Neighbourhood property value and type 2 diabetes mellitus in the Maastricht study: A multilevel study

David Consolazio; Annemarie Koster; Simone Sarti; Miranda T. Schram; Coen D. A. Stehouwer; Erik J. Timmermans; Anke Wesselius; Hans Bosma

doi:10.1371/journal.pone.0234324

Neighbourhood property value and type 2 diabetes mellitus in the Maastricht study: A multilevel study

David Consolazio^*, Annemarie Koster, Simone Sarti, Miranda T. Schram, Coen D. A. Stehouwer, Erik J. Timmermans, Anke Wesselius, Hans Bosma

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

1 Citation (Web of Science)

Abstract

Objective

Low individual socioeconomic status (SES) is known to be associated with a higher risk of type 2 diabetes mellitus (T2DM), but the extent to which the local context in which people live may influence T2DM rates remains unclear. This study examines whether living in a low property value neighbourhood is associated with higher rates of T2DM independently of individual SES.

Research design and methods

Using cross-sectional data from the Maastricht Study (2010-2013) and geographical data from Statistics Netherlands, multilevel logistic regression was used to assess the association between neighbourhood property value and T2DM. Individual SES was based on education, occupation and income. Of the 2,056 participants (aged 40-75 years), 494 (24%) were diagnosed with T2DM.

Results

Individual SES was strongly associated with T2DM, but a significant proportion of the variance in T2DM was found at the neighbourhood level (VPC = 9.2%; 95% CI = 5.0%-16%). Participants living in the poorest neighbourhoods had a 2.38 times higher odds ratio of T2DM compared to those living in the richest areas (95% CI = 1.58-3.58), independently of individual SES.

Conclusions

Neighbourhood property value showed a significant association with T2DM, suggesting the usefulness of area-based programmes aimed at improving neighbourhood characteristics in order to tackle inequalities in T2DM.

Original language	English
Article number	0234324
Number of pages	13
Journal	PLOS ONE
Volume	15
Issue number	6
DOIs	https://doi.org/10.1371/journal.pone.0234324
Publication status	Published - 8 Jun 2020

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10.1371/journal.pone.0234324Licence: CC BY

Cite this

@article{c59f12156a3847ef8f180a9271ef4395,

title = "Neighbourhood property value and type 2 diabetes mellitus in the Maastricht study: A multilevel study",

abstract = "ObjectiveLow individual socioeconomic status (SES) is known to be associated with a higher risk of type 2 diabetes mellitus (T2DM), but the extent to which the local context in which people live may influence T2DM rates remains unclear. This study examines whether living in a low property value neighbourhood is associated with higher rates of T2DM independently of individual SES.Research design and methodsUsing cross-sectional data from the Maastricht Study (2010-2013) and geographical data from Statistics Netherlands, multilevel logistic regression was used to assess the association between neighbourhood property value and T2DM. Individual SES was based on education, occupation and income. Of the 2,056 participants (aged 40-75 years), 494 (24%) were diagnosed with T2DM.ResultsIndividual SES was strongly associated with T2DM, but a significant proportion of the variance in T2DM was found at the neighbourhood level (VPC = 9.2%; 95% CI = 5.0%-16%). Participants living in the poorest neighbourhoods had a 2.38 times higher odds ratio of T2DM compared to those living in the richest areas (95% CI = 1.58-3.58), independently of individual SES.ConclusionsNeighbourhood property value showed a significant association with T2DM, suggesting the usefulness of area-based programmes aimed at improving neighbourhood characteristics in order to tackle inequalities in T2DM.",

author = "David Consolazio and Annemarie Koster and Simone Sarti and Schram, {Miranda T.} and Stehouwer, {Coen D. A.} and Timmermans, {Erik J.} and Anke Wesselius and Hans Bosma",

year = "2020",

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doi = "10.1371/journal.pone.0234324",

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T1 - Neighbourhood property value and type 2 diabetes mellitus in the Maastricht study

T2 - A multilevel study

AU - Consolazio, David

AU - Koster, Annemarie

AU - Sarti, Simone

AU - Schram, Miranda T.

AU - Stehouwer, Coen D. A.

AU - Timmermans, Erik J.

AU - Wesselius, Anke

AU - Bosma, Hans

PY - 2020/6/8

Y1 - 2020/6/8

N2 - ObjectiveLow individual socioeconomic status (SES) is known to be associated with a higher risk of type 2 diabetes mellitus (T2DM), but the extent to which the local context in which people live may influence T2DM rates remains unclear. This study examines whether living in a low property value neighbourhood is associated with higher rates of T2DM independently of individual SES.Research design and methodsUsing cross-sectional data from the Maastricht Study (2010-2013) and geographical data from Statistics Netherlands, multilevel logistic regression was used to assess the association between neighbourhood property value and T2DM. Individual SES was based on education, occupation and income. Of the 2,056 participants (aged 40-75 years), 494 (24%) were diagnosed with T2DM.ResultsIndividual SES was strongly associated with T2DM, but a significant proportion of the variance in T2DM was found at the neighbourhood level (VPC = 9.2%; 95% CI = 5.0%-16%). Participants living in the poorest neighbourhoods had a 2.38 times higher odds ratio of T2DM compared to those living in the richest areas (95% CI = 1.58-3.58), independently of individual SES.ConclusionsNeighbourhood property value showed a significant association with T2DM, suggesting the usefulness of area-based programmes aimed at improving neighbourhood characteristics in order to tackle inequalities in T2DM.

AB - ObjectiveLow individual socioeconomic status (SES) is known to be associated with a higher risk of type 2 diabetes mellitus (T2DM), but the extent to which the local context in which people live may influence T2DM rates remains unclear. This study examines whether living in a low property value neighbourhood is associated with higher rates of T2DM independently of individual SES.Research design and methodsUsing cross-sectional data from the Maastricht Study (2010-2013) and geographical data from Statistics Netherlands, multilevel logistic regression was used to assess the association between neighbourhood property value and T2DM. Individual SES was based on education, occupation and income. Of the 2,056 participants (aged 40-75 years), 494 (24%) were diagnosed with T2DM.ResultsIndividual SES was strongly associated with T2DM, but a significant proportion of the variance in T2DM was found at the neighbourhood level (VPC = 9.2%; 95% CI = 5.0%-16%). Participants living in the poorest neighbourhoods had a 2.38 times higher odds ratio of T2DM compared to those living in the richest areas (95% CI = 1.58-3.58), independently of individual SES.ConclusionsNeighbourhood property value showed a significant association with T2DM, suggesting the usefulness of area-based programmes aimed at improving neighbourhood characteristics in order to tackle inequalities in T2DM.

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