Neighborhoods and racial/ethnic differences in ideal cardiovascular health (the Multi-Ethnic Study of Atherosclerosis)

Mahasin S. Mujahid*, Latetia V. Moore, Lucia Catherine Petito, Kiarri N. Kershaw, Karol Watson, Ana V. Diez Roux

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

60 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)61-69
Number of pages9
JournalHealth and Place
Volume44
DOIs
StatePublished - Mar 1 2017

Funding

This research was supported by contracts N01-HC-95159 through N01-HC-95169 from the National Heart, Lung, and Blood Institute and by grants UL1-RR-024156 and UL1-RR-025005 from NCRR and R01 HL071759 from National Heart, Lung, and Blood Institute at the National Institutes of Health. Dr. Mujahid is funded by the National Heart, Lung, and Blood Institute of the National Institutes of Health, grant 5K01HL115494. The findings and conclusions in this report are those of the author(s) and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

Keywords

  • Cardiovascular health
  • Neighborhood environments
  • Racial/ethnic health disparities

ASJC Scopus subject areas

  • Health(social science)
  • Sociology and Political Science
  • Life-span and Life-course Studies

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