Journal article
Neighborhood Environments and Incident Hypertension in the Multi-Ethnic Study of Atherosclerosis
American journal of epidemiology, v 183(11), pp 988-997
01 Jun 2016
PMID: 27188946
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
We examined relationships between neighborhood physical and social environments and incidence of hypertension in a cohort of 3,382 adults at 6 sites in the United States over 10 years of follow-up (2000-2011), using data from the Multi-Ethnic Study of Atherosclerosis. The sample was aged 45-84 years (mean = 59 years) and free of clinical cardiovascular disease and hypertension at baseline. Of the participants, 51% were female, 44% white, 23% Hispanic, 21% black, and 13% Chinese-American; 39% of participants developed hypertension during an average of 7.2 years of follow-up. Cox models were used to estimate associations of time-varying cumulative average neighborhood features (survey-based healthy food availability, walking environment, social cohesion, safety, and geographic information system-based density of favorable food stores and recreational resources) with incident hypertension. After adjustment for individual and neighborhood-level covariates, a 1-standard-deviation increase in healthy food availability was associated with a 12% lower rate of hypertension (hazard ratio = 0.88, 95% confidence interval: 0.82, 0.95). Other neighborhood features were not related to incidence of hypertension. The neighborhood food environment is related to the risk of hypertension.
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Details
- Title
- Neighborhood Environments and Incident Hypertension in the Multi-Ethnic Study of Atherosclerosis
- Creators
- Paulina Kaiser - Oregon State UniversityAna V. Diez Roux - Drexel UniversityMahasin Mujahid - University of California, BerkeleyMercedes Carnethon - Northwestern UniversityAlain Bertoni - Wake Forest UniversitySara D. Adar - University of Michigan–Ann ArborSteven Shea - Columbia UniversityRobyn McClelland - University of WashingtonLynda Lisabeth - Samuel and Jean Frankel Cardiovascular Center
- Publication Details
- American journal of epidemiology, v 183(11), pp 988-997
- Publisher
- Oxford Univ Press
- Number of pages
- 10
- Grant note
- 2R01 HL071759; N01-HC-95159; N01-HC-95160; N01-HC-95161; N01-HC-95162; N01-HC-95163; N01-HC-95164; N01-HC-95165; N01-HC-95166; N01-HC-95167; N01-HC-95168; N01-HC-95169 / 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) P60MD002249 / National Institute on Minority Health and Health Disparities; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Minority Health & Health Disparities (NIMHD) R13HL095166 / 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
- Web of Science ID
- WOS:000377417600004
- Scopus ID
- 2-s2.0-84973320585
- Other Identifier
- 991019168121404721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health