Urban Health Collaborative, Drexel Dornsife School of Public Health, 3600 Market St, 7th floor, Philadelphia, PA, 19104, USA.
Department of Epidemiology and Biostatistics, Drexel Dornsife School of Public Health, 3215 Market St, Philadelphia, PA, 19104, USA.
Curr Diab Rep. 2018 Jul 11;18(9):62. doi: 10.1007/s11892-018-1032-2.
The objective of this review is to highlight the evidence on the association between contextual characteristics of residential environments and type 2 diabetes, to provide an overview of the methodological challenges and to outline potential topics for future research in this field.
The link between neighborhood socioeconomic status or deprivation and diabetes prevalence, incidence, and control is robust and has been replicated in numerous settings, including in experimental and quasi-experimental studies. The association between characteristics of the built environment that affect physical activity, other aspects of the built environment, and diabetes risk is robust. There is also evidence for an association between food environments and diabetes risk, but some conflicting results have emerged in this area. While the evidence base on the association of neighborhood socioeconomic status and built and physical environments and diabetes is large and robust, challenges remain related to confounding due to neighborhood selection. Moreover, we also outline five paths forward for future research on the role of neighborhood environments on diabetes.
综述目的：本文旨在强调居住环境背景特征与 2 型糖尿病之间的关联证据，概述该领域方法学挑战，并提出未来研究的潜在议题。
最近发现：大量研究证实，包括实验和准实验研究在内，社区社会经济地位或贫困程度与糖尿病患病率、发病率和控制情况之间存在关联。此外，与影响体力活动的建筑环境特征、建筑环境的其他方面和糖尿病风险之间的关联也是确凿的。也有证据表明食物环境与糖尿病风险之间存在关联，但这方面的结果存在一些矛盾。虽然有关社区社会经济地位以及建筑和物理环境与糖尿病之间关联的证据基础广泛且确凿，但仍存在与社区选择导致的混杂相关的挑战。此外，我们还概述了未来研究社区环境对糖尿病影响的五条途径。
