Journal of Community Health

, Volume 39, Issue 6, pp 1077–1084 | Cite as

Neighborhood Perceptions and Health-Related Outcomes Among Latinos with Diabetes from a Rural Agricultural Community

  • Gerardo Moreno
  • Leo S. Morales
  • Fatima Nuñez de Jaimes
  • Chi-Hong Tseng
  • Marilu Isiordia
  • Christine Noguera
  • Carol M. Mangione
Original Paper


Little is known about how neighborhood perceptions are related to diabetes outcomes among Latinos living in rural agricultural communities. Our objective was to examine the association between perceived neighborhood problems and diabetes outcomes. This is a cross-sectional survey study with medical record reviews of a random sample of 250 adult Latinos with type 2 diabetes. The predictor was a rating of patient ratings of neighborhood problems (crime, trash and litter, lighting at night, and access to exercise facilities, transportation, and supermarkets). The primary outcomes were the control of three intermediate outcomes [LDL-cholesterol (LDL-c) < 100 mg/dl, AlC < 9.0 %, and blood pressure (BP) < 140/80 mmHg], and body mass index (BMI) < 30 kg/m2. Secondary outcomes were participation in self-care activities (physical activity, healthy eating, medication adherence, foot checks, and glucose checks). We used regression analysis and adjusted for age, gender, education, income, years with diabetes, insulin use, depressive symptoms, and co-morbidities. Forty-eight percent of patients perceived at least one neighborhood problem and out of the six problem areas, crime was most commonly perceived as a problem. Perception of neighborhood problems was independently associated with not having a BP < 140/80 [Adjusted odds ratio (AOR) = 0.45; 95 % CI 0.22, 0.92], and BMI < 30 (AOR = 0.43; 95 % CI 0.24, 0.77), after controlling for covariates. Receipt of recommended processes of care was not associated with perception of neighborhood. Perception of neighborhood problems among low-income rural Latinos with diabetes was independently associated with a higher BMI and BP.


Latinos Neighborhood Health behaviors Rural Diabetes 



Dr. Moreno received support from an NIA (K23 AG042961-01) Paul B. Beeson Career Development Award, the American Federation for Aging Research, and the California Endowment. Drs. Moreno and Mangione were supported by the Robert Wood Johnson Foundation Clinical Scholars® Program at UCLA, and by the UCLA Resource Center for Minority Aging Research/Center for Health Improvement of Minority Elderly (RCMAR/CHIME) under NIH/NIA Grant P30AG021684, and the content does not necessarily represent the official views of the NIA/NIH.


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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Gerardo Moreno
    • 1
  • Leo S. Morales
    • 2
  • Fatima Nuñez de Jaimes
    • 3
  • Chi-Hong Tseng
    • 4
  • Marilu Isiordia
    • 5
  • Christine Noguera
    • 3
  • Carol M. Mangione
    • 4
  1. 1.Department of Family MedicineUCLALos AngelesUSA
  2. 2.Group Health Research InstituteUniversity of Washington School of Public HealthSeattleUSA
  3. 3.Golden Valley Health Centers, Inc.MercedUSA
  4. 4.Department of Medicine, Division of Health Services ResearchUCLALos AngelesUSA
  5. 5.University of California, DavisDavisUSA

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