ArticleDiabetes research and clinical practice2025
Connecting underlying factors in the associations between perceived neighborhood social environments and type 2 Diabetes: Serial mediation analyses.
Article in Diabetes research and clinical practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- The Role of the Neighborhood Social Environment on Adulthood Depression: Insights from Midlife in the United States III.Community mental health journal · 2026Article
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6 authors.
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Abstract
aimsThis study tested direct and indirect associations between perceived neighborhood social environments and type 2 diabetes (T2D), serially mediated via health-related (physical activity [PA], body mass index [BMI]), psychosocial factors, and inflammation.
methodsData came from the Midlife in the United States (MIDUS 3 [2013-2014] and MIDUS 3 Biomarker Project [2017-2022]; n = 518). T2D (yes/no) was based on the American Diabetes Association criteria. Perceived neighborhood social cohesion and safety were assessed separately (higher scores = more favorable neighborhoods). PA, BMI, perceived stress, depression, and c-reactive protein (CRP) were included as mediators in the associations between exposure and the outcome adjusting for covariates.
resultsHigher social cohesion was indirectly related to lower likelihood of T2D, serially mediated through PA, BMI, and CRP (odds ratio [OR] = 1.00; 95 % bias-corrected confidence interval [BC CI] = 0.99, 1.00). Higher social cohesion and safety were indirectly associated with a lower likelihood of T2D, serially mediated via stress, depression, and CRP (Social cohesion: OR = 0.98; 95 % BC CI = 0.96, 1.00; and safety: OR = 0.98; 95 % BC CI = 0.96, 1.00, all p < 0.05).
conclusionsThis study may be the first to demonstrate underlying potential mechanisms through which socially cohesive and safe neighborhoods lower the risk of T2D. These pathways present potential targets for interventions to reduce the risk.
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