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. 2024 Feb 22;47(6):964–969. doi: 10.2337/dc23-2184

Table 2.

Standardized direct, indirect, and total effects for the relationship between historic redlining and diabetes prevalence

Direct effects Indirect effects Total effects
Diabetes prevalence
 Incarceration 0.06*** 0.06***
 Poverty −0.10*** −0.10***
 Discrimination 0.14*** 0.14***
 Substance abuse: drinking −0.65*** −0.65***
 Substance abuse: smoking 0.36*** 0.36***
 Housing instability −0.07*** −0.07***
 Education 0.06*** 0.06***
 Employment −0.17*** −0.17***
 Food access 0.14*** 0.14***
 Historic redlining 0.01** 0.28*** 0.29***
Incarceration
 Historic redlining 0.27*** 0.27***
Poverty
 Historic redlining 0.35*** 0.35***
Discrimination
 Historic redlining 0.30*** 0.30***
Substance abuse: drinking
 Historic redlining −0.09*** −0.09***
Substance abuse: smoking
 Historic redlining 0.28*** 0.28***
Housing instability
 Historic redlining 0.28*** 0.28***
Education
 Historic redlining 0.26*** 0.26***
Employment
 Historic redlining −0.35*** −0.35***
Food access
 Historic redlining 0.27*** 0.27***

Structural equation modeling with standardized estimates were used to investigate relationships. Significant direct effects indicate direct association between variables. For example, higher levels of historic redlining are associated with higher diabetes prevalence. Significant indirect effects indicate pathways through which variables influence outcomes. For example, increased historic redlining is associated with diabetes prevalence through discrimination.

**P < 0.01

***P < 0.001. Dash indicates no path hypothesized.