141st APHA Annual Meeting

In This section

291243
Impact of neighborhood context on older latinos diabetes status: Findings from the Sacramento area Latino aging study (SALSA)

Monday, November 4, 2013

Lorena Garcia, MPH, DrPH , Department of Public Health Sciences, University of California Davis, Davis, CA
Adina Zeki Al Hazzouri, MS, PhD , Department of Epidemiology & Biostatistics, University of California San Francisco, San Francisco, CA
Anne Lee, BA , Department of Epidemiology & Biostatistics, University of California San Francisco, San Francisco
John Neuhaus, PhD , Department of Epidemiology & Biostatistics, University of California San Francisco, San Francisco
Mary N. Haan, MPH, DrPH , Department of Epidemiology & Biostatistics, University of California San Francisco, San Francisco, CA
Background: Where we live affects our health. For older Latinos the community they reside in contributes to their overall health, as they are more likely to reside in lower socioeconomic position (SEP) neighborhoods and therefore more likely to have negative health outcomes. Among older Latino adults, and specifically lower SEP individuals, the prevalence of cardiovascular disease risk factors such as diabetes, obesity, and hypertension is particularly high. Therefore it is hypothesized that low neighborhood SEP will negatively impact older Latino's chronic health, specifically their diabetes status, over and above their own socioeconomic status. Methods: Participants are from the Sacramento Area Latino Study on Aging. The Sacramento Area Latino Study on Aging is an ongoing longitudinal cohort study of 1,789 community dwelling older Mexican Americans (aged 60–101 years at baseline in 1998–1999) residing in California's Sacramento Valley. Participants were reassessed at their homes every 12–15 months through 2008, for a total of 7 follow-up examinations. Neighborhood socioeconomic measures from the Census were geocoded and linked to participant data. Results: Participants diabetes status was associated with lower SEP neighborhood, lower concentrations of Latinos residing in the neighborhood, US born, have a higher body mass index (BMI), lower levels of physical activity, less likely to consume alcohol, and more likely to report depressive symptoms than participants without diabetes. Discussion: Neighborhood SEP may be important with respect to older Latino diabetes status.

Learning Areas:
Diversity and culture
Epidemiology
Public health or related education
Social and behavioral sciences

Learning Objectives:
Explain and discuss the impact of neighborhood context on diabetes status in older Latinos. Compare and contrast older Latinos who reside in lower socioeconomic position neighborhoods to older Latinos who reside in higher socioeconomic position neighborhoods.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am an Assistant Professor in the Department of Public Health Sciences, Division of Epidemiology at the UC Davis School of Medicine. I have been engaged in Latino health research since the early 1990s with a special interest in health disparities, chronic disease, behavioral health, immigrant, international & comparative health, aging, injury and violence prevention in the Latino community.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.