title: Neighborhood Social Cohesion and Prevalence of Hypertension and Diabetes in a South Asian Population.
abstract: South Asians have a high burden of cardiovascular disease compared to other racial/ethnic groups in the United States. Little has been done to evaluate how neighborhood environments may influence cardiovascular risk factors including hypertension and type 2 diabetes in this immigrant population. We evaluated the association of perceived neighborhood social cohesion with hypertension and type 2 diabetes among 906 South Asian adults who participated in the Mediators of Atherosclerosis in South Asians Living in America Study. Multivariable logistic regression adjusted for demographic, socioeconomic, psychosocial, and physiologic covariates. Subgroup analyses examined whether associations differed by gender. South Asian women living in neighborhoods with high social cohesion had 46 % reduced odds of having hypertension than those living in neighborhoods with low social cohesion (OR 0.54, 95 % CI 0.30-0.99). Future research should determine if leveraging neighborhood social cohesion prevents hypertension in South Asian women.
authors.affiliation: Robert Wood Johnson Foundation Clinical Scholar, Department of General Internal Medicine, University of Michigan, NCRC Bldg. 10, Rm G016-4A, 2800 Plymouth Rd., Ann Arbor, MI, 48109-2800, USA. lagiset@med.umich.edu.
authors.forename: Pooja A
authors.initials: PA
authors.lastname: Lagisetty
authors.affiliation: Department of Sociology, University of Utah, Salt Lake City, UT, USA.
authors.forename: Ming
authors.initials: M
authors.lastname: Wen
authors.affiliation: Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA.
authors.forename: Hwajung
authors.initials: H
authors.lastname: Choi
authors.affiliation: Robert Wood Johnson Foundation Clinical Scholar, Department of General Internal Medicine, University of Michigan, NCRC Bldg. 10, Rm G016-4A, 2800 Plymouth Rd., Ann Arbor, MI, 48109-2800, USA.|Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA.
authors.forename: Michele
authors.initials: M
authors.lastname: Heisler
authors.affiliation: Division of General Internal Medicine, University of California San Francisco, San Francisco, CA, USA.
authors.forename: Alka M
authors.initials: AM
authors.lastname: Kanaya
authors.affiliation: Department of Medicine and Preventive Medicine, Northwestern University, Chicago, IL, USA.
authors.forename: Namratha R
authors.initials: NR
authors.lastname: Kandula
mesh_terms: D000328:Adult; D000368:Aged; D001211:Asia, Western / Q000208:ethnology; D001213:Asian / Q000706:statistics & numerical data*; D001837:Body Weights and Measures; D002318:Cardiovascular Diseases / Q000208:ethnology; D003924:Diabetes Mellitus, Type 2 / Q000208:ethnology*; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data; D004777:Environment; D005260:Female; D006801:Humans; D006973:Hypertension / Q000208:ethnology*; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012111:Residence Characteristics / Q000706:statistics & numerical data*; D012307:Risk Factors; D012737:Sex Factors; D066270:Social Capital; D012959:Socioeconomic Factors; D014481:United States / Q000453:epidemiology
keywords: Hypertension; Neighborhood environment; Social cohesion; South Asians; Type 2 diabetes