The geography of diabetes in London, Canada: the need for local level policy for prevention and management.

International Journal of Environmental Research and Public Health
Jordan W TompkinsStewart B Harris

Abstract

Recent reports aimed at improving diabetes care in socially disadvantaged populations suggest that interventions must be tailored to meet the unique needs of the local community-specifically, the community's geography. We have examined the spatial distribution of diabetes in the context of socioeconomic determinants of health in London (Ontario, Canada) to characterize neighbourhoods in an effort to target these neighbourhoods for local level community-based program planning and intervention. Multivariate spatial-statistical techniques and geographic information systems were used to examine diabetes rates and socioeconomic variables aggregated at the census tract level. Creation of a deprivation index facilitated investigation across multiple determinants of health. Findings from our research identified 'at risk' neighbourhoods in London with socioeconomic disadvantage and high diabetes. Future endeavours must continue to identify local level trends in order to support policy development, resource planning and care for improved health outcomes and improved equity in access to care across geographic regions.

References

Jan 1, 1986·Clinical and Experimental Dermatology·D S Jolliffe
Apr 5, 1997·BMJ : British Medical Journal·I Kawachi, B P Kennedy
May 12, 1998·Journal of Health and Social Behavior·S A Robert
Jul 31, 1998·Social Science & Medicine·M JerrettD Cole
Jan 12, 2001·Journal of Epidemiology and Community Health·K E Pickett, M Pearl
Mar 20, 2002·Health Affairs·Nancy E Adler, Katherine Newman
Oct 16, 2002·Journal of Psychosomatic Research·Susan A EversonGeorge A Kaplan
Dec 20, 2003·The American Journal of Clinical Nutrition·Adam Drewnowski, S E Specter
Jul 13, 2004·Social Science & Medicine·Nancy A RossKatie Graham
Sep 14, 2006·Canadian Journal of Dietetic Practice and Research : a Publication of Dietitians of Canada = Revue Canadienne De La Pratique Et De La Recherche En Diététique : Une Publication Des Diététistes Du Canada·Meizi He, Charlene Beynon
May 5, 2007·Epidemiologic Reviews·Lindsay McLaren
Jul 14, 2007·Healthcare Quarterly·Lorraine L Lipscombe
Apr 22, 2008·International Journal of Health Geographics·Kristian Larsen, Jason Gilliland
Sep 24, 2008·Health & Social Care in the Community·Helen Parker, Jon Glasby
Dec 20, 2008·Social Science & Medicine·Daniel W Harrington, Susan J Elliott
Oct 1, 2009·Perspectives in Public Health·Heather Hartwell

❮ Previous
Next ❯

Citations

Aug 6, 2011·Clinical Journal of the American Society of Nephrology : CJASN·Bharati AyyalasomayajulaMarcello Tonelli
Jul 17, 2015·American Journal of Public Health·David C LeeBrian Elbel
Mar 23, 2012·New Solutions : a Journal of Environmental and Occupational Health Policy : NS·Inka Milewski
Feb 4, 2003·The American Journal of Emergency Medicine·Daniel W HungerfordDaniel A Pollock
Feb 23, 2017·Cadernos de saúde pública·Carlos M LeveauAlicia E B Lawrynowicz

❮ Previous
Next ❯

Methods Mentioned

BETA
PCA

Software Mentioned

SPSS
ArcGIS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.