IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v17y2020i10p3561-d360196.html
   My bibliography  Save this article

The Effects of Social, Personal, and Behavioral Risk Factors and PM 2.5 on Cardio-Metabolic Disparities in a Cohort of Community Health Center Patients

Author

Listed:
  • Paul D. Juarez

    (Department of Family and Community Medicine, Meharry Medical College, Nashville, TN 37208, USA)

  • Mohammad Tabatabai

    (School of Graduate Studies and Research, Meharry Medical College, Nashville, TN 37208, USA)

  • Robert Burciaga Valdez

    (RWJF Professor, Department of Family & Community Medicine AND Economics, University of New Mexico, Albuquerque, NM 87131, USA)

  • Darryl B. Hood

    (Department of Environmental Health Sciences, College of Public Health, Ohio State University, Columbus, OH 43210, USA)

  • Wansoo Im

    (Department of Family and Community Medicine, Meharry Medical College, Nashville, TN 37208, USA)

  • Charles Mouton

    (Department of Family Medicine, University of Texas Medical Branch, Galveston, TX 77555, USA)

  • Cynthia Colen

    (Department of Sociology, Ohio State University, Columbus, OH 43210, USA)

  • Mohammad Z. Al-Hamdan

    (Universities Space Research Association, NASA Marshall Space Flight Center, Huntsville, AL 35805, USA)

  • Patricia Matthews-Juarez

    (Department of Family and Community Medicine, Meharry Medical College, Nashville, TN 37208, USA)

  • Maureen Y. Lichtveld

    (Department of Environmental Health Sciences, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA 70112, USA)

  • Daniel Sarpong

    (Department of Biostatistics, Xavier University, Cincinnati, OH 45207, USA)

  • Aramandla Ramesh

    (Department of Biochemistry, Cancer Biology, Neuroscience & Pharmacology, Meharry Medical College, Nashville, TN 37208, USA)

  • Michael A. Langston

    (Department of Electrical Engineering and Computer Science, University of Tennessee, Knoxville, TN 37996, USA)

  • Gary L. Rogers

    (National Institute for Computational Sciences, University of Tennessee, Knoxville, TN 37996, USA)

  • Charles A. Phillips

    (Department of Electrical Engineering and Computer Science, University of Tennessee, Knoxville, TN 37996, USA)

  • John F. Reichard

    (Department of Environmental Health, Risk Science Center, University of Cincinnati, Cincinnati, OH 45221, USA)

  • Macarius M. Donneyong

    (Division of Outcomes and Translational Sciences, College of Pharmacy, Ohio State University, Columbus, OH 43210, USA)

  • William Blot

    (Center for Population-based Research, Vanderbilt University, Nashville, TN 37235, USA)

Abstract

(1) Background: Cardio-metabolic diseases (CMD), including cardiovascular disease, stroke, and diabetes, have numerous common individual and environmental risk factors. Yet, few studies to date have considered how these multiple risk factors together affect CMD disparities between Blacks and Whites. (2) Methods: We linked daily fine particulate matter (PM 2.5 ) measures with survey responses of participants in the Southern Community Cohort Study (SCCS). Generalized linear mixed modeling (GLMM) was used to estimate the relationship between CMD risk and social-demographic characteristics, behavioral and personal risk factors, and exposure levels of PM 2.5 . (3) Results: The study resulted in four key findings: (1) PM 2.5 concentration level was significantly associated with reported CMD, with risk rising by 2.6% for each µg/m 3 increase in PM 2.5 ; (2) race did not predict CMD risk when clinical, lifestyle, and environmental risk factors were accounted for; (3) a significant variation of CMD risk was found among participants across states; and (4) multiple personal, clinical, and social-demographic and environmental risk factors played a role in predicting CMD occurrence. (4) Conclusions: Disparities in CMD risk among low social status populations reflect the complex interactions of exposures and cumulative risks for CMD contributed by different personal and environmental factors from natural, built, and social environments.

Suggested Citation

  • Paul D. Juarez & Mohammad Tabatabai & Robert Burciaga Valdez & Darryl B. Hood & Wansoo Im & Charles Mouton & Cynthia Colen & Mohammad Z. Al-Hamdan & Patricia Matthews-Juarez & Maureen Y. Lichtveld & D, 2020. "The Effects of Social, Personal, and Behavioral Risk Factors and PM 2.5 on Cardio-Metabolic Disparities in a Cohort of Community Health Center Patients," IJERPH, MDPI, vol. 17(10), pages 1-19, May.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:10:p:3561-:d:360196
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/17/10/3561/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/17/10/3561/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Paul D. Juarez & Patricia Matthews-Juarez & Darryl B. Hood & Wansoo Im & Robert S. Levine & Barbara J. Kilbourne & Michael A. Langston & Mohammad Z. Al-Hamdan & William L. Crosson & Maurice G. Estes &, 2014. "The Public Health Exposome: A Population-Based, Exposure Science Approach to Health Disparities Research," IJERPH, MDPI, vol. 11(12), pages 1-30, December.
    2. Sundquist, Jan & Johansson, Sven-Erik & Yang, Min & Sundquist, Kristina, 2006. "Low linking social capital as a predictor of coronary heart disease in Sweden: A cohort study of 2.8 million people," Social Science & Medicine, Elsevier, vol. 62(4), pages 954-963, February.
    3. Braveman, P.A. & Egerter, S.A. & Cubbin, C. & Marchi, K.S., 2004. "An approach to studying social disparities in health and health care," American Journal of Public Health, American Public Health Association, vol. 94(12), pages 2139-2148.
    4. Sundquist, Kristina & Theobald, Holger & Yang, Min & Li, Xinjun & Johansson, Sven-Erik & Sundquist, Jan, 2006. "Neighborhood violent crime and unemployment increase the risk of coronary heart disease: A multilevel study in an urban setting," Social Science & Medicine, Elsevier, vol. 62(8), pages 2061-2071, April.
    5. Tashi Dendup & Xiaoqi Feng & Stephanie Clingan & Thomas Astell-Burt, 2018. "Environmental Risk Factors for Developing Type 2 Diabetes Mellitus: A Systematic Review," IJERPH, MDPI, vol. 15(1), pages 1-25, January.
    6. Braveman, P.A. & Cubbin, C. & Egerter, S. & Williams, D.R. & Pamuk, E., 2010. "Socioeconomic disparities in health in the united States: What the patterns tell us," American Journal of Public Health, American Public Health Association, vol. 100(S1), pages 186-196.
    Full references (including those not matched with items on IDEAS)

    Citations

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


    Cited by:

    1. Regina Grazuleviciene & Sandra Andrusaityte & Audrius Dėdelė & Tomas Grazulevicius & Leonas Valius & Aurimas Rapalavicius & Violeta Kapustinskiene & Inga Bendokiene, 2021. "Urban Environment and Health: A Cross-Sectional Study of the Influence of Environmental Quality and Physical Activity on Blood Pressure," IJERPH, MDPI, vol. 18(11), pages 1-15, June.
    2. Julio Warthon & Ariatna Zamalloa & Amanda Olarte & Bruce Warthon & Ivan Miranda & Miluska M. Zamalloa-Puma & Venancia Ccollatupa & Julia Ormachea & Yanett Quispe & Victor Jalixto & Doris Cruz & Roxana, 2025. "A Comprehensive Assessment of PM 2.5 and PM 10 Pollution in Cusco, Peru: Spatiotemporal Analysis and Development of the First Predictive Model (2017–2020)," Sustainability, MDPI, vol. 17(2), pages 1-30, January.
    3. Jin-Wei Yan & Fei Tao & Shuai-Qian Zhang & Shuang Lin & Tong Zhou, 2021. "Spatiotemporal Distribution Characteristics and Driving Forces of PM2.5 in Three Urban Agglomerations of the Yangtze River Economic Belt," IJERPH, MDPI, vol. 18(5), pages 1-25, February.
    4. Regina Gražulevičienė & Sandra Andrušaitytė & Audrius Dėdelė & Tomas Gražulevičius & Leonas Valius & Violeta Kapustinskienė & Inga Bendokienė, 2020. "Environmental Quality Perceptions and Health: A Cross-Sectional Study of Citizens of Kaunas, Lithuania," IJERPH, MDPI, vol. 17(12), pages 1-14, June.
    5. Huilin Yang & Rui Yao & Peng Sun & Chenhao Ge & Zice Ma & Yaojin Bian & Ruilin Liu, 2023. "Spatiotemporal Evolution and Driving Forces of PM 2.5 in Urban Agglomerations in China," IJERPH, MDPI, vol. 20(3), pages 1-15, January.
    6. Macarius M. Donneyong & Michael A. Fischer & Michael A. Langston & Joshua J. Joseph & Paul D. Juarez & Ping Zhang & David M. Kline, 2021. "Examining the Drivers of Racial/Ethnic Disparities in Non-Adherence to Antihypertensive Medications and Mortality Due to Heart Disease and Stroke: A County-Level Analysis," IJERPH, MDPI, vol. 18(23), pages 1-15, December.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Lasse J. Jessen & Sebastian Koehne & Patrick Nüß & Jens Ruhose, 2024. "Socioeconomic Inequality in Life Expectancy: Perception and Policy Demand," CESifo Working Paper Series 10940, CESifo.
    2. Hanibuchi, Tomoya & Murata, Yohei & Ichida, Yukinobu & Hirai, Hiroshi & Kawachi, Ichiro & Kondo, Katsunori, 2012. "Place-specific constructs of social capital and their possible associations to health: A Japanese case study," Social Science & Medicine, Elsevier, vol. 75(1), pages 225-232.
    3. Lowe, Kate & Mosby, Kim, 2016. "The conceptual mismatch: A qualitative analysis of transportation costs and stressors for low-income adults," Transport Policy, Elsevier, vol. 49(C), pages 1-8.
    4. Bahram Sanginabadi, 2017. "Resource Abundance and Life Expectancy," Papers 1801.00369, arXiv.org.
    5. Tonny J. Oyana & Patricia Matthews-Juarez & Stephania A. Cormier & Xiaoran Xu & Paul D. Juarez, 2015. "Using an External Exposome Framework to Examine Pregnancy-Related Morbidities and Mortalities: Implications for Health Disparities Research," IJERPH, MDPI, vol. 13(1), pages 1-14, December.
    6. Odeyemi Gbenga A., 2015. "Understanding the Dynamics between Income and Health: Evidence Form African’s Richest and Poorest Countries," Journal of Public Policy & Governance, Research Academy of Social Sciences, vol. 2(2), pages 56-67.
    7. Melissa P L Chan & Robert S Weinhold & Reuben Thomas & Julia M Gohlke & Christopher J Portier, 2015. "Environmental Predictors of US County Mortality Patterns on a National Basis," PLOS ONE, Public Library of Science, vol. 10(12), pages 1-25, December.
    8. Myriam Patricia Cifuentes & Clara Mercedes Suarez & Ricardo Cifuentes & Noel Malod-Dognin & Sam Windels & Jose Fernando Valderrama & Paul D. Juarez & R. Burciaga Valdez & Cynthia Colen & Charles Phill, 2022. "Big Data to Knowledge Analytics Reveals the Zika Virus Epidemic as Only One of Multiple Factors Contributing to a Year-Over-Year 28-Fold Increase in Microcephaly Incidence," IJERPH, MDPI, vol. 19(15), pages 1-21, July.
    9. Niedzwiedz, Claire L. & Thomson, Katie H. & Bambra, Clare & Pearce, Jamie R., 2020. "Regional employment and individual worklessness during the Great Recession and the health of the working-age population: Cross-national analysis of 16 European countries," Social Science & Medicine, Elsevier, vol. 267(C).
    10. Al-Shboul, Mohammad & Al Rawashdeh, Rami, 2022. "The impact of institutional quality and resources rent on health: The case of GCC," Resources Policy, Elsevier, vol. 78(C).
    11. Islam, M. Kamrul & Gerdtham, Ulf-G. & Gullberg, Bo & Lindström, Martin & Merlo, Juan, 2008. "Social capital externalities and mortality in Sweden," Economics & Human Biology, Elsevier, vol. 6(1), pages 19-42, March.
    12. Judith Schröder & Susanne Moebus & Julita Skodra, 2022. "Selected Research Issues of Urban Public Health," IJERPH, MDPI, vol. 19(9), pages 1-28, May.
    13. Malavika A Subramanyam & Ana V Diez-Roux & J Richard Pilsner & Eduardo Villamor & Kathleen M Donohue & Yongmei Liu & Nancy S Jenny, 2013. "Social Factors and Leukocyte DNA Methylation of Repetitive Sequences: The Multi-Ethnic Study of Atherosclerosis," PLOS ONE, Public Library of Science, vol. 8(1), pages 1-7, January.
    14. Lee, Min-Ah, 2009. "Neighborhood residential segregation and mental health: A multilevel analysis on Hispanic Americans in Chicago," Social Science & Medicine, Elsevier, vol. 68(11), pages 1975-1984, June.
    15. Costa-Font, Joan & Cowell, Frank & Shi, Xuezhu, 2024. "Health inequality and health insurance coverage: The United States and China compared," Economics & Human Biology, Elsevier, vol. 52(C).
    16. Heather Lochotzki & Karen Patricia Williams & Cynthia G. Colen & Olorunfemi Adetona & Charleta B. Tavares & Georgina M. Ginn & Rejeana Haynes & Wansoo Im & Tanya Bils & Darryl B. Hood, 2022. "A Framework for Interfacing and Partnering with Environmental Justice Communities as a Prelude to Human Health and Hazard Identification in the Vulnerable Census Tracts of Columbus, Ohio," IJERPH, MDPI, vol. 19(21), pages 1-18, October.
    17. Eileen Trzcinski & Elke Holst, 2010. "Interrelationships among Locus of Control and Years in Management and Unemployment: Differences by Gender," Discussion Papers of DIW Berlin 974, DIW Berlin, German Institute for Economic Research.
    18. Caitlin Brown & Martin Ravallion, 2023. "Inequality and Social Distancing during the Pandemic," The Journal of Economic Inequality, Springer;Society for the Study of Economic Inequality, vol. 21(3), pages 679-702, September.
    19. Fiel & Fiel (ed.), 2007. "La Desigualdad en la Salud," Books at FIEL, FIEL, edition 1, volume 1, number 1107.
    20. Malia Jones & Anne Pebley, 2014. "Redefining Neighborhoods Using Common Destinations: Social Characteristics of Activity Spaces and Home Census Tracts Compared," Demography, Springer;Population Association of America (PAA), vol. 51(3), pages 727-752, June.

    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:gam:jijerp:v:17:y:2020:i:10:p:3561-:d:360196. 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.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with 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: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    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.