Neighborhood characteristics and ideal cardiovascular health among Black adults: results from the Morehouse-Emory Cardiovascular (MECA) Center for Health Equity
Autor: | Tené T. Lewis, Chang Liu, Arshed A. Quyyumi, Kiran Ejaz, Priscilla Pemu, Sandra B. Dunbar, Ahsan Khan, Viola Vaccarino, Herman A. Taylor, Jeong Hwan Kim, Matthew L. Topel, Mahasin S. Mujahid, Yi-An Ko, Mohamed Mubasher, Peter Baltrus, Shabatun J. Islam, Charles D. Searles, Mario Sims |
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Rok vydání: | 2022 |
Předmět: |
Adult
Male Adenosine Epidemiology Health Status Blood Pressure Disparities Disease Cardiovascular disease risk factors Cardiovascular Medical and Health Sciences 01 natural sciences Article Body Mass Index Odds 03 medical and health sciences 0302 clinical medicine Risk Factors 2.3 Psychological Behavioral and Social Science Humans Medicine 030212 general & internal medicine Aetiology 0101 mathematics Multinomial logistic regression African Americans Health Equity Neighborhood business.industry Prevention 010102 general mathematics Neighborhood Characteristics Social environment Middle Aged Black adults Cardiovascular health Health equity Cardiovascular Diseases Household income Marital status Female social and economic factors business Body mass index Demography |
Zdroj: | Ann Epidemiol |
ISSN: | 1047-2797 |
Popis: | Background Neighborhood environment is increasingly recognized as an important determinant of CVH among Black adults. Most research to date has focused on negative aspects of the neighborhood environment, with little attention being paid to the specific positive features, in particular the social environment, that promote cardiovascular resilience among Black adults. Objective We examined whether better neighborhood physical and social characteristics are associated with ideal CVH among Black adults, as measured by Life's Simple 7 (LS7) scores. Methods We recruited 392 Black adults (age 53 ± 10, 39% male) without known CV disease living in Atlanta, GA. Seven neighborhood domains were assessed via questionnaire: aesthetic quality, walking environment, safety, food access, social cohesion, activity with neighbors, and violence. CVH was determined by LS7 scores calculated from measured blood pressure, glucose, cholesterol, body mass index (BMI), and self-reported exercise, diet, and smoking, and categorized into poor (0-8), intermediate (9-10), and ideal (11-14). Multinomial logistic regression was used to examine the association between neighborhood characteristics and the odds of intermediate/ideal CVH categories compared to poor CVH after adjustment for age, gender, household income, education, marital status, and employment status. Results Better scores in the neighborhood domains of social cohesion and activity with neighbors were significantly associated with higher adjusted odds of ideal LS7 scores (OR 2.02, 95% CI [1.36 - 3.01] and 1.71 [1.20 - 2.45] per 1 standard deviation [SD] increase in respective scores). These associations were stronger for both social cohesion (OR 2.61, 95% CI [1.48 - 4.61] versus 1.40 [0.82 - 2.40]) and activity with neighbors (OR 1.82, 95% CI [1.15 - 2.86] versus 1.53 [0.84 - 2.78]) in Black women compared to men. Specifically, better scores in social cohesion were associated with higher odds of ideal CVH in exercise (OR 1.73 [1.16 - 2.59]), diet (OR 1.90 [1.11 - 3.26]), and BMI (OR 1.52 [1.09 - 2.09]); better scores in activity with neighbors were also similarly associated with higher odds of ideal CVH in exercise (OR 1.48 [1.00 - 2.19]), diet (OR 2.15 [1.23 - 3.77]), and BMI (OR 1.45 [1.07 - 1.98]; per 1 SD in respective scores). Conclusion More desirable neighborhood characteristics, particularly social cohesion and activity with neighbors, were associated with better CVH among Black adults. |
Databáze: | OpenAIRE |
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