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Social and physical environments and disparities in risk for cardiovascular disease: the healthy environments partnership conceptual model.

Publication ,  Journal Article
Schulz, AJ; Kannan, S; Dvonch, JT; Israel, BA; Allen, A; James, SA; House, JS; Lepkowski, J
Published in: Environmental health perspectives
December 2005

The Healthy Environments Partnership (HEP) is a community-based participatory research effort investigating variations in cardiovascular disease risk, and the contributions of social and physical environments to those variations, among non-Hispanic black, non-Hispanic white, and Hispanic residents in three areas of Detroit, Michigan. Initiated in October 2000 as a part of the National Institute of Environmental Health Sciences' Health Disparities Initiative, HEP is affiliated with the Detroit Community-Academic Urban Research Center. The study is guided by a conceptual model that considers race-based residential segregation and associated concentrations of poverty and wealth to be fundamental factors influencing multiple, more proximate predictors of cardiovascular risk. Within this model, physical and social environments are identified as intermediate factors that mediate relationships between fundamental factors and more proximate factors such as physical activity and dietary practices that ultimately influence anthropomorphic and physiologic indicators of cardiovascular risk. The study design and data collection methods were jointly developed and implemented by a research team based in community-based organizations, health service organizations, and academic institutions. These efforts include collecting and analyzing airborne particulate matter over a 3-year period; census and administrative data; neighborhood observation checklist data to assess aspects of the physical and social environment; household survey data including information on perceived stressors, access to social support, and health-related behaviors; and anthropometric, biomarker, and self-report data as indicators of cardiovascular health. Through these collaborative efforts, HEP seeks to contribute to an understanding of factors that contribute to racial and socioeconomic health inequities, and develop a foundation for efforts to eliminate these disparities in Detroit.

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Published In

Environmental health perspectives

DOI

EISSN

1552-9924

ISSN

0091-6765

Publication Date

December 2005

Volume

113

Issue

12

Start / End Page

1817 / 1825

Related Subject Headings

  • White People
  • Universities
  • Toxicology
  • Socioeconomic Factors
  • Social Environment
  • Risk Assessment
  • Models, Theoretical
  • Michigan
  • Humans
  • Hispanic or Latino
 

Citation

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ICMJE
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Schulz, A. J., Kannan, S., Dvonch, J. T., Israel, B. A., Allen, A., James, S. A., … Lepkowski, J. (2005). Social and physical environments and disparities in risk for cardiovascular disease: the healthy environments partnership conceptual model. Environmental Health Perspectives, 113(12), 1817–1825. https://doi.org/10.1289/ehp.7913
Schulz, Amy J., Srimathi Kannan, J Timothy Dvonch, Barbara A. Israel, Alex Allen, Sherman A. James, James S. House, and James Lepkowski. “Social and physical environments and disparities in risk for cardiovascular disease: the healthy environments partnership conceptual model.Environmental Health Perspectives 113, no. 12 (December 2005): 1817–25. https://doi.org/10.1289/ehp.7913.
Schulz AJ, Kannan S, Dvonch JT, Israel BA, Allen A, James SA, et al. Social and physical environments and disparities in risk for cardiovascular disease: the healthy environments partnership conceptual model. Environmental health perspectives. 2005 Dec;113(12):1817–25.
Schulz, Amy J., et al. “Social and physical environments and disparities in risk for cardiovascular disease: the healthy environments partnership conceptual model.Environmental Health Perspectives, vol. 113, no. 12, Dec. 2005, pp. 1817–25. Epmc, doi:10.1289/ehp.7913.
Schulz AJ, Kannan S, Dvonch JT, Israel BA, Allen A, James SA, House JS, Lepkowski J. Social and physical environments and disparities in risk for cardiovascular disease: the healthy environments partnership conceptual model. Environmental health perspectives. 2005 Dec;113(12):1817–1825.

Published In

Environmental health perspectives

DOI

EISSN

1552-9924

ISSN

0091-6765

Publication Date

December 2005

Volume

113

Issue

12

Start / End Page

1817 / 1825

Related Subject Headings

  • White People
  • Universities
  • Toxicology
  • Socioeconomic Factors
  • Social Environment
  • Risk Assessment
  • Models, Theoretical
  • Michigan
  • Humans
  • Hispanic or Latino