The effect of adverse housing and neighborhood conditions on the development of diabetes mellitus among middle-aged African Americans

dc.contributor.authorSchootman, Mario
dc.contributor.authorAndresen, Elena M.
dc.contributor.authorWolinsky, Fredric D.
dc.contributor.authorMalmstrom, Theodore K.
dc.contributor.authorMiller, J. Philip
dc.contributor.authorYan, Yan
dc.contributor.authorMiller, Douglas K.
dc.contributor.departmentDepartment of Medicine, IU School of Medicineen_US
dc.date.accessioned2016-03-14T18:34:30Z
dc.date.available2016-03-14T18:34:30Z
dc.date.issued2007-08-15
dc.description.abstractThe authors examined the associations of observed neighborhood (block face) and housing conditions with the incidence of diabetes by using data from 644 subjects in the African-American Health Study (St. Louis area, Missouri). They also investigated five mediating pathways (health behavior, psychosocial, health status, access to medical care, and sociodemographic characteristics) if significant associations were identified. The external appearance of the block the subjects lived on and housing conditions were rated as excellent, good, fair, or poor. Subjects reported about neighborhood desirability. Self-reported diabetes was obtained at baseline and 3 years later. Of 644 subjects without self-reported diabetes, 10.3% reported having diabetes at the 3-year follow-up. Every housing condition rated as fair-poor was associated with an increased risk of diabetes, with odds ratios ranging from 2.53 (95% confidence interval: 1.47, 4.34 for physical condition inside the building) to 1.78 (95% confidence interval: 1.03, 3.07 for cleanliness inside the building) in unadjusted analyses. No association was found between any of the block face conditions or perceived neighborhood conditions and incident diabetes. The odds ratios for the five housing conditions were unaffected when adjusted for the mediating pathways. Poor housing conditions appear to be an independent contributor to the risk of incident diabetes in urban, middle-aged African Americans.en_US
dc.eprint.versionAuthor's manuscripten_US
dc.identifier.citationSchootman, M., Andresen, E. M., Wolinsky, F. D., Malmstrom, T. K., Miller, J. P., Yan, Y., & Miller, D. K. (2007). The Effect of Adverse Housing and Neighborhood Conditions on the Development of Diabetes Mellitus among Middle-aged African Americans. American Journal of Epidemiology, 166(4), 379–387. http://doi.org/10.1093/aje/kwm190en_US
dc.identifier.urihttps://hdl.handle.net/1805/8831
dc.language.isoen_USen_US
dc.publisherOxford University Pressen_US
dc.relation.isversionof10.1093/aje/kwm190en_US
dc.relation.journalAmerican Journal of Epidemiologyen_US
dc.rightsPublisher Policyen_US
dc.sourcePMCen_US
dc.subjectAfrican Americansen_US
dc.subjectAgingen_US
dc.subjectDiabetes mellitusen_US
dc.subjectHousingen_US
dc.subjectQuestionnairesen_US
dc.subjectResidence characteristicsen_US
dc.titleThe effect of adverse housing and neighborhood conditions on the development of diabetes mellitus among middle-aged African Americansen_US
dc.typeArticleen_US
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