Résumé :
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[BDSP. Notice produite par INIST-CNRS R0xtG7mF. Diffusion soumise à autorisation]. While neighborhood deprivation is associated with prevalence of chronic diseases, it is not well understood whether neighborhood deprivation is also associated with cardiometabolic risk factors among adults with chronic disease. Subjects (n=19,804) from the Diabetes Study of Northern California (DISTANCE) cohort study, an ethnically-stratified, random sample of members of Kaiser Permanente Northern California (KPNC), an integrated managed care consortium, with type 2 diabetes who completed a survey between 2005 and 2007 and who lived in a 19 county study area were included in the analyses. We estimated the association between a validated neighborhood deprivation index (NDI) and four cardiometabolic risk factors : body mass index (BMI=kg/m2), glycosylated hemoglobin (A1c), low density lipoproteins (LDL) and systolic blood pressure (SBP) using multi-level models. Outcomes were modeled in their continuous form and as binary indicators of poor control (severe obesity : BMI>35, poor glycemic control : A1c>=9%, hypercholesterolemia : LDL>=130 mg/dL, and hypertension : SBP>140 mmHg). BMI, A1 c and SBP increased monotonically across quartiles of NDI (p
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