Neighborhoods and racial/ethnic differences in ideal cardiovascular health (the Multi-Ethnic Study of Atherosclerosis).
Using data from the Multi-Ethnic Study of Atherosclerosis baseline sample from 2000 to 2002 (N=5263; mean age=62) we examined cross-sectional racial/ethnic differences in ideal CVH, defined by the American Heart Association 2020 Impact Goals as a summary measure of ideal levels of blood pressure, fasting glucose, cholesterol, body mass index, diet, physical activity, and smoking. Using three different analytical approaches, we examined differences before and after adjustment for neighborhood socioeconomic, physical, and social environments. Significant racial/ethnic differences were present for all indicators of ideal CVH (excluding physical activity). Additional adjustments for neighborhood factors produced modest reductions in racial/ethnic differences. Future research is necessary to better understand the impact of neighborhood context on health disparities using longitudinal study designs.
University of California Berkeley, School of Public Health, Division of Epidemiology, 101 Haviland Hall, Berkeley, CA 94720-7358, United States. Electronic address: mmujahid@berkeley.edu.
Mahasin S
MS
Mujahid
Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity, and Obesity, 4770 Buford Highway NE, Mailstop F77, Atlanta, GA 30341, United States. Electronic address: ggi9@cdc.gov.
Latetia V
LV
Moore
University of California Berkley School of Public Health, Division of Biostatistics, 101 Haviland Hall, Berkeley, CA 94720-7358, United States. Electronic address: lucia.petito@berkeley.edu.
Lucia C
LC
Petito
Northwestern University Feinberg School of Medicine, Division of Preventive Medicine - Epidemiology, 680 N Lake Shore Dr., Suite 1400, Chicago, IL 60611, United States. Electronic address: k-kershaw@northwestern.edu.
Kiarri N
KN
Kershaw
University of California Los Angeles David Geffen School of Medicine, Department of Cardiology, 200 UCLA Medical Plaza, Suite, C365, Los Angeles, CA 90095, United States. Electronic address: KWatson@mednet.ucla.edu.
Karol
K
Watson
Drexel University School of Public Health, Dean's Office, 3215 Market St., Philadelphia, PA 19104, United States. Electronic address: avd37@drexel.edu.
Ana V
AV
Diez Roux
D050197:Atherosclerosis / Q000453:epidemiology*; D001794:Blood Pressure; D015992:Body Mass Index; D002318:Cardiovascular Diseases / Q000517:prevention & control*; D003430:Cross-Sectional Studies; D005006:Ethnicity / Q000706:statistics & numerical data*; D015444:Exercise; D005260:Female; D015438:Health Behavior; D054624:Health Status Disparities; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012111:Residence Characteristics / Q000706:statistics & numerical data*; D012307:Risk Factors; D014481:United States / Q000453:epidemiology
Cardiovascular health; Neighborhood environments; Racial/ethnic health disparities