Impact of neighborhood resources on cardiovascular disease : A nationwide six-year follow-up
(2016) In BMC Public Health 16(1).- Abstract
Background: Living in a socially deprived neighborhood is associated with lifestyle risk factors, e.g., smoking, physical inactivity and unhealthy diet, as well as an increased risk of cardiovascular disease, i.e., coronary heart disease and stroke. The aim was to study whether the odds of cardiovascular disease vary with the neighbourhood availability of potentially health-damaging and health-promoting resources. Methods: A nationwide sample of 2 040 826 men and 2 153 426 women aged 35-80 years were followed for six years for first hospitalization of coronary heart disease or stroke. Neighborhood availability of health-damaging resources (i.e., fast-food restaurants and bars/pubs) and health-promoting resources (i.e., health care... (More)
Background: Living in a socially deprived neighborhood is associated with lifestyle risk factors, e.g., smoking, physical inactivity and unhealthy diet, as well as an increased risk of cardiovascular disease, i.e., coronary heart disease and stroke. The aim was to study whether the odds of cardiovascular disease vary with the neighbourhood availability of potentially health-damaging and health-promoting resources. Methods: A nationwide sample of 2 040 826 men and 2 153 426 women aged 35-80 years were followed for six years for first hospitalization of coronary heart disease or stroke. Neighborhood availability of health-damaging resources (i.e., fast-food restaurants and bars/pubs) and health-promoting resources (i.e., health care facilities and physical activity facilities) were determined by use of geographic information systems (GIS). Results: We found small or modestly increased odds ratios (ORs) for both coronary heart disease and stroke, related to the availability of both health-damaging and health-promoting resources. For example, in women, the unadjusted OR (95 % confidence interval) for stroke in relation to availability of fast-food restaurants was 1.18 (1.15-1.21). Similar patterns were observed in men, with an OR = 1.08 (1.05-1.10). However, the associations became weaker or disappeared after adjustment for neighborhood-level deprivation and individual-level age and income. Conclusions: This six year follow-up study shows that neighborhood availability of potentially health-damaging as well as health-promoting resources may make a small contribution to the risk of coronary heart disease and stroke. However, most of these associations were attenuated or disappeared after adjustment for neighborhood-level deprivation and individual-level age and income. Future studies are needed to further examine factors in the causal pathway between neighborhood deprivation and cardiovascular disease.
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- author
- Calling, Susanna LU ; Li, Xinjun LU ; Kawakami, Naomi LU ; Hamano, Tsuyoshi and Sundquist, Kristina LU
- organization
- publishing date
- 2016-07-26
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Cardiovascular disease, Follow-up study, Multilevel analysis, Neighborhood
- in
- BMC Public Health
- volume
- 16
- issue
- 1
- article number
- 634
- publisher
- BioMed Central (BMC)
- external identifiers
-
- pmid:27456491
- wos:000380230800001
- scopus:84979293921
- ISSN
- 1471-2458
- DOI
- 10.1186/s12889-016-3293-5
- language
- English
- LU publication?
- yes
- id
- b6ac0390-faa2-4722-85cc-e92f8bb944e3
- date added to LUP
- 2016-08-15 11:17:54
- date last changed
- 2024-05-03 07:59:27
@article{b6ac0390-faa2-4722-85cc-e92f8bb944e3,
abstract = {{<p>Background: Living in a socially deprived neighborhood is associated with lifestyle risk factors, e.g., smoking, physical inactivity and unhealthy diet, as well as an increased risk of cardiovascular disease, i.e., coronary heart disease and stroke. The aim was to study whether the odds of cardiovascular disease vary with the neighbourhood availability of potentially health-damaging and health-promoting resources. Methods: A nationwide sample of 2 040 826 men and 2 153 426 women aged 35-80 years were followed for six years for first hospitalization of coronary heart disease or stroke. Neighborhood availability of health-damaging resources (i.e., fast-food restaurants and bars/pubs) and health-promoting resources (i.e., health care facilities and physical activity facilities) were determined by use of geographic information systems (GIS). Results: We found small or modestly increased odds ratios (ORs) for both coronary heart disease and stroke, related to the availability of both health-damaging and health-promoting resources. For example, in women, the unadjusted OR (95 % confidence interval) for stroke in relation to availability of fast-food restaurants was 1.18 (1.15-1.21). Similar patterns were observed in men, with an OR = 1.08 (1.05-1.10). However, the associations became weaker or disappeared after adjustment for neighborhood-level deprivation and individual-level age and income. Conclusions: This six year follow-up study shows that neighborhood availability of potentially health-damaging as well as health-promoting resources may make a small contribution to the risk of coronary heart disease and stroke. However, most of these associations were attenuated or disappeared after adjustment for neighborhood-level deprivation and individual-level age and income. Future studies are needed to further examine factors in the causal pathway between neighborhood deprivation and cardiovascular disease.</p>}},
author = {{Calling, Susanna and Li, Xinjun and Kawakami, Naomi and Hamano, Tsuyoshi and Sundquist, Kristina}},
issn = {{1471-2458}},
keywords = {{Cardiovascular disease; Follow-up study; Multilevel analysis; Neighborhood}},
language = {{eng}},
month = {{07}},
number = {{1}},
publisher = {{BioMed Central (BMC)}},
series = {{BMC Public Health}},
title = {{Impact of neighborhood resources on cardiovascular disease : A nationwide six-year follow-up}},
url = {{http://dx.doi.org/10.1186/s12889-016-3293-5}},
doi = {{10.1186/s12889-016-3293-5}},
volume = {{16}},
year = {{2016}},
}