The impact of social determinants of health on obesity and diabetes disparities among Latino communities in Southern California

被引:15
|
作者
Cleveland III, Joseph C. C. [1 ]
Espinoza, Juan [2 ]
Holzhausen, Elizabeth A. A. [1 ]
Goran, Michael I. I. [2 ]
Alderete, Tanya L. L. [1 ]
机构
[1] Univ Colorado, Dept Integrat Physiol, Boulder, CO 80309 USA
[2] Univ Southern Calif, Childrens Hosp Los Angeles, Saban Res Inst, Dept Pediat, Los Angeles, CA USA
关键词
Social Determinants of Health; Latino; Healthy Places Index; Social Vulnerability Index; CalEnviroScreen; Childhood Obesity; Obesity; Type; 2; Diabetes; UNITED-STATES; CHILDHOOD; NEIGHBORHOOD; METAANALYSIS; PREVALENCE; DISEASE; ASTHMA;
D O I
10.1186/s12889-022-14868-1
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: Social determinants of health (SDoH) describe the complex network of circumstances that impact an individual before birth and across the lifespan. SDoH contextualize factors in a community that are associated with chronic disease risk and certain health disparities. The main objective of this study was to explore the impact of SDoH on the prevalence of obesity and diabetes, and whether these factors explain disparities in these health outcomes among Latinos in Southern California.Methods: We utilized three composite indices that encompass different SDoH: the Healthy Places Index (HPI), Social Vulnerability Index (SVI), and CalEnviroScreen (CES). Univariate linear regression models explored the associations between index scores with adult obesity, adult diabetes, and childhood obesity.Results: Communities with lower HPI scores were associated with higher prevalence of metabolic disease and a greater proportion of Latino residents. Cities in the lowest decile of HPI scores had 71% of the population identifying as Latino compared to 12% in the highest decile. HPI scores explained 61% of the variability in adult obesity (p < 0.001), 41% of the variability in childhood obesity (p < 0.001), and 47% of the variability in adult diabetes (p < 0.001). Similar results were observed when examining SVI and CES with these health outcomes.Conclusions: These results suggest that Latinos in Southern California live in communities with adverse SDoH and face a greater burden of adult obesity, diabetes, and childhood obesity.
引用
收藏
页数:14
相关论文
共 50 条
  • [21] Is coverage enough? Persistent health disparities in marginalised Latino border communities
    Castaneda, Heide
    JOURNAL OF ETHNIC AND MIGRATION STUDIES, 2017, 43 (12) : 2003 - 2019
  • [22] The Impact of Racial Disparities and the Social Determinants of Health on Esophageal and Gastric Cancer Outcomes
    Bonner, Sidra N.
    Edwards, Melanie A.
    SURGICAL ONCOLOGY CLINICS OF NORTH AMERICA, 2024, 33 (03) : 595 - 604
  • [23] Social Determinants of Health Related to Obesity
    Bryant, Pamela H.
    Hess, Annette
    Bowen, Pamela G.
    JNP-JOURNAL FOR NURSE PRACTITIONERS, 2015, 11 (02): : 220 - 225
  • [24] A parish-based multilevel cluster randomized controlled trial to reduce stigma and mental health treatment disparities among Latino communities
    Wong, Eunice C.
    Torres, Vanessa N.
    Martinez, Mario O.
    Han, Bing
    Vue, Melen
    Derose, Kathryn P.
    CONTEMPORARY CLINICAL TRIALS, 2023, 125
  • [25] A pluralistic and socially responsible philosophy of epidemiology field should actively engage with social determinants of health and health disparities
    Valles, Sean A.
    SYNTHESE, 2021, 198 (SUPPL 10) : 2589 - 2611
  • [26] Assessing Hispanic/Latino and Non-Hispanic White Social Determinants of Obesity Among a Community Sample of Residents in the Rural Southeast US
    Howell, Carrie R.
    Juarez, Lucia
    Agne, April A.
    Nassel, Ariann F.
    Scarinci, Isabel C.
    Ayala, Guadalupe X.
    Cherrington, Andrea L.
    JOURNAL OF IMMIGRANT AND MINORITY HEALTH, 2022, 24 (06) : 1469 - 1479
  • [27] Critical assessment of health disparities across subpopulation groups through a social determinants of health perspective: The case of type 2 diabetes patients
    Kim, Yong-Mi
    Delen, Dursun
    INFORMATICS FOR HEALTH & SOCIAL CARE, 2018, 43 (02) : 172 - 185
  • [28] Impact of Social Determinants of Health on Cardiovascular Disease
    Bazoukis, George
    Loscalzo, Joseph
    Hall, Jennifer L.
    Bollepalli, Sandeep Chandra
    Singh, Jagmeet P.
    Armoundas, Antonis A.
    JOURNAL OF THE AMERICAN HEART ASSOCIATION, 2025, 14 (05):
  • [29] The Combined Effects of Social Determinants of Health on Childhood Overweight and Obesity
    Blasingame, Miaya
    Samuels, Lauren R.
    Heerman, William J.
    CHILDHOOD OBESITY, 2024, 20 (02) : 107 - 118
  • [30] Neighborhood Conditions and Type 2 Diabetes Risk among Latino Adolescents with Obesity in Phoenix
    Sheehan, Connor M.
    Gotlieb, Esther E.
    Ayers, Stephanie L.
    Tong, Daoqin
    Oesterle, Sabrina
    Vega-Lopez, Sonia
    Wolfersteig, Wendy
    Ruelas, Dulce Maria
    Shaibi, Gabriel Q.
    INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 2022, 19 (13)