Neighborhood Socioeconomic Change and Diabetes Risk

Findings from the Chicago Childhood Diabetes Registry

  1. Jessica Kubo, MS5
  1. 1Department of Kinesiology and Community Health and Division of Nutritional Sciences, University of Illinois at Urbana Champaign, Urbana, Illinois;
  2. 2Section of Adult and Pediatric Endocrinology, Diabetes, and Metabolism, University of Chicago, Chicago, Illinois;
  3. 3School of Public Health, University of Illinois at Chicago, Chicago, Illinois;
  4. 4Survey Research Laboratory, University of Illinois at Chicago, Chicago, Illinois;
  5. 5Department of Statistics, University of Illinois at Urbana Champaign, Urbana, Illinois.
  1. Corresponding author: Diana S. Grigsby-Toussaint, dgrigs1{at}


OBJECTIVE To examine whether patterns in socioeconomic characteristics in Chicago over a 30-year period are associated with neighborhood distribution of youth diabetes risk.

RESEARCH DESIGN AND METHODS Incident cases of diabetes in youth aged 0–17 years were identified from the Chicago Childhood Diabetes Registry between 1994 and 2003. Those with a type 2 diabetes–like clinical course or related indicators were classified as non–type 1 diabetic; the remaining cases were considered to have type 1 diabetes.

RESULTS Compared with stable diversity neighborhoods, significant associations for type 1 diabetes were found for younger children residing in emerging low-income neighborhoods (relative risk 0.56 [95% CI 0.36–0.90]) and older children residing in emerging high-income neighborhoods (1.52 [1.17–1.98]). For non–type 1 diabetes, older youth residing in desertification neighborhoods were at increased risk (1.47 [1.09–1.99]).

CONCLUSIONS Neighborhood socioeconomic characteristics in Chicago may be associated with the risk of diabetes in youth.


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    • Received October 12, 2009.
    • Accepted January 27, 2010.

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  1. Diabetes Care vol. 33 no. 5 1065-1068
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