Disparities in diabetes: The nexus of race, poverty, and place

D.J. Gaskin, Thorpe, R.J.,, E.E. McGinty, K. Bower, C. Rohde, J.H. Young, T.A. LaVeist and L. Dubay

American Journal of Public Health, 2014, vol. 104, issue 11, 2147-2155

Abstract: Objectives. We sought to determine the role of neighborhood poverty and racial composition on race disparities in diabetes prevalence. Methods. We used data from the 1999-2004 National Health and Nutrition Examination Survey and 2000 US Census to estimate the impact of individual race and poverty and neighborhood racial composition and poverty concentration on the odds of having diabetes. Results. We found a race-poverty-place gradient for diabetes prevalence for Blacks and poor Whites. The odds of having diabetes were higher for Blacks than for Whites. Individual poverty increased the odds of having diabetes for both Whites and Blacks. Living in a poor neighborhood increased the odds of having diabetes for Blacks and poor Whites. Conclusions. To address race disparities in diabetes, policymakers should address problems created by concentrated poverty (e.g., lack of access to reasonably priced fruits and vegetables, recreational facilities, and health care services; high crime rates; and greater exposures to environmental toxins). Housing and development policies in urban areas should avoid creating highpoverty neighborhoods. © 2014, American Public Health Association Inc. All rights reserved.

Keywords: adolescent; African American; ancestry group; Caucasian; child; demography; diabetes mellitus; female; health disparity; human; male; middle aged; nutrition; poverty; prevalence; risk factor; statistics and numerical data; young adult, Adolescent; African Americans; Child; Continental Population Groups; Diabetes Mellitus; European Continental Ancestry Group; Female; Health Status Disparities; Humans; Male; Middle Aged; Nutrition Surveys; Poverty; Prevalence; Residence Characteristics; Risk Factors; Young Adult (search for similar items in EconPapers)
Date: 2014
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Citations: View citations in EconPapers (17)

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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2013.301420_0

DOI: 10.2105/AJPH.2013.301420

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