Neighborhood Conditions and Type 2 Diabetes Risk among Latino Adolescents with Obesity in Phoenix

Connor M. Sheehan, Esther E. Gotlieb, Stephanie L. Ayers, Daoqin Tong, Sabrina Oesterle, Sonia Vega-López, Wendy Wolfersteig, Dulce María Ruelas and Gabriel Q. Shaibi
Additional contact information
Connor M. Sheehan: School of Social and Family Dynamics, Arizona State University, Tempe, AZ 85281, USA
Esther E. Gotlieb: Southwest Interdisciplinary Research Center, School of Social Work, Arizona State University, Phoenix, AZ 85004, USA
Stephanie L. Ayers: Southwest Interdisciplinary Research Center, School of Social Work, Arizona State University, Phoenix, AZ 85004, USA
Daoqin Tong: School of Geographical Sciences & Urban Planning, Arizona State University, Tempe, AZ 85281, USA
Sabrina Oesterle: Southwest Interdisciplinary Research Center, School of Social Work, Arizona State University, Phoenix, AZ 85004, USA
Sonia Vega-López: College of Health Solutions and Southwest Interdisciplinary Research Center, Arizona State University, Phoenix, AZ 85004, USA
Wendy Wolfersteig: School of Social Work, Arizona State University, Tempe, AZ 85281, USA
Dulce María Ruelas: College of Nursing & Healthcare Professions, Grand Canyon University, Phoenix, AZ 85017, USA
Gabriel Q. Shaibi: Center for Health Promotion and Disease Prevention, Edson College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ 85004, USA

IJERPH, 2022, vol. 19, issue 13, 1-18

Abstract: Type 2 Diabetes (T2D) has reached epidemic levels among the pediatric population. Furthermore, disparities in T2D among youth are distributed in a manner that reflects the social inequality between population sub-groups. Here, we investigated the neighborhood determinants of T2D risk among a sample of Latino adolescents with obesity residing in Phoenix, Arizona ( n = 133). In doing so we linked together four separate contextual data sources: the American Community Survey, the United States Department of Agriculture Food Access Research Atlas, the Arizona Healthy Community Map, and the National Neighborhood Data Archive to systematically analyze how and which neighborhood characteristics were associated with T2D risk factors as measured by fasting and 2-h glucose following a 75 g oral glucose tolerance test. Using linear regression models with and without individual/household covariates, we investigated how twenty-two housing and transportation sociodemographic and built and food environment characteristics were independently and jointly associated with T2D risk. The main finding from these analyses was the strong association between the density of fast food restaurants and 2-h glucose values (b = 2.42, p < 0.01). This association was independent of individual, household, and other neighborhood characteristics. Our results contribute to an increasingly robust literature demonstrating the deleterious influence of the neighborhood food environment, especially fast food, for T2D risk among Latino youth.

Keywords: diabetes; neighborhoods; adolescence; obesity; Latinos (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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