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Neighborhood Environment And Type 2 Diabetes Comorbidity In Serious Mental Illness, Ramya Walsan, Xiaoqi Feng, Darren J. Mayne, Nagesh B. Pai, Andrew D. Bonney
Neighborhood Environment And Type 2 Diabetes Comorbidity In Serious Mental Illness, Ramya Walsan, Xiaoqi Feng, Darren J. Mayne, Nagesh B. Pai, Andrew D. Bonney
Illawarra Health and Medical Research Institute
Aim: The aim of this study was to examine the association between neighborhood characteristics and type 2 diabetes (T2D) comorbidity in serious mental illness (SMI). We investigated associations of neighborhood-level crime, accessibility to health care services, availability of green spaces, neighborhood obesity, and fast food availability with SMI-T2D comorbidity. Method: A series of multilevel logistic regression models accounting for neighborhood-level clustering were used to examine the associations between 5 neighborhood variables and SMI-T2D comorbidity, sequentially adjusting for individual-level variables and neighborhood-level socioeconomic disadvantage. Results: Individuals with SMI residing in areas with higher crime rates per 1000 population had 2.5 times …