Neighborhood Social Cohesion and Prevalence of Hypertension and Diabetes in a South Asian Population

Pooja A. Lagisetty*, Ming Wen, Hwajung Choi, Michele Heisler, Alka M. Kanaya, Namratha R. Kandula

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

35 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)1309-1316
Number of pages8
JournalJournal of Immigrant and Minority Health
Volume18
Issue number6
DOIs
StatePublished - Dec 1 2016

Keywords

  • Hypertension
  • Neighborhood environment
  • Social cohesion
  • South Asians
  • Type 2 diabetes

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Epidemiology

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