high social cohesion had a higher prevalence of T2DM (PR = 3.70 ), whereas NH-Black women 18-30 years old in neighborhoods with medium vs.
Hispanic/Latinx women 18-30 years old in neighborhoods with low vs. high nSC (PR = 1.36 ) and among participants ≥50 years old (PR = 1.18 ). A higher prevalence of T2DM was observed among participants 31-49 years old who perceived low vs. high nSC was associated with a higher prevalence of T2DM (PR = 1.22 ), after adjustment. Mean age was 47.4 ± 0.1 years, 52% were women, and 69% self-identified as Non-Hispanic (NH)-White. We used Poisson regression with robust variance to estimate prevalence ratios (PRs) and 95% confidence intervals (CI) while adjusting for confounders. T2DM was determined by participants being told they had diabetes by a health professional. Self-reported nSC was categorized as low, medium, and high. We used National Health Interview Survey (2013-2018) data to determine overall, age-, sex/gender-, and racial/ethnic-specific associations between nSC and T2DM among 170,432 adults. In prior research, perceived low neighborhood social cohesion (nSC) has been associated with prevalence of type 2 diabetes mellitus (T2DM) however, few studies have investigated the nSC-T2DM relationship among a large, racially/ethnically diverse, and nationally representative sample of the U.S. 5 Epidemiology Branch, National Institute of Environmental Health Sciences, National Institute of Health, Department of Health and Human Services, Research Triangle Park, NC, USA Intramural Program, National Institute on Minority Health and Health Disparities, National Institutes of Health, Department of Health and Human Services, Bethesda, MD, USA.4 Social and Scientific Systems, Inc., a DLH Holdings Company, Durham, NC, USA.
3 Epidemiology Branch, National Institute of Environmental Health Sciences, National Institute of Health, Department of Health and Human Services, Research Triangle Park, NC, USA Department of Geography, Environment, and Spatial Sciences, Michigan State University, East Lansing, MI, USA.2 Epidemiology Branch, National Institute of Environmental Health Sciences, National Institute of Health, Department of Health and Human Services, Research Triangle Park, NC, USA.1 Epidemiology Branch, National Institute of Environmental Health Sciences, National Institute of Health, Department of Health and Human Services, Research Triangle Park, NC, USA Department of Urban Studies and Planning, Massachusetts Institute of Technology, Cambridge, MA, USA.
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