Associations of neighborhood area level deprivation with the metabolic syndrome and inflammation among middle- and older- age adults

被引:68
作者
Keita, Akilah Dulin [1 ]
Judd, Suzanne E. [2 ]
Howard, Virginia J. [3 ]
Carson, April P. [3 ]
Ard, Jamy D. [4 ]
Fernandez, Jose R. [5 ]
机构
[1] Brown Univ, Inst Community Hlth Promot, Providence, RI 02912 USA
[2] Univ Alabama Birmingham, Dept Biostat, Birmingham, AL 35205 USA
[3] Univ Alabama Birmingham, Dept Epidemiol, Birmingham, AL 35205 USA
[4] Wake Forest Sch Med, Dept Epidemiol & Prevent, Winston Salem, NC USA
[5] Univ Alabama Birmingham, Dept Nutr Sci, Birmingham, AL 35205 USA
基金
美国国家卫生研究院;
关键词
Neighborhoods; Socioeconomic factors; Metabolic syndrome; Cardiovascular disease; DISEASE RISK-FACTORS; CARDIOVASCULAR-DISEASE; SOCIOECONOMIC-STATUS; PERCEIVED STRESS; US ADULTS; HEALTH; HEART; ATHEROSCLEROSIS; COHORT; STROKE;
D O I
10.1186/1471-2458-14-1319
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: The study examines the association of neighborhood socioeconomic deprivation and metabolic syndrome with inflammation. Methods: The analysis included 19, 079 black and white participants from the REasons for Geographic And Racial Differences in Stroke Study who were age > 45 years at baseline. Logistic regression examined whether neighborhood deprivation was associated with increased odds of METS and CRP-MetS. Results: Among black adults, residing in the most deprived neighborhoods was associated with increased odds of obesity (p < .01), lower HDL (p < .001), high blood pressure (p < .01), elevated fasting glucose (p < .001), inflammation (p < .01), and CRP-MetS (p < .001). Among white adults, neighborhood deprivation was associated with higher waist circumference (p < .001), lower HDL (p < .001), higher triglycerides (p < .01), higher glucose (p < .001), higher BMI (p < .0001), higher blood pressure (p = .01), METS (p < .001), inflammation (p < .01) and CRP-MetS (p < .001). Conclusions: These findings highlight the role of neighborhood socioeconomic deprivation on METS and CRP-MetS for black and white adults. Interventions tailored to address the contextual effects of deprived neighborhoods may reduce the observed neighborhood disparities.
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页数:9
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