Health-promoting and health-damaging neighbourhood resources and coronary heart disease: a follow-up study of 2 165 000 people.
(2011) In Journal of Epidemiology and Community Health 65. p.866-872- Abstract
- Background It has been hypothesised that the presence of health-damaging factors and lack of health-promoting factors lie in the causal pathway between neighbourhood deprivation and coronary heart disease (CHD). This study is the first to examine the associations between individual-level CHD risk and neighbourhood availability of fast-food restaurants, bars/pubs, physical activity facilities and healthcare resources. Methods Multilevel logistic regression models were used for the follow-up of 1 065 000 men and 1 100 000 women (aged 35-80 years) between 1 December 2005 and 31 December 2007, for individual-level CHD events (both morbidity and mortality). Results The relatively weak associations between neighbourhood availability... (More)
- Background It has been hypothesised that the presence of health-damaging factors and lack of health-promoting factors lie in the causal pathway between neighbourhood deprivation and coronary heart disease (CHD). This study is the first to examine the associations between individual-level CHD risk and neighbourhood availability of fast-food restaurants, bars/pubs, physical activity facilities and healthcare resources. Methods Multilevel logistic regression models were used for the follow-up of 1 065 000 men and 1 100 000 women (aged 35-80 years) between 1 December 2005 and 31 December 2007, for individual-level CHD events (both morbidity and mortality). Results The relatively weak associations between neighbourhood availability of potentially health-damaging and health-promoting goods, services and resources, and CHD incidence no longer remained significant after adjustment for neighbourhood-level deprivation and individual-level age and income. Conclusions The presence of potentially health-damaging factors and lack of potentially health-promoting factors do not seem to contribute significantly to the development of CHD. Other features of deprived neighbourhoods appear to play a greater role. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1832242
- author
- Kawakami, Naomi ; Li, Xinjun LU and Sundquist, Kristina LU
- organization
- publishing date
- 2011
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Journal of Epidemiology and Community Health
- volume
- 65
- pages
- 866 - 872
- publisher
- BMJ Publishing Group
- external identifiers
-
- wos:000294720300007
- pmid:21296906
- scopus:80955134210
- pmid:21296906
- ISSN
- 1470-2738
- DOI
- 10.1136/jech.2010.117580
- language
- English
- LU publication?
- yes
- id
- 05604e14-20a5-43e2-9508-45d91a7ff0cd (old id 1832242)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/21296906?dopt=Abstract
- date added to LUP
- 2016-04-04 08:54:35
- date last changed
- 2022-05-16 22:12:33
@article{05604e14-20a5-43e2-9508-45d91a7ff0cd, abstract = {{Background It has been hypothesised that the presence of health-damaging factors and lack of health-promoting factors lie in the causal pathway between neighbourhood deprivation and coronary heart disease (CHD). This study is the first to examine the associations between individual-level CHD risk and neighbourhood availability of fast-food restaurants, bars/pubs, physical activity facilities and healthcare resources. Methods Multilevel logistic regression models were used for the follow-up of 1 065 000 men and 1 100 000 women (aged 35-80 years) between 1 December 2005 and 31 December 2007, for individual-level CHD events (both morbidity and mortality). Results The relatively weak associations between neighbourhood availability of potentially health-damaging and health-promoting goods, services and resources, and CHD incidence no longer remained significant after adjustment for neighbourhood-level deprivation and individual-level age and income. Conclusions The presence of potentially health-damaging factors and lack of potentially health-promoting factors do not seem to contribute significantly to the development of CHD. Other features of deprived neighbourhoods appear to play a greater role.}}, author = {{Kawakami, Naomi and Li, Xinjun and Sundquist, Kristina}}, issn = {{1470-2738}}, language = {{eng}}, pages = {{866--872}}, publisher = {{BMJ Publishing Group}}, series = {{Journal of Epidemiology and Community Health}}, title = {{Health-promoting and health-damaging neighbourhood resources and coronary heart disease: a follow-up study of 2 165 000 people.}}, url = {{http://dx.doi.org/10.1136/jech.2010.117580}}, doi = {{10.1136/jech.2010.117580}}, volume = {{65}}, year = {{2011}}, }