Adolescent individual, school, and neighborhood influences on young adult diabetes risk

Carly E Milliren; Omar M Sajjad; Hoda S Abdel Magid; Holly C Gooding; Tracy K Richmond; Jason M Nagata

doi:10.1016/j.healthplace.2023.103047

Adolescent individual, school, and neighborhood influences on young adult diabetes risk

Health Place. 2023 Sep:83:103047. doi: 10.1016/j.healthplace.2023.103047. Epub 2023 Jun 8.

Authors

Carly E Milliren¹, Omar M Sajjad², Hoda S Abdel Magid³, Holly C Gooding⁴, Tracy K Richmond⁵, Jason M Nagata⁶

Affiliations

¹ Institutional Centers for Clinical and Translational Research, Boston Children's Hospital, 21 Autumn Street, 2nd and 3rd Floors, Boston, MA, 02115, USA.
² Geisel School of Medicine, Dartmouth College, 1 Rope Ferry Rd, Hanover, NH, 03755, USA.
³ Department of Epidemiology and Population Health, Stanford University, Alway Building 300 Pasteur Drive, Stanford, CA, 94305, USA.
⁴ Division of General Pediatrics and Adolescent Medicine, Department of Pediatrics, Emory University School of Medicine, 2015 Uppergate Dr, Atlanta, GA, 30322, USA; Children's Healthcare of Atlanta, Atlanta, GA, USA.
⁵ Division of Adolescent and Young Adult Medicine, Boston Children's Hospital, 333 Longwood Ave 5th Floor, Boston, MA, 02115, USA; Department of Pediatrics, Harvard Medical School, 25 Shattuck Street, Boston, MA, 02115, USA.
⁶ Division of Adolescent & Young Adult Medicine, University of California, San Francisco, 550 16th Street, 4th Floor, Box 0503, San Francisco, CA, 94143, USA. Electronic address: jason.nagata@ucsf.edu.

PMID: 37301169
PMCID: PMC10798047 (available on 2024-09-01)
DOI: 10.1016/j.healthplace.2023.103047

Abstract

Using data from the National Longitudinal Study of Adolescent to Adult Health (Add Health), this study examines the association between adolescent school and neighborhood contexts and the likelihood of diabetes in young adulthood. We apply cross-classified multi-level modeling (CCMM) techniques to examine the simultaneous influence of non-nested school and neighborhood contexts as well as individual, school, and neighborhood-level factors (N = 14,041 participants from 128 schools, 1933 neighborhoods). Our findings suggest that individual-level factors are most associated with young adult diabetes, with small contributions from school and neighborhood factors and a small proportion of the variation explained by school and neighborhood contexts.

Keywords: Adolescents; Diabetes; Neighborhood; School; Young adulthood.

Publication types

Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

MeSH terms

Adolescent
Adolescent Behavior*
Adult
Diabetes Mellitus*
Humans
Longitudinal Studies
Residence Characteristics
Schools
Young Adult

Abstract

Publication types

MeSH terms

Grants and funding