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DRI-GLUCoSE

DOI:10.1007/s11524-022-00630-w

As elaborated in our recent analyses (Walker et al. 2019; Scarpone et al. 2020), nearly all previous studies in the literature use either census unit boundaries or simple buffer zones to measure an individual’s built environment (BE) exposures or to characterize their local socioeconomic status (SES) (Gong et al. 2014; Fuertes et al. 2014). Therefore, we present a distance-weighted, network-based model for quantifying the combined effects of local greenspace and SES on diabetes risk, from which we derive an area-based Diabetes Risk Index of Greenspace, Land Use and Socioeconomic Environments (DRI-GLUCoSE). The goal of the DRIGLUCoSE package is to provide a public package containing functions and code used in the development of the DRI-GLUCoSE Index(Walker et al. 2022).

Installation

You can install the latest version of DRIGLUCoSE from GitHub with:

remotes::install_git("https://github.com/STBrinkmann/DRIGLUCoSE")

Once installed, the library can be loaded as follows:

library(DRIGLUCoSE)

Methods

One key purpose of this package is, to provide functions for route networked derived isochrones. For that purpose we have provided a sample sf object of 2 points in Erlangen, Germany.

data(Erlangen)
Erlangen
## Simple feature collection with 2 features and 2 fields
## Geometry type: POINT
## Dimension:     XY
## Bounding box:  xmin: 35199.46 ymin: -159433.5 xmax: 36281.59 ymax: -159243.2
## Projected CRS: ETRS89 / LCC Germany (N-E)
## # A tibble: 2 x 3
##     tag Speed                 geom
##   <dbl> <dbl>          <POINT [m]>
## 1     1  78.5 (35199.46 -159433.5)
## 2     2  79.8 (36281.59 -159243.2)

Census variables

In our analysis we acquired data of the Canadian census dissemination areas. It has been converted to a shapefile (sf) with one column per census variable. To demonstrate we use the following randomly generated data:

set.seed(1234)
census <- sf::st_make_grid(
  # Use Sample Data and apply 25 minutes buffer (Speed[m/min] * 25[min]) 
  Erlangen %>% dplyr::mutate(geom = sf::st_buffer(geom, Speed*25)),
  cellsize = 100
  ) %>% 
  sf::st_as_sf() %>% 
  dplyr::mutate(census_var_a = sample(1:1000, n(), replace = TRUE),
                census_var_b = sample(1000:10000, n(), replace = TRUE),
                census_var_c = sample(100000:150000, n(), replace = TRUE)) %>% 
  dplyr::rename(geom = x)

census
## Simple feature collection with 2142 features and 3 fields
## Geometry type: POLYGON
## Dimension:     XY
## Bounding box:  xmin: 33236.96 ymin: -161396 xmax: 38336.96 ymax: -157196
## Projected CRS: ETRS89 / LCC Germany (N-E)
## First 10 features:
##    census_var_a census_var_b census_var_c                           geom
## 1           284         2009       114811 POLYGON ((33236.96 -161396,...
## 2           848         3318       139961 POLYGON ((33336.96 -161396,...
## 3           918         3954       112673 POLYGON ((33436.96 -161396,...
## 4           101         3359       137505 POLYGON ((33536.96 -161396,...
## 5           623         3107       109201 POLYGON ((33636.96 -161396,...
## 6           905         2630       131656 POLYGON ((33736.96 -161396,...
## 7           645         6512       135789 POLYGON ((33836.96 -161396,...
## 8           934         9945       115006 POLYGON ((33936.96 -161396,...
## 9           400         3583       111379 POLYGON ((34036.96 -161396,...
## 10          900         7778       137576 POLYGON ((34136.96 -161396,...

Greenspace

In our analysis we acquired LANDSAT images through the United States Geological Survey’s EarthExplorer platform (https://earthexplorer.usgs.gov/). The Normalized Difference Vegetation Index (NDVI) is used as a metric to model greenspace exposure. Pre-processing of the LANDSAT images and NDVI calculation has been conducted using the LS_L1C function:

DRIGLUCoSE::LS_L1C(l1c_path = "docs/LC08_L1TP_193026_20200423_20200508_01_T1_small/", 
                   out_dir = "docs/LS_PreProcessed",
                   # Use Sample Data and apply 25 minutes buffer (Speed[m/min] * 25[min]) 
                   sf_mask = DRIGLUCoSE::Erlangen %>% 
                     dplyr::mutate(geom = sf::st_buffer(geom, Speed*25)),
                   cores = 20)
## Project raster
## DN to TOA Reflectance
## class      : RasterStack 
## dimensions : 122, 151, 18422, 8  (nrow, ncol, ncell, nlayers)
## resolution : 30, 30  (x, y)
## extent     : 33493.69, 38023.69, -161164.2, -157504.2  (xmin, xmax, ymin, ymax)
## crs        : +proj=lcc +lat_0=51 +lon_0=10.5 +lat_1=48.6666666666667 +lat_2=53.6666666666667 +x_0=0 +y_0=0 +ellps=GRS80 +units=m +no_defs 
## names      :      Blue,     Green,       Red,       NIR,     SWIR1,     SWIR2,      NDWI,      NDVI 
## min values :         0,         0,         0,         0,         0,         0,        -1,        -1 
## max values : 0.2020575, 0.2322532, 0.3076383, 0.5424371, 0.4233773, 0.3753066, 1.0000000, 1.0000000

Exposure Model

In order to estimate each participant’s potential exposures to greenspace and local SES, we (i) mapped age- and sex-specific walkable zones around their residential address, and (ii) applied a negative logit weighting function, such that the estimated effect of greenspace or SES decreases as distance from the home increases.

(i) Road network data and isochrones

In order to compute network-based distance metrics, we acquired street data from OpenStreetMap using the R-package osmdata (Padgham et al. 2017). Road types not suitable for walking were removed (e.g., motorways). Network data were topologically corrected and split into ~20 metre-long segments using the R package nngeo (Michael Dorman 2020).

erlangen.osm <- DRIGLUCoSE::osm_roads(x = Erlangen, dist = 20, 
                                      speed = "Speed", cores = 2)

This network data was used to derive walking distance buffers for each participant, based on walking speed. Starting from each participant’s place of residence, we computed network-constrained buffers with an off-road width of 40 meters, running in 2-minute increments from 0 to 20 minutes, using the A*-algorithm (Hart, Nilsson, and Raphael 1968). This therefore resulted in each participant having ten concentric isochrones, the sizes of which are a function of individual walking speed and road network.

erlangen.isodistances <- DRIGLUCoSE::isodistances(x = Erlangen, 
                                                  road_network = erlangen.osm, 
                                                  tag = "tag", speed = "Speed",
                                                  isochrones_seq = seq(2, 20, 2),
                                                  cores = 2)
erlangen.isochrones <- DRIGLUCoSE::isochrones(x = erlangen.isodistances, 
                                              buffer = 40, cores = 2)
erlangen.isochrones
## Simple feature collection with 20 features and 2 fields
## Geometry type: MULTIPOLYGON
## Dimension:     XY
## Bounding box:  xmin: 34034 ymin: -160951 xmax: 37750 ymax: -157782
## Projected CRS: ETRS89 / LCC Germany (N-E)
## # A tibble: 20 x 3
##     time   tag                                                              geom
##  * <dbl> <dbl>                                                <MULTIPOLYGON [m]>
##  1     2     1 (((35292.18 -159582.1, 35292.75 -159584.1, 35293.22 -159586.1, 3~
##  2     4     1 (((35314.38 -159725.3, 35313.74 -159727.3, 35312.99 -159729.2, 3~
##  3     6     1 (((35348.37 -159830.5, 35347.9 -159831.2, 35347.44 -159832, 3534~
##  4     8     1 (((35282 -159969.8, 35281.96 -159971.9, 35281.8 -159974, 35281.5~
##  5    10     1 (((35249.78 -160125.6, 35249.57 -160125.5, 35248.86 -160125.1, 3~
##  6    12     1 (((35264.36 -160300.8, 35263.71 -160300.8, 35263.06 -160300.9, 3~
##  7    14     1 (((35379.71 -160416.5, 35380.79 -160418.3, 35381.78 -160420.1, 3~
##  8    16     1 (((35412 -160571, 35411.95 -160573.1, 35411.78 -160575.2, 35411.~
##  9    18     1 (((35430.23 -160426.8, 35430.28 -160426.3, 35430.28 -160426.3, 3~
## 10    20     1 (((35546 -160803.2, 35546.09 -160803.5, 35546.22 -160804.2, 3554~
## 11     2     2 (((36385.71 -159372.9, 36384.21 -159374.3, 36382.64 -159375.7, 3~
## 12     4     2 (((36379.78 -159545.8, 36379.83 -159546.5, 36379.9 -159547.1, 36~
## 13     6     2 (((36368.01 -159688.3, 36366.95 -159690.1, 36365.8 -159691.9, 36~
## 14     8     2 (((36655.01 -159679.5, 36655.61 -159681.6, 36656.11 -159683.6, 3~
## 15    10     2 (((36520.27 -159907.5, 36518.33 -159908.3, 36516.36 -159909, 365~
## 16    12     2 (((36053.07 -160058.5, 36051.72 -160056.9, 36050.46 -160055.3, 3~
## 17    14     2 (((36832.82 -159976.8, 36832.8 -159977, 36832.79 -159977.1, 3683~
## 18    16     2 (((36016.71 -160325, 36016.5 -160325.4, 36016.23 -160325.9, 3601~
## 19    18     2 (((36020.67 -160327.7, 36022.64 -160327, 36024.65 -160326.4, 360~
## 20    20     2 (((36689.36 -160321.8, 36690.36 -160320, 36691.45 -160318.2, 366~

Figure 1 shows isodistances of the two points of the sample data in Erlangen, Germany.

(ii) Distance-weighting

In order to account for the diminishing effect of SES and greenspace exposure as distance increases, we fitted a logit function to weight each incremental isochrone, such that the influence of a variable decreases with increasing distance from the household, i.e., features that are farther away have less influence than nearby features, as illustrated in Figure 2. A logit function was selected as it heuristically approximates a suitable distance-decay function (Bauer and Groneberg 2016; Jia, Wang, and Xierali 2019). The distance-weighting is separated in two parts, first the logit function (1) that is used for both SES and greenspace variables, and second the proportional weights function (4) that is only applied on SES variables.

 \begin{align*} G_t = \begin{cases} \cfrac{\int_0^{r_t} \, g(r)dr}{\int_0^{r_{t_{max}}} \, g(r)dr}, t=1\\ \cfrac{\int_{r_{t-1}}^{r_t}  \, g(r)dr}{\int_0^{r_{t_{max}}} \, g(r)dr}, t>1 \end{cases} && \text{(1)} \end{align*}

Each isochrone t is assigned a distance weight G_T, calculated as the integral of the logistic distance decay function g(r) (2)

 \begin{align*} g(r) = \cfrac{1}{1 + e^{ \,b \,(r-m)}} && \text{(2)} \end{align*}

with b = 8 and m = 0.6, in the interval between the mean inner radius r_{t-1} and mean outer radius r_t of the isochrone (e.g. 2 to 4 minutes isochrones), normalized by the integral from 0 to the outermost isochrone boundary r_{t_{max}} (e.g. 20 minutes isochrone). Weighted summary statistics to describe the greenspace (e.g. mean or minimum NDVI) are thus described as (3)

 \begin{align*} \sum_t G_t \, f(NDVI_t \, \cap \, I_t) && \text{(3)} \end{align*}

For SES variables the proportional weights of the census areas within the isochrone are further defined as (4)

 \begin{align*} A_{tj} = \cfrac{A(C_j \, \cap \, I_t)} {A(I_t)} && \text{(4)} \end{align*}

with the proportion of the area of the intersection of the census area C_j and the isochrone I_t, and the area of the isochrone I_t. The weighted value of the SES variable x_i in the census area j is then defined as (5)

 \begin{align*} \sum_t \left( \ G_t \ \sum_j \, x_{ij} \; A{tj} \right) && \text{(5)} \end{align*}

Figure 2 visualizes the different submodels used for distance-weighting SES and greenspace. Fig. 2a shows the unweighted values of a SES variable and fig. 2b has been calculated using (5), thus representing the proportional weights of all intersections with the census areas and isochrones. Greenspace is weighted as shown in fig. 2c using (3).

Figure 2: Unweighted values (a) and network-based distance-weighting function for socioeconomic variables (b) and greenspace (c). Bold black lines indicate the isochrones.

The distance-weighting for the LANDSAT derived NDVI raster (greenspace exposure) is handled using LS_band_weightin, and SES distance- and areal-weighting using census_weighting.

# Calculate sd, median, 5th percentile, 95th percentile and skew of NDVI values
NDVI_weighted <- 
  DRIGLUCoSE::LS_band_weighting(isochrones = erlangen.isochrones, tag = "tag",
                                landsat_list = dir("docs/LS_PreProcessed",
                                                   pattern = ".grd",
                                                   full.names = T) %>%
                                  lapply(raster::brick),
                                stats = list("sd", "median", 
                                             list("percentile", 0.05), 
                                             list("percentile", 0.95),
                                             "skew"), 
                                b = 8, m = 0.6, cores = 2)

NDVI_weighted
## # A tibble: 2 x 6
##     tag    sd median X5_percentile X95_percentile    skew
##   <dbl> <dbl>  <dbl>         <dbl>          <dbl>   <dbl>
## 1     1 0.205  0.615         0.281          0.914 -0.145 
## 2     2 0.104  0.540         0.360          0.714 -0.0122
census_weighted <- DRIGLUCoSE::census_weighting(isochrones = erlangen.isochrones, 
                                                tag = "tag", census = census, 
                                                b = 8, m = 0.6, cores = 2)
census_weighted
## # A tibble: 2 x 4
##     tag census_var_a census_var_b census_var_c
##   <dbl>        <dbl>        <dbl>        <dbl>
## 1     1         562.        5323.      130970.
## 2     2         547.        5419.      124610.

Appendix

Figures

DRI-GLUCoSE scores for Vancouver (top) and Hamilton (bottom), ranging from low risk (purple) to high risk areas (orange).

Figure A.1: Forest plot showing significant effects for both BMI- and WHR-controlled multivariable logistic models.

Figure A.2: The ROC curves for both BMI- and WHR-controlled multivariable logistic models.

Tables

Table A.1: Logistic models for all multivariable models with odds ratios (OR) for diabetes, 95% CI, and p-values.

Semi-Adjusted

Fully-Adjusted

Parameter OR
(bivariate)
OR
(WHR-adjusted)
OR
(BMI-adjusted)
OR
(WHR-adjusted)
OR
(BMI-adjusted)
DRI-GLUCoSE Score 0.37 (0.26-0.51,
p<0.001)
0.41 (0.31-0.53,
p<0.001)
0.46 (0.35-0.61,
p<0.001)
0.45 (0.36-0.56,
p<0.001)
0.50 (0.37-0.67,
p<0.001)
Age (5 year-interval) 1.26 (1.18-1.34,
p<0.001)
1.21 (1.15-1.27,
p<0.001)
1.26 (1.20-1.33,
p<0.001)
1.20 (1.15-1.65,
p<0.001)
1.24 (1.18-1.31,
p<0.001)
Sex: female 0.63 (0.50-0.78,
p<0.001)
0.85 (0.71-1.00,
p=0.056)
0.47 (0.39-0.57,
p<0.001)
0.95 (0.81-1.11,
p=0.498)
0.59 (0.48-0.71,
p<0.001)
Obese (WHR) 5.72 (4.37-7.59,
p<0.001)
5.39 (4.50-6.46,
p<0.001)
5.06 (4.29-5.97,
p<0.001)
BMI 1.14 (1.12-1.16,
p<0.001)
1.14 (1.12-1.15,
p<0.001)
1.13 (1.11-1.15,
p<0.001)
Household income range 0.75 (0.70-0.81,
p<0.001)
0.87 (0.82-0.92,
p<0.001)
0.85 (0.80-0.90,
p<0.001)
0.90 (0.86-0.95,
p<0.001)
0.85 (0.80-0.91,
p<0.001)
Neighbourhood type: urban 0.93 (0.71-1.21,
p=0.605)
0.58 (0.47-0.72,
p<0.001)
0.62 (0.50-0.77,
p<0.001)
0.60 (0.50-0.72,
p<0.001)
0.66 (0.52-0.84,
p<0.001)
AHEI Score (E^1) 0.78 (0.70-0.88,
p<0.001)
0.95 (0.88-1.03,
p=0.197)
0.99 (0.89-1.09,
p=0.771)
Recreation Met Score: >=525 0.58 (0.46-0.73,
p<0.001)
0.82 (0.71-1.03,
p=0.006)
0.85 (0.71-1.03,
p=0.090)
Current/Former smoker: yes 1.65 (1.31-2.07,
p<0.001)
1.55 (1.34-1.80,
p<0.001)
1.38 (1.15-1.66,
p<0.001)
Alcohol: <1 drink/day 1.17 (0.91-1.51,
p=0.217)
1.81 (1.54-2.14,
p<0.001)
1.34 (1.09-1.65,
p=0.006)

To analyse the effect of socioeconomic status (SES) and greenspace (GS), we further build multivariable models using the semi-adjusted model with BMI as obesity measurent and tested different combinations for the index variable.

Table A.2: Model Performance and odds ratios of the logistic models, comparing combinations of socioeconomic status (SES) and greenspace (GS) as index.
Metric SES + GS SES GS
Probability Threshold * 0.47 0.50 0.48
Accuracy 0.75 0.72 0.74
Sensitivity 0.76 0.72 0.75
Specificity 0.65 0.68 0.68
Youden index 0.41 0.40 0.43
OR (95% CI, p-value) 0.46 (0.35-0.61, p < 0.001) 0.57 (0.42-0.76, p < 0.001) 0.42 (0.31-0.57, p < 0.001)
* Probability threshold used for predicting Diabetes. Values equal or greater than this threshold are mapped as “No”.
Table A.3: Model Performance for all multivariable models.

Semi-Adjusted

Fully-Adjusted

Metric OR
(WHR-adjusted)
OR
(BMI-adjusted)
OR
(WHR-adjusted)
OR
(BMI-adjusted)
Probability Threshold * 0.44 0.47 0.58 0.60
Accuracy 0.71 0.75 0.64 0.64
Sensitivity 0.72 0.76 0.62 0.62
Specificity 0.70 0.65 0.81 0.83
Youden index 0.42 0.41 0.43 0.45
* Probability threshold used for predicting Diabetes. Values equal or greater than this threshold are mapped as “No”.

Summary Statistics

Table A.4: Baseline characteristics of the study population by diabetes status.
Parameter No Diabetes (N=4616) Diabetes (N=509) Total (N=5125)
Total included 4616 (90.1%) 509 (9.9%) 5125
City
Hamilton 2307 (87.5%) 331 (12.5%) 2638
Vancouver 2309 (92.8%) 178 (7.2%) 2487
Participant data
BMI
Mean (SD) 27.3 (5.4) 32.1 (6.4) 27.8 (5.7)
Median (Q1; Q3) 26.4 (23.8; 29.8) 30.9 (27.5; 35.7) 26.8 (24.0; 30.4)
Waist to hip ratio
Mean (SD) 85.2 (9.0) 93.6 (8.5) 86.0 (9.3)
Median (Q1; Q3) 85.2 (78.6; 91.6) 94.2 (87.8; 99.6) 86.0 (79.3; 92.6)
Obesity (WHR)
Low & Moderate 2787 (96.0%) 115 (4.0%) 2902
High 1829 (82.3%) 394 (17.7%) 2223
Age (years)
Mean (SD) 10.5 (1.9) 11.4 (1.7) 10.6 (1.9)
Median (Q1; Q3) 10.6 (9.0; 12.0) 11.6 (10.2; 12.6) 10.6 (9.2; 12.2)
Sex
Male 2076 (87.6%) 294 (12.4%) 2370
Female 2540 (92.2%) 215 (7.8%) 2755
Household Income Range
>90k 1793 (93.3%) 129 (6.7%) 1922
45k-65k 759 (89.8%) 86 (10.2%) 845
30k-45k 564 (85.2%) 98 (14.8%) 662
65k-90k 1010 (92.7%) 80 (7.3%) 1090
20k-30k 304 (81.3%) 70 (18.7%) 374
<20k 186 (80.2%) 46 (19.8%) 232
AHEI Score
Mean (SD) 3.8 (1.0) 3.5 (0.9) 3.7 (1.0)
Median (Q1; Q3) 3.8 (3.1; 4.5) 3.5 (2.8; 4.1) 3.7 (3.0; 4.5)
Physical Activity MET Score
under 1721 (87.3%) 250 (12.7%) 1971
over 2065 (92.3%) 172 (7.7%) 2237
Ever smoked
Mean (SD) 0.4 (0.5) 0.6 (0.5) 0.5 (0.5)
Median (Q1; Q3) 0.0 (0.0; 1.0) 1.0 (0.0; 1.0) 0.0 (0.0; 1.0)
Daily Drinker
>=1 drinks/day 1157 (91.0%) 114 (9.0%) 1271
<1 drink/day 2629 (89.5%) 308 (10.5%) 2937
Census variables
Neighbourhood type
suburban/rural 3607 (89.9%) 405 (10.1%) 4012
urban 1009 (90.7%) 104 (9.3%) 1113
Individual mean income (CAD/1000)
Mean (SD) 37.9 (13.9) 34.3 (12.1) 37.5 (13.8)
Median (Q1; Q3) 35.0 (29.0; 42.0) 32.0 (27.0; 38.0) 35.0 (29.0; 42.0)
Household median income (CAD/1000)
Mean (SD) 65.5 (21.5) 60.6 (20.5) 65.0 (21.4)
Median (Q1; Q3) 61.0 (51.0; 77.0) 57.0 (45.0; 71.0) 61.0 (51.0; 76.0)
Prevalence of low income (%)
Mean (SD) 9.4 (6.9) 11.3 (7.6) 9.6 (7.0)
Median (Q1; Q3) 8.1 (4.3; 13.7) 10.1 (5.2; 16.3) 8.2 (4.4; 14.0)
Commute Walking/Bicycle (%)
Mean (SD) 7.5 (6.9) 6.8 (5.8) 7.4 (6.8)
Median (Q1; Q3) 5.1 (3.0; 9.9) 5.3 (3.2; 8.6) 5.2 (3.0; 9.7)
Labour force participation rate (%)
Mean (SD) 66.6 (7.7) 65.3 (7.6) 66.5 (7.7)
Median (Q1; Q3) 66.8 (61.8; 71.7) 64.9 (60.7; 70.5) 66.6 (61.7; 71.6)
Gov’t transfer payments (%)
Mean (SD) 9.9 (5.2) 12.4 (6.3) 10.1 (5.4)
Median (Q1; Q3) 8.8 (5.7; 13.0) 11.5 (7.2; 16.1) 9.0 (5.8; 13.3)
Unemployment rate (%)
Mean (SD) 5.5 (2.5) 6.3 (2.9) 5.6 (2.6)
Median (Q1; Q3) 5.4 (3.8; 7.0) 5.9 (4.4; 7.7) 5.4 (3.8; 7.0)
Lone parent families (%)
Mean (SD) 14.8 (6.5) 17.3 (7.5) 15.0 (6.6)
Median (Q1; Q3) 14.0 (10.9; 18.4) 16.1 (11.9; 21.8) 14.1 (11.0; 18.8)
Education - No degree (%)
Mean (SD) 19.6 (9.2) 23.7 (10.4) 20.0 (9.4)
Median (Q1; Q3) 17.7 (12.8; 24.9) 21.0 (15.8; 31.6) 17.9 (13.1; 25.6)
Private Dwellings - Owned (%)
Mean (SD) 73.9 (17.8) 72.9 (17.6) 73.8 (17.7)
Median (Q1; Q3) 77.1 (62.1; 88.5) 75.6 (61.7; 87.0) 77.0 (62.1; 88.4)
Private Dwellings - Rented (%)
Mean (SD) 25.3 (17.2) 26.4 (17.0) 25.4 (17.2)
Median (Q1; Q3) 22.1 (11.2; 36.9) 24.0 (12.9; 37.7) 22.4 (11.4; 36.9)
Normalized Difference Vegetation Index (NDVI)
NDVI - Median
Mean (SD) 0.341 (0.089) 0.314 (0.084) 0.338 (0.089)
Median (Q1; Q3) 0.336 (0.291; 0.379) 0.313 (0.266; 0.360) 0.333 (0.288; 0.377)
NDVI - Standard Deviation
Mean (SD) 0.090 (0.026) 0.088 (0.024) 0.090 (0.026)
Median (Q1; Q3) 0.086 (0.071; 0.105) 0.084 (0.072; 0.100) 0.086 (0.071; 0.105)
NDVI - Min
Mean (SD) 0.206 (0.097) 0.182 (0.086) 0.204 (0.096)
Median (Q1; Q3) 0.202 (0.135; 0.262) 0.173 (0.118; 0.243) 0.198 (0.134; 0.260)
NDVI - max
Mean (SD) 0.495 (0.093) 0.465 (0.093) 0.492 (0.093)
Median (Q1; Q3) 0.484 (0.435; 0.546) 0.459 (0.401; 0.514) 0.482 (0.432; 0.543)

About

Package contributors

Brinkmann, Sebastian Tobias (Package creator and author) e-mail: sebastian.brinkmann@fau.de

Große, Tim (Contributor)

Thesis authors

Walker, Blake Byron (1*)
Brinkmann, Sebastian Tobias (1)
Große, Tim (1)
Dominik Kremer (1)
Schuurman Nadine (2)
Hystad Perry (3)
Rangarajan Sumathy (4)
Teo Koon (4)
Yusuf Salim (4)
Lear Scott A. (5)

1: Community Health Environments and Social Terrains (CHEST) Lab, Institut für Geographie, Friedrich-Alexander-Universität Erlangen-Nürnberg, Wetterkreuz 15, 91052 Erlangen, Germany

*corresponding author

2: Department of Geography, Simon Fraser University, Burnaby, Canada

3: Spatial Health Lab, College of Public Health and Human Sciences, Oregon State University, Corvallis, USA

4: Population Health Research Institute, McMaster University, Hamilton, Canada

5: Faculty of Health Sciences, Simon Fraser University, Burnaby, Canada

Citation

citation("DRIGLUCoSE")
## 
## To cite DRIGLUCoSE in publications use:
## 
##   Walker, B.B., Brinkmann, S.T., Große, T. et al. 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. J Urban Health 99, 506–518 (2022).
##   https://doi.org/10.1007/s11524-022-00630-w
## 
## A BibTeX entry for LaTeX users is
## 
##   @Article{,
##     title = {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},
##     author = {Blake Byron Walker and Sebastian T. Brinkmann and T. Große et al.},
##     journal = {J Urban Health},
##     year = {2022},
##     volume = {99},
##     pages = {506–518},
##     url = {https://doi.org/10.1007/s11524-022-00630-w},
##   }

Bibliography

Bauer, Jan, and David A. Groneberg. 2016. “Measuring Spatial Accessibility of Health Care Providers - Introduction of a Variable Distance Decay Function Within the Floating Catchment Area (FCA) Method.” PloS One 11 (7): e0159148. https://doi.org/10.1371/journal.pone.0159148.

Fuertes, Elaine, Iana Markevych, Andrea von Berg, Carl-Peter Bauer, Dietrich Berdel, Sibylle Koletzko, Dorothea Sugiri, and Joachim Heinrich. 2014. “Greenness and Allergies: Evidence of Differential Associations in Two Areas in Germany.” Journal of Epidemiology and Community Health 68 (8): 787–90. https://doi.org/10.1136/jech-2014-203903.

Gong, Yi, John Gallacher, Stephen Palmer, and David Fone. 2014. “Neighbourhood Green Space, Physical Function and Participation in Physical Activities Among Elderly Men: The Caerphilly Prospective Study.” International Journal of Behavioral Nutrition and Physical Activity 11 (1): 40. https://doi.org/10.1186/1479-5868-11-40.

Hart, Peter, Nils Nilsson, and Bertram Raphael. 1968. “A Formal Basis for the Heuristic Determination of Minimum Cost Paths.” IEEE Transactions on Systems Science and Cybernetics 4 (2): 100–107. https://doi.org/10.1109/TSSC.1968.300136.

Jia, Peng, Fahui Wang, and Imam M. Xierali. 2019. “Differential Effects of Distance Decay on Hospital Inpatient Visits Among Subpopulations in Florida, USA.” Environmental Monitoring and Assessment 191 (Suppl 2): 381. https://doi.org/10.1007/s10661-019-7468-2.

Michael Dorman. 2020. “Nngeo: K-Nearest Neighbor Join for Spatial Data.” https://CRAN.R-project.org/package=nngeo.

Padgham, Mark, Robin Lovelace, Maëlle Salmon, and Bob Rudis. 2017. “Osmdata.” Journal of Open Source Software 2 (14): 305. https://doi.org/10.21105/joss.00305.

Scarpone, Christopher, Sebastian T. Brinkmann, Tim Große, Daniel Sonnenwald, Martin Fuchs, and Blake Byron Walker. 2020. “A Multimethod Approach for County-Scale Geospatial Analysis of Emerging Infectious Diseases: A Cross-Sectional Case Study of COVID-19 Incidence in Germany.” International Journal of Health Geographics 19 (1): 32. https://doi.org/10.1186/s12942-020-00225-1.

Walker, Blake Byron, Sebastian Tobias Brinkmann, Tim Große, Dominik Kremer, Nadine Schuurman, Perry Hystad, Sumathy Rangarajan, Koon Teo, Salim Yusuf, and Scott A. Lear. 2022. “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.” Journal of Urban Health 99 (3): 506–18. https://doi.org/10.1007/s11524-022-00630-w.

Walker, Blake Byron, Aateka Shashank, Danijela Gasevic, Nadine Schuurman, Paul Poirier, Koon Teo, Sumathy Rangarajan, Salim Yusuf, and Scott A. Lear. 2019. “The Local Food Environment and Obesity: Evidence from Three Cities.” Obesity (Silver Spring, Md.) 28 (1): 40–45. https://doi.org/10.1002/oby.22614.

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