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Comment & Response |

Neighborhoods and Risk of Diabetes Mellitus—Reply Person and Place or Person in Place?

Paul J. Christine, MPH1; Ana V. Diez Roux, MD, PhD2
[+] Author Affiliations
1Department of Epidemiology, University of Michigan, Ann Arbor
2School of Public Health, Drexel University, Philadelphia, Pennsylvania
JAMA Intern Med. 2015;175(12):2002-2003. doi:10.1001/jamainternmed.2015.6689.
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In Reply We thank Concha and Mezuk for extending the discussion about the implications of neighborhood environments for disparities in type 2 diabetes mellitus (T2DM). We agree that there is much to be learned from integrating studies of contextual effects (eg, neighborhoods) with individual experiences of stress. Indeed, many such studies already exist in the environmental health literature where individual stress has been studied in conjunction with exposures like air pollution and lead contamination.13 Certainly such approaches could be extended into studying the types of neighborhood exposures used in our own study.

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December 1, 2015
Jeannie B. Concha, PhD, MPH; Briana Mezuk, PhD
1Division of Epidemiology, Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond
JAMA Intern Med. 2015;175(12):2002. doi:10.1001/jamainternmed.2015.6686.
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