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Soc Sci Med. 2022 Jan;292:114496. doi: 10.1016/j.socscimed.2021.114496. Epub 2021 Oct 19.

Social and built neighborhood environments and blood pressure 6 years later: Results from the Hispanic Community Health Study/Study of Latinos and the SOL CASAS ancillary study.

Social science & medicine (1982)

Kimberly L Savin, Scott C Roesch, Eyal Oren, Jordan A Carlson, Matthew A Allison, Daniela Sotres-Alvarez, James F Sallis, Marta M Jankowska, Gregory A Talavera, Tasi M Rodriguez, Earle C Chambers, Martha Daviglus, Krista M Perreira, Maria M Llabre, Linda C Gallo

Affiliations

  1. San Diego State University/University of California San Diego, Joint Doctoral Program in Clinical Psychology, 6363 Alvarado Court, San Diego, CA, 92120, USA. Electronic address: [email protected].
  2. Department of Psychology, San Diego State University, 6363 Alvarado Court, San Diego, CA, 92120, USA. Electronic address: [email protected].
  3. School of Public Health, San Diego State University, 5500 Campanile Dr, San Diego, CA, 92182, USA. Electronic address: [email protected].
  4. Center for Children's Healthy Lifestyles & Nutrition, Children's Mercy Kansas City Postal Address: 2401 Gillham Rd, Kansas City, MO, 64108, USA; Department of Pediatrics, Children's Mercy Kansas City and University of Missouri Kansas City, 2401 Gillham Rd, Kansas City, MO, 64108, USA. Electronic address: [email protected].
  5. Department of Family Medicine, University of California San Diego, 9500 Gilman Drive, La Jolla, CA, 92093, USA. Electronic address: [email protected].
  6. Collaborative Studies Coordinating Center, Department of Biostatistics, University of North Carolina at Chapel Hill, 123 W. Franklin Street, Suite 450, CB #8030, Chapel Hill, NC, 27516, USA. Electronic address: [email protected].
  7. Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego 9500 Gilman Drive, La Jolla, CA, 92093, USA; Mary MacKillop Institute for Health Research, Australian Catholic University, 5/215 Spring St, Melbourne VIC, 3000, Australia. Electronic address: [email protected].
  8. Population Sciences, Beckman Research Institute, City of Hope, 1500 E Duarte Rd, Duarte, CA, 91010, USA. Electronic address: [email protected].
  9. Department of Psychology, San Diego State University, 6363 Alvarado Court, San Diego, CA, 92120, USA. Electronic address: [email protected].
  10. South Bay Latino Research Center, San Diego State University, 780 Bay Boulevard, Suite 200, Chula Vista, CA, 91910, USA. Electronic address: [email protected].
  11. Department of Family and Social Medicine, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY, 10461, USA. Electronic address: [email protected].
  12. Institute for Minority Health Research, University of Illinois at Chicago, 835 S Wolcott Ave (Bldg 935), Mailbox #23 (M/C 769), Chicago, IL, 60612, USA. Electronic address: [email protected].
  13. Department of Social Medicine, University of North Carolina, 333 South Columbia Street, MacNider Hall, Room #348 / CB #7240, Chapel Hill, NC, 27599-7240, USA. Electronic address: [email protected].
  14. Department of Psychology, University of Miami, P.O. Box 248185, Coral Gables, FL, 33124, USA. Electronic address: [email protected].
  15. Department of Psychology, San Diego State University, 6363 Alvarado Court, San Diego, CA, 92120, USA. Electronic address: [email protected].

PMID: 34774366 PMCID: PMC8748411 DOI: 10.1016/j.socscimed.2021.114496

Abstract

Neighborhood-level socioeconomic deprivation can increase risk for higher blood pressure or hypertension, while greater neighborhood safety and walkability may protect against hypertension. Large-scale prospective research, particularly among Hispanics/Latinos, is lacking. We examined cross-sectional and prospective associations between neighborhood environments and blood pressure and hypertension among 3851 Hispanic/Latinos enrolled in the Hispanic Community Health Study/Study of Latinos San Diego, CA cohort. Addresses from Visit 1 (2008-2011) were geocoded and neighborhood characteristics were determined as part of the SOL CASAS ancillary study. Home addresses were geocoded and home areas created using 800 m circular radial buffers. Neighborhood indices socioeconomic deprivation, residential stability, and social disorder were created using Census and other publicly available data. Walkability was computed as density of intersections, retail spaces, and residences. Greenness was measured via satellite imagery using the Normalized Difference Vegetation Index. Visit 1 and Visit 2 (2014-2017) clinical outcomes included systolic (SBP) and diastolic (DBP) blood pressure, as well as prevalent and 6-year incident hypertension, defined as SBP/DBP ≥140/90 mmHg or antihypertensive medication use. Complex survey regression models adjusted for covariates revealed cross-sectional associations between greater walkability and lower SBP (B = -0.05; 95% CI: -0.09, -0.003). In prospective analyses, greater neighborhood social disorder was related to increasing SBP (B = 0.05; 95% CI: 0.01, 0.09) and DBP (B = 0.07; 95% CI: 0.02, 0.12) over time. Greater socioeconomic deprivation (OR = 1.47; 95% CI: 1.06, 2.04) and greater social disorder (OR = 1.25; 95% CI: 1.02, 1.54) were associated with higher odds of incident hypertension. All other associations were not significant. Beyond individual-level characteristics, greater neighborhood social disorder and socioeconomic deprivation were related to adverse changes in blood pressure over 6 years among Hispanics/Latinos. Neighborhood social environment may help identify, or be an area for future intervention for, cardiovascular risk among Hispanics/Latinos.

Copyright © 2021 Elsevier Ltd. All rights reserved.

Keywords: Blood pressure; Cohort; Environment; Hispanic/latino; Hypertension; Neighborhood; United States

References

  1. Proc Natl Acad Sci U S A. 2018 Mar 20;115(12):2946-2951 - PubMed
  2. J Am Heart Assoc. 2020 Jun 16;9(12):e015031 - PubMed
  3. Ann Epidemiol. 2019 Feb;30:57-65 - PubMed
  4. Obes Rev. 2011 Mar;12(3):217-30 - PubMed
  5. Am Heart J. 2018 Oct;204:109-118 - PubMed
  6. Ethn Dis. 2009 Spring;19(2):179-84 - PubMed
  7. Am J Prev Med. 2005 Feb;28(2):149-55 - PubMed
  8. Br J Sociol. 2009 Mar;60(1):1-31; discussion 33-8 - PubMed
  9. NCHS Data Brief. 2017 Oct;(289):1-8 - PubMed
  10. Obesity (Silver Spring). 2012 Apr;20(4):862-71 - PubMed
  11. Am J Hypertens. 2011 Feb;24(2):187-93 - PubMed
  12. Am J Public Health. 2015 May;105(5):909-13 - PubMed
  13. Am J Epidemiol. 2011 Sep 1;174(5):537-45 - PubMed
  14. Am J Public Health. 2013 Apr;103(4):e81-7 - PubMed
  15. Ann Epidemiol. 2010 Aug;20(8):642-9 - PubMed
  16. Prev Med. 2009 Mar;48(3):237-41 - PubMed
  17. Int J Behav Nutr Phys Act. 2017 Aug 7;14(1):103 - PubMed
  18. Lancet. 2017 Apr 8;389(10077):1453-1463 - PubMed
  19. Soc Sci Med. 2020 Jun;255:112978 - PubMed
  20. Int J Environ Res Public Health. 2019 Apr 28;16(9): - PubMed
  21. Soc Sci Med. 2010 Mar;70(6):816-22 - PubMed
  22. Int J Health Geogr. 2014 Oct 25;13:43 - PubMed
  23. Cardiovasc Diabetol. 2009 Mar 27;8:18 - PubMed
  24. Am J Hypertens. 2018 Aug 3;31(9):1024-1032 - PubMed
  25. N Engl J Med. 1997 Apr 17;336(16):1117-24 - PubMed
  26. Hypertension. 2003 Dec;42(6):1206-52 - PubMed
  27. Lancet. 2002 Dec 14;360(9349):1903-13 - PubMed
  28. Br J Clin Pharmacol. 2013 Jan;75(1):79-92 - PubMed
  29. Biol Res Nurs. 2012 Oct;14(4):311-46 - PubMed
  30. Epidemiology. 2008 Jul;19(4):590-8 - PubMed
  31. Am J Hypertens. 2014 Jun;27(6):793-800 - PubMed
  32. J Am Coll Cardiol. 2018 May 15;71(19):e127-e248 - PubMed
  33. Int J Environ Res Public Health. 2018 May 28;15(6): - PubMed
  34. J Pers. 2009 Dec;77(6):1707-46 - PubMed
  35. JAMA Netw Open. 2018 Jul 6;1(3):e180298 - PubMed
  36. Am J Epidemiol. 2016 Jun 1;183(11):988-97 - PubMed
  37. JAMA Intern Med. 2018 Jan 1;178(1):28-36 - PubMed
  38. Int J Environ Res Public Health. 2020 Aug 03;17(15): - PubMed
  39. Ann Epidemiol. 2010 Aug;20(8):629-41 - PubMed
  40. Contemp Clin Trials. 2019 Jun;81:87-101 - PubMed
  41. Am J Hypertens. 2016 Jan;29(1):90-5 - PubMed
  42. Br J Sports Med. 2010 Oct;44(13):924-33 - PubMed
  43. J Phys Act Health. 2015 Jun 16;12 Suppl 1:S53-61 - PubMed

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