Journal article
Neighborhood Archetypes and Cardiovascular Health in Black Breast Cancer Survivors
JACC CardioOncology, v 6(3), pp 405-418
Jun 2024
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Maintaining cardiovascular health (CVH) is critical for breast cancer (BC) survivors, particularly given the potential cardiotoxic effects of cancer treatments. Poor CVH among Black BC survivors may be influenced by various area-level social determinants of health, yet the impact of neighborhood archetypes in CVH among this population remains understudied.
This study aimed to characterize the neighborhood archetypes where Black BC survivors resided at diagnosis and evaluate their associations with CVH.
We assessed CVH 24 months post-diagnosis in 713 participants diagnosed between 2012 and 2017 in the Women’s Circle of Health Follow-Up Study, a population-based study of Black BC survivors in New Jersey. Neighborhood archetypes, identified via latent class analysis based on 16 social and built environment features, were categorized into tertiles. Associations between neighborhood archetypes and CVH scores were estimated using polytomous logistic regression.
CVH scores were assessed categorically (low, moderate, and optimal) and as continuous variables. On average, Black BC survivors achieved only half of the recommended score for optimal CVH. Among the 4 identified archetypes, women in the Mostly Culturally Black and Hispanic/Mixed Land Use archetype showed the lowest CVH scores. Compared to this archetype, Black BC survivors in the Culturally Diverse/Mixed Land Use archetype were nearly 3 times as likely to have optimal CVH (relative risk ratio: 2.92; 95% CI: 1.58-5.40), with a stronger association observed in younger or premenopausal women. No significant CVH differences were noted for the other 2 archetypes with fewer built environment features.
Neighborhood archetypes, integrating social and built environment factors, may represent crucial targets for promoting CVH among BC survivors.
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Details
- Title
- Neighborhood Archetypes and Cardiovascular Health in Black Breast Cancer Survivors
- Creators
- Carola T. Sánchez-Díaz - Rutgers, The State University of New JerseyRiddhi A. Babel - Rutgers, The State University of New JerseyHari S. Iyer - Rutgers, The State University of New JerseyNoreen Goldman - Princeton UniversityNur Zeinomar - Rutgers, The State University of New JerseyAndrew G. Rundle - Columbia UniversityCoral O. Omene - Johnson UniversityKaren S. Pawlish - New Jersey Department of HealthChristine B. Ambrosone - Roswell Park Comprehensive Cancer CenterKitaw Demissie - SUNY Downstate Health Sciences UniversityChi-Chen Hong - Roswell Park Comprehensive Cancer CenterGina S. Lovasi - Drexel UniversityElisa V. Bandera - Rutgers, The State University of New JerseyBo Qin - Johnson University
- Publication Details
- JACC CardioOncology, v 6(3), pp 405-418
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Dana and David Dornsife School of Public Health; Epidemiology and Biostatistics
- Web of Science ID
- WOS:001259095700001
- Scopus ID
- 2-s2.0-85195416004
- Other Identifier
- 991021888114804721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Cardiac & Cardiovascular Systems
- Oncology