Journal article
Neighborhood Environments and Coronary Heart Disease: A Multilevel Analysis
American journal of epidemiology, v 185(11), pp 1187-1202
01 Jun 2017
PMID: 30052744
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The authors investigated whether neighborhood socioeconomic charactenstics are associated with coronary heart disease prevalence and risk factors, whether these associations persist after adjustment for individual-level social class indicators, and whether the effects of individual-level indicators vary across neighborhoods. The study sample consisted of 12,601 persons in four US communities (Washington County, Maryland; Forsyth County, North Carolina; Minneapolis, Minnesota; and Jackson, Mississippi) participating in the baseline examination of the Atherosclerosis Risk in Communities Study (1987-1989). Neighborhood characteristics were obtained from 1990 US Census block-group measures. Multilevel models were used to estimate associations with neighborhood variables after adjustment for individual-level indicators of social class. Living in deprived neighborhoods was associated with increased prevalence of coronary heart disease and increased levels of risk factors, with associations generally persisting after adjustment for individual-level variables. Inconsistent associations were documented for serum cholesterol and disease prevalence in African-American men. For Jackson African-American men living in poor neighborhoods, coronary heart disease prevalence decreased as neighborhood characteristics worsened. Additionally, in African-American men from Jackson, low social class was associated with increased serum cholesterol in "richer" neighborhoods but decreased serum cholesterol in "poorer" neighborhoods. Neighborhood environments may be one of the pathways through which social structure shapes coronary heart disease risk. Am J Epidemiol 1997;146: 48-63.
Metrics
Details
- Title
- Neighborhood Environments and Coronary Heart Disease: A Multilevel Analysis
- Creators
- Ana V. Diez-Roux - Columbia UniversityF. Javier Nieto - Johns Hopkins UniversityCarles Muntaner - West Virginia UniversityHerman A. Tyroler - Univ North Carolina Chapel Hill, Sch Publ Hlth, Dept Epidemiol, Chapel Hill, NC USAGeorge W. Comstock - Johns Hopkins UniversityEyal Shahar - University of MinnesotaLawton S. Cooper - NHLBI, Div Epidemiol & Clin Applicat, NIH, Bethesda, MD 20892 USARobert L. Watson - University of MississippiMoyses Szklo - Johns Hopkins University
- Publication Details
- American journal of epidemiology, v 185(11), pp 1187-1202
- Publisher
- Oxford Univ Press
- Number of pages
- 16
- Grant note
- N01-HC-55015; N01-HC-55016; N01-HC-55018; N01-HC-55019; N01-HC-55020; N01-HC-55021; N01-HC-55022 / National Heart, Lung, and Blood Institute; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Heart Lung & Blood Institute (NHLBI)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Drexel University
- Web of Science ID
- WOS:000404021700030
- Scopus ID
- 2-s2.0-85021068195
- Other Identifier
- 991020112310904721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health