Identifying neighborhood characteristics associated with diabetes and hypertension control in an urban African-American population using geo-linked electronic health records

Preventive Medicine Reports
Félice Lê-ScherbanJames W Buehler

Abstract

For health care providers, information on community-level social determinants of health is most valuable when it is specific to the populations and health outcomes for which they are responsible. Diabetes and hypertension are highly prevalent conditions whose management requires an interplay of clinical treatment and behavioral modifications that may be sensitive to community conditions. We used geo-linked electronic health records from 2016 of African American patients of a network of federally qualified health centers in Philadelphia, PA to examine cross-sectional associations between characteristics of patients' residential neighborhoods and hypertension and diabetes control (n = 1061 and n = 2633, respectively). Hypertension and diabetes control were defined to align with the Health Resources and Services Administration (HRSA) Uniform Data System (UDS) reporting requirements for HRSA-funded health centers. We examined associations with nine measures of neighborhood socioeconomic status (poverty, education, deprivation index), social environment (violent crime, perceived safety and social capital, racial segregation), and built environment (land-use mix, intersection density). In demographics-adjusted log-binomial regression...Continue Reading

References

Mar 3, 2007·American Journal of Epidemiology·Mahasin S MujahidTrivellore Raghunathan
Apr 16, 2009·American Journal of Preventive Medicine·Ross C BrownsonJames F Sallis
May 12, 2009·Social Science & Medicine·Theresa L OsypukNamratha R Kandula
Oct 21, 2009·American Journal of Preventive Medicine·Daniel A RodríguezShannon J Brines
Jan 22, 2010·Circulation·Donald M Lloyd-JonesUNKNOWN American Heart Association Strategic Planning Task Force and Statistics Committee
Feb 10, 2012·American Journal of Hypertension·Nathan D WongStanley S Franklin
Mar 2, 2012·Diabetes & Vascular Disease Research : Official Journal of the International Society of Diabetes and Vascular Disease·Nathan D WongUchenna Iloeje
Aug 30, 2013·American Journal of Health Behavior·Amy E Leader, Yvonne L Michael
Apr 22, 2015·Current Cardiovascular Risk Reports·Kiarri N Kershaw, Sandra S Albrecht
Sep 25, 2016·Current Diabetes Reports·Kiarri N Kershaw, Ashley E Pender
Feb 6, 2018·International Journal of Hygiene and Environmental Health·Chinmoy SarkarJohn Gallacher
Apr 3, 2018·Health Affairs·Michael N Cantor, Lorna Thorpe
Jul 12, 2018·Current Diabetes Reports·Usama BilalAna V Diez-Roux

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