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Beyond Access : Characteristics of the Food Environment and Risk of Diabetes

Mezuk, Briana LU ; Li, Xinjun LU ; Cederin, Klas LU ; Rice, Kristen; Sundquist, Jan LU and Sundquist, Kristina LU (2016) In American Journal of Epidemiology 183(12). p.37-1129
Abstract

Characteristics of the built environment, including access to unhealthy food outlets, are hypothesized to contribute to type 2 diabetes mellitus (T2D). Swedish nationwide registry data on 4,718,583 adults aged 35-80 years living in 9,353 neighborhoods, each with at least 1 food outlet, were geocoded and linked to commercial registers (e.g., restaurants and grocery stores). Multilevel logistic regression was used to examine the prospective relationship between characteristics of the food environment and T2D from 2005 to 2010. Relative access to health-harming food outlets was associated with greater likelihood of both prevalent and incident T2D in a curvilinear manner, with the highest risk being observed for environments in which... (More)

Characteristics of the built environment, including access to unhealthy food outlets, are hypothesized to contribute to type 2 diabetes mellitus (T2D). Swedish nationwide registry data on 4,718,583 adults aged 35-80 years living in 9,353 neighborhoods, each with at least 1 food outlet, were geocoded and linked to commercial registers (e.g., restaurants and grocery stores). Multilevel logistic regression was used to examine the prospective relationship between characteristics of the food environment and T2D from 2005 to 2010. Relative access to health-harming food outlets was associated with greater likelihood of both prevalent and incident T2D in a curvilinear manner, with the highest risk being observed for environments in which one-third of outlets were health-harming. Relative to individuals whose food environment did not change, those who moved into areas with more health-harming food outlets had higher odds of developing T2D (odds ratio = 3.67, 95% confidence interval: 2.14, 6.30). Among those who did not move, living in an area that gained relative access to health-harming food outlets was also associated with higher odds of T2D (odds ratio = 1.72, 95% confidence interval: 1.27, 2.33). These results suggest that local food environment, including changes that result in greater access to unhealthy food outlets, is associated with T2D.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Adult, Aged, Aged, 80 and over, Diabetes Mellitus, Type 2/epidemiology, Environment, Fast Foods/supply & distribution, Female, Food Supply/statistics & numerical data, Humans, Male, Middle Aged, Prospective Studies, Residence Characteristics/statistics & numerical data, Restaurants/supply & distribution, Small-Area Analysis, Socioeconomic Factors, Sweden
in
American Journal of Epidemiology
volume
183
issue
12
pages
37 - 1129
publisher
Oxford University Press
external identifiers
  • scopus:84992027976
ISSN
0002-9262
DOI
10.1093/aje/kwv318
language
English
LU publication?
yes
id
2c6a7f4b-0103-4334-9129-7e6a0374586d
date added to LUP
2019-01-30 10:49:28
date last changed
2019-05-21 04:18:05
@article{2c6a7f4b-0103-4334-9129-7e6a0374586d,
  abstract     = {<p>Characteristics of the built environment, including access to unhealthy food outlets, are hypothesized to contribute to type 2 diabetes mellitus (T2D). Swedish nationwide registry data on 4,718,583 adults aged 35-80 years living in 9,353 neighborhoods, each with at least 1 food outlet, were geocoded and linked to commercial registers (e.g., restaurants and grocery stores). Multilevel logistic regression was used to examine the prospective relationship between characteristics of the food environment and T2D from 2005 to 2010. Relative access to health-harming food outlets was associated with greater likelihood of both prevalent and incident T2D in a curvilinear manner, with the highest risk being observed for environments in which one-third of outlets were health-harming. Relative to individuals whose food environment did not change, those who moved into areas with more health-harming food outlets had higher odds of developing T2D (odds ratio = 3.67, 95% confidence interval: 2.14, 6.30). Among those who did not move, living in an area that gained relative access to health-harming food outlets was also associated with higher odds of T2D (odds ratio = 1.72, 95% confidence interval: 1.27, 2.33). These results suggest that local food environment, including changes that result in greater access to unhealthy food outlets, is associated with T2D.</p>},
  author       = {Mezuk, Briana and Li, Xinjun and Cederin, Klas and Rice, Kristen and Sundquist, Jan and Sundquist, Kristina},
  issn         = {0002-9262},
  keyword      = {Adult,Aged,Aged, 80 and over,Diabetes Mellitus, Type 2/epidemiology,Environment,Fast Foods/supply & distribution,Female,Food Supply/statistics & numerical data,Humans,Male,Middle Aged,Prospective Studies,Residence Characteristics/statistics & numerical data,Restaurants/supply & distribution,Small-Area Analysis,Socioeconomic Factors,Sweden},
  language     = {eng},
  month        = {06},
  number       = {12},
  pages        = {37--1129},
  publisher    = {Oxford University Press},
  series       = {American Journal of Epidemiology},
  title        = {Beyond Access : Characteristics of the Food Environment and Risk of Diabetes},
  url          = {http://dx.doi.org/10.1093/aje/kwv318},
  volume       = {183},
  year         = {2016},
}