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this negative result was purported to be due to confounding by socioeconomic status (SES) given the inverse correlation between neighborhood SES and NO 2 in this cohort ( 2 , and proximity to roadways has been used as a surrogate marker for exposure, the authors suggest this result may support a link between NO 2 and diabetes in females ( 2 exposure and confirmed diabetes (HR: 1.04 [1.00, 1.08] per 4.9 g/m 3 increase in average NO 2 ), with the strongest associations in women and subjects with elevated waist-to-hip ratio ( 2 exposure and diabetes diagnosis but only for women (OR: 1.04 [1.00, 1.08]) ( 2 exposure and diabetes diagnosis, with the direction of effect stronger in women (OR: 1.48 [1.07, 2.04]) ( 3.2.1 Short-term effects of air pollution on diabetes and glucose homeostasis In addition to the literature supporting associations between air pollution exposure and incidence of diabetes, there is growing literature showing worsening of glucose metabolism with air pollution exposure for patients that already have a diabetes diagnosis
