Exploring the social and neighbourhood predictors of diabetes: a comparison between Toronto and Chicago. Issue 3 (8th March 2017)

• Record Type: Journal Article
• Authors: Kolpak, Patrycja; Wang, Lu
• Is Part Of: Primary health care research & development. Volume 18:Issue 3(2017)
• Page Start: 291
• Page End: 299
• Publication Date: 2017-03-08
• Subjects: community-level factors, -- diabetes prevalence, -- spatial access; Family medicine -- Great Britain -- Periodicals; Primary care (Medicine) -- Great Britain -- Periodicals; 362.1094105
• DOI: 10.1017/S1463423617000044
• Languages: English
• ISSNs: 1463-4236

Abstract

Abstract : Objectives: This report examined the impact and extent that spatial access to primary care physicians (PCPs) and social neighbourhood-/community-level factors have on diabetes prevalence for Toronto and Chicago. Methods: The two-step floating catchment area method was used to compute spatial access scores. Bivariate correlation and multivariate linear regression identified the factors that were associated with, and/or predicted, diabetes prevalence. Results: Potential spatial access to PCPs had no strong associations with diabetes prevalence. Low socio-economic status factors and certain ethnic groups were strongly associated with diabetes prevalence for both cities. For Toronto, South American place of birth, households below poverty and high school-level education predicted diabetes prevalence. African ethnicity and households below poverty predicted diabetes prevalence for Chicago. Conclusion: Although this report found no strong association between diabetes prevalence and access to PCPs, contextual factors significant in past individual-level diabetes studies were associated with diabetes prevalence at the neighbourhood/community level for Toronto and Chicago.