Diabetes

Neighborhood Greenspace and Socioeconomic Risk are Associated with Diabetes Risk at the Sub-neighborhood Scale: Results from the Prospective Urban and Rural Epidemiology (PURE) Study

We propose a novel diabetes risk index (DRI-GLUCoSE) derived from socioeconomic status and satellite data based greenspace. We mapped index scores in two Canadian cities (Vancouver and Hamilton) and validated the index using fully adjusted logistic regression models to predict individual diabetes status. The final models achieved a predictive accuracy of 75%, the highest among environmental risk models to date. Our combined index of local greenspace and socioeconomic factors demonstrates that the environmental component of diabetes risk is not sufficiently explained by diet and physical activity, and that increasing urban greenspace may be a suitable means of reducing the burden of diabetes at the community scale.