Do neighborhood socioeconomic deprivation and low social cohesion predict coronary calcification?: the CARDIA study
dc.contributor.author | Kim, D | |
dc.contributor.author | Diez Roux, Ana V. | |
dc.contributor.author | Kiefe, C. I. | |
dc.contributor.author | Kawachi, Ichiro | |
dc.contributor.author | Liu, K | |
dc.date.accessioned | 2010-11-29T15:59:23Z | |
dc.date.available | 2010-11-29T15:59:23Z | |
dc.date.issued | 2010-07 | |
dc.identifier.citation | Am J Epidemiol. 2010 Aug 1;172(3):288-98. <http://hdl.handle.net/2027.42/78332> | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/78332 | |
dc.description.abstract | 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. | en_US |
dc.format.extent | 121774 bytes | |
dc.format.mimetype | application/pdf | |
dc.language.iso | en_US | en_US |
dc.title | Do neighborhood socioeconomic deprivation and low social cohesion predict coronary calcification?: the CARDIA study | en_US |
dc.type | Article | en_US |
dc.subject.hlbsecondlevel | Public Health | |
dc.subject.hlbtoplevel | Health Sciences | |
dc.contributor.affiliationum | Epidemiology, Department of | en_US |
dc.contributor.affiliationumcampus | Ann Arbor | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/78332/1/KimDiezRoux2010_AJE.pdf | |
dc.owningcollname | Epidemiology, Department of (SPH) |
Files in this item
Remediation of Harmful Language
The University of Michigan Library aims to describe library materials in a way that respects the people and communities who create, use, and are represented in our collections. Report harmful or offensive language in catalog records, finding aids, or elsewhere in our collections anonymously through our metadata feedback form. More information at Remediation of Harmful Language.
Accessibility
If you are unable to use this file in its current format, please select the Contact Us link and we can modify it to make it more accessible to you.