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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Assessing the spatial heterogeneity in black-white differences in optimal cardiovascular health and the impact of individual- and neighborhood-level risk factors: The Multi-Ethnic Study of Atherosclerosis (MESA)
Spatial and spatio-temporal epidemiology, v 33, 100332
Jun 2020
PMID: 32370943
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
•Cardiovascular health (CVH) is examined, which focuses on health behaviors and factors.•Spatial variation in CVH was explored using a unique, diverse population-based cohort study.•Black-white disparities in CVH vary within and across 5 US cities.•Blacks have decreased odds of optimal and overall cardiovascular health.•Individual- and neighborhood-level risk factors, both subjective and objective measures, reduced varying disparities.
Racial disparities in cardiovascular health (CVH) continue to remain a public health concern in the United States. We use unique population-based data from the Multi-Ethnic Study of Atherosclerosis cohort to explore the black-white differences in optimal CVH. Utilizing geographically weighted regression methods, we assess the spatial heterogeneity in black-white differences in optimal CVH and the impact of both individual- and neighborhood-level risk factors. We found evidence of significant spatial heterogeneity in black-white differences that varied within and between the five sites. Initial models showed decreased odds of optimal CVH for blacks that ranged from 60% to 70% reduced odds – with noticeable variation of these decreased odds within each site. Adjusting for risk factors resulted in reductions in the black-white differences in optimal CVH. Further understanding of the reasons for spatial heterogeneities in black-white differences in nationally representative cohorts may provide important clues regarding the drivers of these differences.
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Details
- Title
- Assessing the spatial heterogeneity in black-white differences in optimal cardiovascular health and the impact of individual- and neighborhood-level risk factors: The Multi-Ethnic Study of Atherosclerosis (MESA)
- Creators
- Loni Philip Tabb - Drexel UniversityLeslie A. McClure - Drexel UniversityAngel Ortiz - Drexel UniversitySteven Melly - Drexel UniversityMiranda R. Jones - BloombergKiarri N. Kershaw - Northwestern UniversityAna V. Diez Roux - Drexel University
- Publication Details
- Spatial and spatio-temporal epidemiology, v 33, 100332
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Epidemiology and Biostatistics
- Web of Science ID
- WOS:000530999300002
- Scopus ID
- 2-s2.0-85079853742
- Other Identifier
- 991019169547804721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health