Do neighborhood socioeconomic deprivation and low social cohesion predict coronary calcification?: the CARDIA study
UMass Chan Affiliations
Department of Quantitative Health SciencesDocument Type
Journal ArticlePublication Date
2010-07-09Keywords
AdolescentAdult
Calcinosis
Catchment Area (Health)
Confidence Intervals
Coronary Artery Disease
Female
Humans
*Interpersonal Relations
Male
Middle Aged
Predictive Value of Tests
Prevalence
Prospective Studies
Research Design
*Residence Characteristics
Severity of Illness Index
Socioeconomic Factors
United States
Young Adult
Bioinformatics
Biostatistics
Epidemiology
Health Services Research
Metadata
Show full item recordAbstract
Growing evidence suggests that neighborhood characteristics may influence the risk of coronary heart disease. No studies have yet explored associations of neighborhood attributes with subclinical atherosclerosis in younger adult populations. Using data on 2,974 adults (1,699 women, 1,275 men) aged 32-50 years in 2000 from the Coronary Artery Disease Risk Development in Young Adults (CARDIA) Study and 2000 US Census block-group-level data, the authors estimated multivariable-adjusted associations of neighborhood socioeconomic deprivation and perceived neighborhood cohesion with odds of coronary artery calcification (CAC) 5 years later. Among women, the quartiles of highest neighborhood deprivation and lowest cohesion were associated with higher odds of CAC after adjustment for individual-level demographic and socioeconomic factors (for deprivation, odds ratio = 2.49, 95% confidence interval: 1.22, 5.08 (P for trend = 0.03); for cohesion, odds ratio = 1.87, 95% confidence interval: 1.10, 3.16 (P for trend = 0.02)). Associations changed only slightly after adjustment for behavioral, psychosocial, and biologic factors. Among men, neither neighborhood deprivation nor cohesion was related to CAC. However, among men in deprived neighborhoods, low cohesion predicted higher CAC odds (for interaction between neighborhood deprivation and cohesion, P = 0.03). This study provides evidence on associations of neighborhood deprivation and cohesion with CAC in younger, asymptomatic adults. Neighborhood attributes may contribute to subclinical atherosclerosis.Source
Am J Epidemiol. 2010 Aug 1;172(3):288-98. Epub 2010 Jul 7. Link to article on publisher's siteDOI
10.1093/aje/kwq098Permanent Link to this Item
http://hdl.handle.net/20.500.14038/47765PubMed ID
20610467Related Resources
Link to Article in PubMedae974a485f413a2113503eed53cd6c53
10.1093/aje/kwq098