivation also was related to increasing BMI (β=0.05, p<0.01) and worsening diabetes (OR=1.27, 95% CI=1.10, 1.46) statuses, whereas social disorder was related to increasing BMI levels (β=0.05, p<0.05) at Visit 2. There were no associations of expected protective factors of walkability, greenness, or residential stability. Conclusions: Neighborhood deprivation and disorder were related to worse metabolic health in San Diego Hispanic/Latino adults of mostly Mexican heritage. Multilevel interventions emphasizing individual and structural determinants may be most effective in improving metabolic health among Hispanic/Latino individuals.
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U2 - 10.1016/j.amepre.2022.01.025
DO - 10.1016/j.amepre.2022.01.025
M3 - Article
C2 - 35365395
AN - SCOPUS:85127364597
SN - 0749-3797
VL - 63
SP - 195
EP - 203
JO - American Journal of Preventive Medicine
JF - American Journal of Preventive Medicine
IS - 2
ER -
