SSM: Population Health (Mar 2023)

The changing food environment and neighborhood prevalence of type 2 diabetes

  • Cathleen D. Zick,
  • David S. Curtis,
  • Huong Meeks,
  • Ken R. Smith,
  • Barbara B. Brown,
  • Kyle Kole,
  • Lori Kowaleski-Jones

Journal volume & issue
Vol. 21
p. 101338

Abstract

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In this ecological study, we used longitudinal data to assess if changes in neighborhood food environments were associated with type 2 diabetes mellitus (T2DM) prevalence, controlling for a host of neighborhood characteristics and spatial error correlation. We found that the population-adjusted prevalence of fast-food and pizza restaurants, grocery stores, and full-service restaurants along with changes in their numbers from 1990 to 2010 were associated with 2015 T2DM prevalence. The results suggested that neighborhoods where fast-food restaurants have increased and neighborhoods where full-service restaurants have decreased over time may be especially important targets for educational campaigns or other public health-related T2DM interventions.

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