Cited by 98Urban Transport and AccessibilityUrban Green Space and HealthHealth disparities and outcomes

Neighborhood walkability, deprivation and incidence of type 2 diabetes: A population-based study on 512,061 Swedish adults

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Sundquist, Kristina, Eriksson, Ulf, Mezuk, Briana, Ohlsson, Henrik·2015·Health & Place

Abstract

Neighborhood walkability has been associated with increased physical activity, but only a few studies have explored the association between walkability and health outcomes related to physical activity, such as type 2 diabetes. The aim of this study was to investigate the association between objectively assessed neighborhood walkability and the 4-year incidence of type 2 diabetes in a sample of 512,061 Swedish adults aged 18 years and older. Neighborhoods were defined by 408 administratively defined geographical areas in the city of Stockholm. We found a negative association between walkability and type 2 diabetes (OR=1.33, 95% CI=1.13-1.55) that remained significant after adjusting for neighborhood deprivation. This association, however, no longer remained statistically significant after adjusting for individual socio-demographic factors. These results were also confirmed using a co-sibling design. Future studies are encouraged to further explore the potential effect of a broader array of the neighborhood built environment on health outcomes related to physical activity.

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  • Communities with poor housing, transportation, poverty, and education have higher rates of diabetes.

    “communities with poor housing, transportation, poverty, and education have higher rates of diabetes [23-25].”

    From An Assessment of How Clinicians and Staff Members Use a Diabetes Artificial Intelligence Prediction Tool: Mixed Methods Study (2023) · cites this paper as [25]

    The Introduction and Discussion (pages unavailable) report an association between neighborhood deprivation and type 2 diabetes. The Methods define deprivation using low income and low education, among other indicators, but do not include poor housing or transportation. The source therefore supports the poverty and education aspects, not the full list of community conditions. (LLM, conf=0.87)

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Authors
Sundquist, K., Eriksson, U., Mezuk, B., & Ohlsson, H.
Affiliations
  • Lund University (SE)
  • Virginia Commonwealth University (US)
Corresponding author
Sundquist, Kristina
Venue
Health & Place
Publisher
Elsevier BV
Published
2015-01
Volume
31
Pages
24-30
ISSN
1353-8292 (ISSN-L)
OpenAlex
W1982024094
Cited by
98
References
37
Citations by year
2026: 6 · 2025: 7 · 2024: 10 · 2023: 7 · 2022: 6 · 2021: 8 · 2020: 14 · 2019: 9 · 2018: 12 · 2017: 8 · 2016: 10 · 2014: 1
FWCI
12.71
Type
journal article
Language
en
Open access
Locations
  • Health & Place (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • Lund University Publications (Lund University) (submittedVersion)
Funders
  • National Institutes of Health (R01HL116381, K01-MH093641-01A1, R21-DK8356430-01A1)
  • National Heart, Lung, and Blood Institute
  • Vetenskapsrådet
Topics
  • Social Sciences › Transportation › Urban Transport and Accessibility
  • Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Urban Green Space and Health
  • Social Sciences › Health › Health disparities and outcomes
Keywords
neighborhood walkability, type 2 diabetes, diabetes incidence, neighborhood disadvantage, built environment, physical activity, sociodemographic factors, Stockholm
MeSH terms
Adult, Diabetes Mellitus, Type 2, Environment Design, Female, Humans, Male, Middle Aged, Surveys and Questionnaires, Residence Characteristics, Socioeconomic Factors, Sweden, Incidence, Walking

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