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Trajectories of neighborhood poverty and associations with subclinical atherosclerosis and associated risk factors: the multi-ethnic study of atherosclerosis
Journal article   Peer reviewed

Trajectories of neighborhood poverty and associations with subclinical atherosclerosis and associated risk factors: the multi-ethnic study of atherosclerosis

Emily T Murray, Ana V Diez Roux, Mercedes Carnethon, Pamela L Lutsey, Hanyu Ni and Ellen S O'Meara
American journal of epidemiology, v 171(10), pp 1099-1108
15 May 2010
DOI: https://doi.org/10.1093/aje/kwq044
PMID: 20423931
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://doi.org/10.1093/aje/kwq044View
Published, Version of Record (VoR) Open

Abstract

Age Factors Aged Aged, 80 and over Body Mass Index Carotid Artery Diseases - epidemiology Carotid Artery Diseases - ethnology Carotid Artery Diseases - pathology Carotid Artery, Common - pathology Confidence Intervals Coronary Artery Disease - epidemiology Coronary Artery Disease - ethnology Coronary Artery Disease - pathology Disease Progression Female Humans Male Middle Aged Models, Statistical Multivariate Analysis Poverty - statistics & numerical data Prevalence Residence Characteristics - statistics & numerical data Risk Factors Socioeconomic Factors Statistics as Topic Surveys and Questionnaires Tunica Intima - pathology Tunica Media - pathology United States - epidemiology
The authors used data from the Multi-Ethnic Study of Atherosclerosis and latent trajectory class modeling to determine patterns of neighborhood poverty over 20 years (1980-2000 residential history questionnaires were geocoded and linked to US Census data). Using these patterns, the authors examined 1) whether trajectories of neighborhood poverty were associated with differences in the amount of subclinical atherosclerosis (common carotid intimal-media thickness) and 2) associated risk factors (body mass index, hypertension, diabetes, current smoking) at baseline (January 2000-August 2002). The authors found evidence of 5 stable trajectory groups with differing levels of neighborhood poverty ( approximately 6%, 12%, 20%, 30%, and 45%) and 1 group with 29% poverty in 1980 and approximately 11% in 2000. Mostly for women, higher cumulative neighborhood poverty was generally significantly associated with worse cardiovascular outcomes. Trends generally persisted after adjustment for adulthood socioeconomic position and race/ethnicity, although they were no longer statistically significant. Among women who had moved during the 20 years, the long-term measure had stronger associations with outcomes (except smoking) than a single, contemporaneous measure. Results indicate that cumulative 20-year exposure to neighborhood poverty is associated with greater cardiovascular risk for women. In residentially mobile populations, single-point-in-time measures underestimate long-term effects.

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51 citations in Web of Science
60 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being
#10 Reduced Inequalities

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Collaboration types
Domestic collaboration
Web of Science research areas
Public, Environmental & Occupational Health
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