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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.1- 3 Certainly such approaches could be extended into studying the types of neighborhood exposures used in our own study.
Christine PJ, Roux AVD. Neighborhoods and Risk of Diabetes Mellitus—ReplyPerson and Place or Person in Place?. JAMA Intern Med. 2015;175(12):2002-2003. doi:10.1001/jamainternmed.2015.6689