Differences by race in the associations between neighborhood crime and violence and glycemic control among adults with type 2 diabetes.
Differences by race in the associations between neighborhood crime and violence and glycemic control among adults with type 2 diabetes.
复制标题
2型糖尿病的成年人之间邻里犯罪与暴力和血糖控制之间关联的种族差异。
DOI：
10.1371/journal.pone.0279234
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发表时间：
2022
期刊：
影响因子：
3.7
通讯作者：
Egede, Leonard E.
中科院分区：
文献类型：
--
作者：
Akinboboye, Olaitan;Williams, Joni S.;Olukotun, Oluwatoyin;Egede, Leonard E.
有限的数据存在的差异之间的关联邻里特征，如犯罪和暴力和糖尿病的结果种族。在2型糖尿病（T2 DM）成人样本中，研究社区特征（犯罪和暴力）与血糖控制之间关系的种族差异。一项横向研究。来自美国东南部的601名T2 DM成人。结局为血糖控制。邻里暴力和犯罪是主要的自变量，以前验证的尺度和指数被用来评估邻里犯罪和暴力。协变量包括年龄、性别、教育程度、婚姻状况、收入、每周工作时间、糖尿病病程、合并症、健康状况和招募地点。多元线性回归用于评估邻里特征（暴力和犯罪）和血糖控制之间的关系，调整相关协变量。大约66%的样本人口是黑人，年龄在49-71岁之间。黑人成人的未校正平均血红蛋白A1 c（HbA 1 c）显著高于白色成人（8.0 ± 2.0 vs. 7.8 ± 1.6; p = 0.002）。在完全校正的分层模型中，血糖控制与白色成年人的邻里犯罪（β系数：0.36; 95% CI 0.07，0.65）和邻里暴力（β系数：0.14; 95% CI 0.003，0.28）显著相关;这些关系在黑人成年人中不显著。在这一样本中，社区犯罪和暴力与白色成年人的血糖控制显著相关，但与黑人成年人无关。需要进一步的研究来了解白色成年人和2型糖尿病黑人成年人之间对邻里犯罪和暴力的看法。
Limited data exist on the differential association between neighborhood characteristics such as crime and violence and diabetes outcomes by race. To examine racial differences in the relationship between neighborhood characteristics (crime and violence) and glycemic control in a sample of adults with type 2 diabetes (T2DM). A cross-sectional study. 601 adults with T2DM from the Southeastern United States. Outcome was glycemic control. Neighborhood violence and crime were the primary independent variable, and previously validated scales and indices were used to assess neighborhood crime and violence. Covariates included age, gender, education, marital status, income, hours of work per week, duration of diabetes, comorbidity, health status, and site of recruitment. Multiple linear regression was used to assess the relationship between neighborhood characteristics (violence and crime) and glycemic control adjusting for relevant covariates. Approximately 66% of the sample population was Black with ages ranging between 49–71 years. The unadjusted mean hemoglobin A1c (HbA1c) was significantly higher for Black adults compared to White adults (8.0 ± 2.0 vs. 7.8 ± 1.6; p = 0.002). In the fully adjusted stratified model, glycemic control was significantly associated with neighborhood crime (β-coefficient: 0.36; 95% CI 0.07, 0.65) and neighborhood violence (β-coefficient: 0.14; 95% CI 0.003, 0.28) for White adults in the fully adjusted model; these relationships were not significant for Black adults. In this sample of adults with T2DM, neighborhood crime and violence were significantly associated with glycemic control for White adults, but not for Black adults. Additional research is needed to understand perceptions of neighborhood crime and violence between White adults and Black adults with T2DM.
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