Journal article
Association of Retail Environment and Neighborhood Socioeconomic Status With Mortality Among Community-Dwelling Older Adults in the United States: Cardiovascular Health Study
The journals of gerontology. Series A, Biological sciences and medical sciences
20 Oct 2021
PMID: 34669918
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background Few studies have examined the association of neighborhood environment and mortality among community-dwelling older populations. Geographic Information Systems-based measures of neighborhood physical environment may provide new insights on the health effects of the social and built environment. Method We studied 4 379 community-dwelling older adults in the United States aged 65 years and older from the Cardiovascular Health Study. Principal component analysis was used to identify neighborhood components from 48 variables assessing facilities and establishments, demographic composition, socioeconomic status, and economic prosperity. We used a Cox model to evaluate the association of neighborhood components with 5-year mortality. Age, sex, race, education, income, marital status, body mass index, smoking status, disability, coronary heart disease, and diabetes were included as covariates. We also examined the interactions between neighborhood components and sex and race (Black vs White or other). Results We identified 5 neighborhood components, representing facilities and resources, immigrant communities, community-level economic deprivation, resident-level socioeconomic status, and residents' age. Communities' economic deprivation and residents' socioeconomic status were significantly associated with 5-year mortality. We did not find interactions between sex or race and any of the 5 neighborhood components. The results were similar in a sensitivity analysis where we used 10-year mortality as the outcome. Conclusions We found that communities' economic status but not facilities in communities was associated with mortality among older adults. These findings revealed the importance and benefits living in a socioeconomically advantaged neighborhood could have on health among older residents with different demographic backgrounds.
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Details
- Title
- Association of Retail Environment and Neighborhood Socioeconomic Status With Mortality Among Community-Dwelling Older Adults in the United States: Cardiovascular Health Study
- Creators
- Kehan Zhang - Duke Kunshan UniversityGina S. Lovasi - Drexel UniversityMichelle C. Odden - Stanford UniversityYvonne L. Michael - Drexel UniversityAnne B. Newman - University of PittsburghAlice M. Arnold - University of WashingtonDae Hyun Kim - Hebrew Rehabilitation Center, Harvard University, Cambridge, Massachusetts, USAChenkai Wu - Duke Kunshan University
- Publication Details
- The journals of gerontology. Series A, Biological sciences and medical sciences
- Publisher
- Oxford Univ Press
- Number of pages
- 8
- Grant note
- 4100072543 / Urban Health Collaborative at Drexel University HHSN268201200036C; HHSN268200800007C; HHSN268201800001C; N01HC55222; N01HC85079; N01HC85080; N01HC85081; N01HC85082; N01HC85083; N01HC85086; 75N92021D00006; U01HL080295; U01HL130114 / National Heart, Lung, and Blood Institute (NHLBI); United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Heart Lung & Blood Institute (NHLBI) 1R01AG049970; 3R01AG049970-04S1 / National Institute of Aging; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA) Commonwealth Universal Research Enhancement (C.U.R.E) program - Pennsylvania Department of Health Built Environment and Health Research Group at Columbia University 2020YFC2005600 / Chinese Ministry of Science and Technology; Ministry of Science and Technology, China National Institute on Aging (NIA); United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA) R01AG023629 / National Institute of Neurological Disorders and Stroke (NINDS); United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Neurological Disorders & Stroke (NINDS)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Epidemiology and Biostatistics
- Web of Science ID
- WOS:000790049000001
- Scopus ID
- 2-s2.0-85142403067
- Other Identifier
- 991019169105704721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Geriatrics & Gerontology
- Gerontology