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Published, Version of Record (VoR)Open Access (License Unspecified), Open
Journal article
Neighborhood Disadvantage, Poor Social Conditions, and Cardiovascular Disease Incidence Among African American Adults in the Jackson Heart Study
American journal of public health (1971), v 106(12), pp 2219-2226
Dec 2016
PMID: 27736207
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
To examine the impact of neighborhood conditions resulting from racial residential segregation on cardiovascular disease (CVD) risk in a socioeconomically diverse African American sample.
The study included 4096 African American women (n = 2652) and men (n = 1444) aged 21 to 93 years from the Jackson Heart Study (Jackson, Mississippi; 2000-2011). We assessed neighborhood disadvantage with a composite measure of 8 indicators from the 2000 US Census. We assessed neighborhood-level social conditions, including social cohesion, violence, and disorder, with self-reported, validated scales.
Among African American women, each standard deviation increase in neighborhood disadvantage was associated with a 25% increased risk of CVD after covariate adjustment (hazard ratio = 1.25; 95% confidence interval = 1.05, 1.49). Risk also increased as levels of neighborhood violence and physical disorder increased after covariate adjustment. We observed no statistically significant associations among African American men in adjusted models.
Worse neighborhood economic and social conditions may contribute to increased risk of CVD among African American women. Policies directly addressing these issues may alleviate the burden of CVD in this group.
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Details
- Title
- Neighborhood Disadvantage, Poor Social Conditions, and Cardiovascular Disease Incidence Among African American Adults in the Jackson Heart Study
- Creators
- Sharrelle Barber - Drexel UniversityDeMarc A Hickson - Drexel UniversityXu Wang - Drexel UniversityMario Sims - Drexel UniversityCheryl Nelson - Drexel UniversityAna V Diez-Roux - Drexel University
- Publication Details
- American journal of public health (1971), v 106(12), pp 2219-2226
- Grant note
- HHSN268201300048C / NHLBI NIH HHS R01 HL071759 / NHLBI NIH HHS HHSN268201300049C / NHLBI NIH HHS HHSN268201300047C / NHLBI NIH HHS HHSN268201300046C / NHLBI NIH HHS HHSN268201300050C / NHLBI NIH HHS P60 MD002249 / NIMHD NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative
- Web of Science ID
- WOS:000388091700051
- Scopus ID
- 2-s2.0-84995662404
- Other Identifier
- 991019167831904721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health