IDEAS home Printed from https://ideas.repec.org/a/aph/ajpbhl/10.2105-ajph.2016.303471_6.html
   My bibliography  Save this article

Neighborhood disadvantage, poor social conditions, and cardiovascular disease incidence among African American adults in the Jackson heart study

Author

Listed:
  • Barber, S.
  • Hickson, D.A.
  • Wang, X.
  • Sims, M.
  • Nelson, C.
  • Diez-Roux, A.V.

Abstract

Objectives. To examine the impact of neighborhood conditions resulting from racial residential segregation on cardiovascular disease (CVD) risk in a socioeconomically diverse African American sample. Methods. 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. Results. 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. Conclusions. 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.

Suggested Citation

  • Barber, S. & Hickson, D.A. & Wang, X. & Sims, M. & Nelson, C. & Diez-Roux, A.V., 2016. "Neighborhood disadvantage, poor social conditions, and cardiovascular disease incidence among African American adults in the Jackson heart study," American Journal of Public Health, American Public Health Association, vol. 106(12), pages 2219-2226.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2016.303471_6
    DOI: 10.2105/AJPH.2016.303471
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.2105/AJPH.2016.303471
    Download Restriction: no
    File URL: https://libkey.io/10.2105/AJPH.2016.303471?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Evah W. Odoi & Nicholas Nagle & Chris DuClos & Kristina W. Kintziger, 2019. "Disparities in Temporal and Geographic Patterns of Myocardial Infarction Hospitalization Risks in Florida," IJERPH, MDPI, vol. 16(23), pages 1-25, November.
    2. Ji-Sung Kim & Xin Gao & Andrey Rzhetsky, 2018. "RIDDLE: Race and ethnicity Imputation from Disease history with Deep LEarning," PLOS Computational Biology, Public Library of Science, vol. 14(4), pages 1-15, April.
    3. O'Brien, Daniel T. & Farrell, Chelsea & Welsh, Brandon C., 2019. "Broken (windows) theory: A meta-analysis of the evidence for the pathways from neighborhood disorder to resident health outcomes and behaviors," Social Science & Medicine, Elsevier, vol. 228(C), pages 272-292.
    4. Amy D. Thierry & Kyler Sherman-Wilkins & Marina Armendariz & Allison Sullivan & Heather R. Farmer, 2021. "Perceived Neighborhood Characteristics and Cognitive Functioning among Diverse Older Adults: An Intersectional Approach," IJERPH, MDPI, vol. 18(5), pages 1-14, March.
    5. Darrell J. Gaskin & Eric T. Roberts & Kitty S. Chan & Rachael McCleary & Christine Buttorff & Benjo A. Delarmente, 2019. "No Man is an Island: The Impact of Neighborhood Disadvantage on Mortality," IJERPH, MDPI, vol. 16(7), pages 1-18, April.
    6. Nicole Farmer & Cristhian A. Gutierrez-Huerta & Briana S. Turner & Valerie M. Mitchell & Billy S. Collins & Yvonne Baumer & Gwenyth R. Wallen & Tiffany M. Powell-Wiley, 2021. "Neighborhood Environment Associates with Trimethylamine-N-Oxide (TMAO) as a Cardiovascular Risk Marker," IJERPH, MDPI, vol. 18(8), pages 1-15, April.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:aph:ajpbhl:10.2105/ajph.2016.303471_6. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Christopher F Baum (email available below). General contact details of provider: https://www.apha.org .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.