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Neighbourhood characteristics and mortality in the Atherosclerosis Risk in Communities Study.
Int J Epidemiol. 2004 Apr; 33(2):398-407.IJ

Abstract

BACKGROUND

This study investigates the relationship between neighbourhood characteristics and mortality (all-cause, cardiovascular disease [CVD], and cancer) in the Atherosclerosis Risk in Communities Study (ARIC).

METHODS

Analysis was limited to African-American and white participants 45-64 years of age at baseline whose records were linked to census data. Deaths ascertained through 31 December 1999 were included in the analysis. Individual-level characteristics were obtained from the baseline interview. A composite index was used to characterize the neighbourhood socioeconomic environment. Proportional hazards regression was used to estimate the effect of neighbourhood socioeconomic status (SES) index and family income on the survival time.

RESULTS

The rate of mortality adjusted for age and gender was highest among those who lived in disadvantaged neighbourhoods and were of lower SES. In general, all-cause and CVD mortality rates decreased with increasing neighbourhood SES advantage and family income in all race-gender groups. Although this pattern generally persisted after adjustment for individual socioeconomic factors, statistically significant associations persisted for CVD mortality in whites only (hazard ratio = 1.4, 95% CI: 1.0, 2.0) for most disadvantaged versus most advantaged tertile). When compared with the most affluent participants living in the most advantaged neighbourhoods, the increased risk of all-cause and CVD mortality associated with being poor and living in the most disadvantaged neighbourhoods was equivalent to being 11 and 13 years older at baseline for whites and African Americans, respectively.

CONCLUSION

Our findings indicate that neighbourhood socioeconomic characteristics are associated with modest increases in CVD mortality in white adults. The lack of neighbourhood effects in African Americans needs to be interpreted with caution due to the limited range in the characteristics of the neighbourhood from which these participants were drawn.

Authors+Show Affiliations

Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY 10032, USA. lnb2@columbia.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

15082648

Citation

Borrell, Luisa N., et al. "Neighbourhood Characteristics and Mortality in the Atherosclerosis Risk in Communities Study." International Journal of Epidemiology, vol. 33, no. 2, 2004, pp. 398-407.
Borrell LN, Diez Roux AV, Rose K, et al. Neighbourhood characteristics and mortality in the Atherosclerosis Risk in Communities Study. Int J Epidemiol. 2004;33(2):398-407.
Borrell, L. N., Diez Roux, A. V., Rose, K., Catellier, D., & Clark, B. L. (2004). Neighbourhood characteristics and mortality in the Atherosclerosis Risk in Communities Study. International Journal of Epidemiology, 33(2), 398-407.
Borrell LN, et al. Neighbourhood Characteristics and Mortality in the Atherosclerosis Risk in Communities Study. Int J Epidemiol. 2004;33(2):398-407. PubMed PMID: 15082648.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Neighbourhood characteristics and mortality in the Atherosclerosis Risk in Communities Study. AU - Borrell,Luisa N, AU - Diez Roux,Ana V, AU - Rose,Kathryn, AU - Catellier,Diane, AU - Clark,Bobby L, AU - ,, PY - 2004/4/15/pubmed PY - 2004/8/21/medline PY - 2004/4/15/entrez SP - 398 EP - 407 JF - International journal of epidemiology JO - Int J Epidemiol VL - 33 IS - 2 N2 - BACKGROUND: This study investigates the relationship between neighbourhood characteristics and mortality (all-cause, cardiovascular disease [CVD], and cancer) in the Atherosclerosis Risk in Communities Study (ARIC). METHODS: Analysis was limited to African-American and white participants 45-64 years of age at baseline whose records were linked to census data. Deaths ascertained through 31 December 1999 were included in the analysis. Individual-level characteristics were obtained from the baseline interview. A composite index was used to characterize the neighbourhood socioeconomic environment. Proportional hazards regression was used to estimate the effect of neighbourhood socioeconomic status (SES) index and family income on the survival time. RESULTS: The rate of mortality adjusted for age and gender was highest among those who lived in disadvantaged neighbourhoods and were of lower SES. In general, all-cause and CVD mortality rates decreased with increasing neighbourhood SES advantage and family income in all race-gender groups. Although this pattern generally persisted after adjustment for individual socioeconomic factors, statistically significant associations persisted for CVD mortality in whites only (hazard ratio = 1.4, 95% CI: 1.0, 2.0) for most disadvantaged versus most advantaged tertile). When compared with the most affluent participants living in the most advantaged neighbourhoods, the increased risk of all-cause and CVD mortality associated with being poor and living in the most disadvantaged neighbourhoods was equivalent to being 11 and 13 years older at baseline for whites and African Americans, respectively. CONCLUSION: Our findings indicate that neighbourhood socioeconomic characteristics are associated with modest increases in CVD mortality in white adults. The lack of neighbourhood effects in African Americans needs to be interpreted with caution due to the limited range in the characteristics of the neighbourhood from which these participants were drawn. SN - 0300-5771 UR - https://www.unboundmedicine.com/medline/citation/15082648/Neighbourhood_characteristics_and_mortality_in_the_Atherosclerosis_Risk_in_Communities_Study_ L2 - https://academic.oup.com/ije/article-lookup/doi/10.1093/ije/dyh063 DB - PRIME DP - Unbound Medicine ER -