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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
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    References listed on IDEAS

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    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.

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