Response to Invited Commentary Schootman et al. Respond to ‘‘Diabetes Causality in African Americans’’

We appreciate the thoughtful comments by Grant (1) on our paper (2). We agree that further exploration of the rea-sons for the observed association, using interdisciplinary research, is needed. We also agree that there are short-comings of our pathways in that additional variables can be hypothesized to explain the association between housing conditions and diabetes development. Here, we briefly re-spond to the issues raised by Grant in his commentary. Grant suggested that housing conditions may be a more sensitive measure of relative poverty. If this were true, the association between housing conditions and diabetes inci-dence would have been meaningfully altered by adjusting for perceived income adequacy in the logistic model, which it was not. Contrary to Grant’s assertions, exercise and med-ication adherence were included as potential mediators i