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A novel approach for measuring residential socioeconomic factors associated with cardiovascular and metabolic health.

Publication ,  Journal Article
Mirowsky, JE; Devlin, RB; Diaz-Sanchez, D; Cascio, W; Grabich, SC; Haynes, C; Blach, C; Hauser, ER; Shah, S; Kraus, W; Olden, K; Neas, L
Published in: J Expo Sci Environ Epidemiol
May 2017

Individual-level characteristics, including socioeconomic status, have been associated with poor metabolic and cardiovascular health; however, residential area-level characteristics may also independently contribute to health status. In the current study, we used hierarchical clustering to aggregate 444 US Census block groups in Durham, Orange, and Wake Counties, NC, USA into six homogeneous clusters of similar characteristics based on 12 demographic factors. We assigned 2254 cardiac catheterization patients to these clusters based on residence at first catheterization. After controlling for individual age, sex, smoking status, and race, there were elevated odds of patients being obese (odds ratio (OR)=1.92, 95% confidence intervals (CI)=1.39, 2.67), and having diabetes (OR=2.19, 95% CI=1.57, 3.04), congestive heart failure (OR=1.99, 95% CI=1.39, 2.83), and hypertension (OR=2.05, 95% CI=1.38, 3.11) in a cluster that was urban, impoverished, and unemployed, compared with a cluster that was urban with a low percentage of people that were impoverished or unemployed. Our findings demonstrate the feasibility of applying hierarchical clustering to an assessment of area-level characteristics and that living in impoverished, urban residential clusters may have an adverse impact on health.

Duke Scholars

Published In

J Expo Sci Environ Epidemiol

DOI

EISSN

1559-064X

Publication Date

May 2017

Volume

27

Issue

3

Start / End Page

281 / 289

Location

United States

Related Subject Headings

  • Young Adult
  • Urban Population
  • Socioeconomic Factors
  • Social Class
  • Smoking
  • Rural Population
  • Risk Factors
  • Residence Characteristics
  • Poverty
  • Obesity
 

Citation

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Mirowsky, J. E., Devlin, R. B., Diaz-Sanchez, D., Cascio, W., Grabich, S. C., Haynes, C., … Neas, L. (2017). A novel approach for measuring residential socioeconomic factors associated with cardiovascular and metabolic health. J Expo Sci Environ Epidemiol, 27(3), 281–289. https://doi.org/10.1038/jes.2016.53
Mirowsky, Jaime E., Robert B. Devlin, David Diaz-Sanchez, Wayne Cascio, Shannon C. Grabich, Carol Haynes, Colette Blach, et al. “A novel approach for measuring residential socioeconomic factors associated with cardiovascular and metabolic health.J Expo Sci Environ Epidemiol 27, no. 3 (May 2017): 281–89. https://doi.org/10.1038/jes.2016.53.
Mirowsky JE, Devlin RB, Diaz-Sanchez D, Cascio W, Grabich SC, Haynes C, et al. A novel approach for measuring residential socioeconomic factors associated with cardiovascular and metabolic health. J Expo Sci Environ Epidemiol. 2017 May;27(3):281–9.
Mirowsky, Jaime E., et al. “A novel approach for measuring residential socioeconomic factors associated with cardiovascular and metabolic health.J Expo Sci Environ Epidemiol, vol. 27, no. 3, May 2017, pp. 281–89. Pubmed, doi:10.1038/jes.2016.53.
Mirowsky JE, Devlin RB, Diaz-Sanchez D, Cascio W, Grabich SC, Haynes C, Blach C, Hauser ER, Shah S, Kraus W, Olden K, Neas L. A novel approach for measuring residential socioeconomic factors associated with cardiovascular and metabolic health. J Expo Sci Environ Epidemiol. 2017 May;27(3):281–289.

Published In

J Expo Sci Environ Epidemiol

DOI

EISSN

1559-064X

Publication Date

May 2017

Volume

27

Issue

3

Start / End Page

281 / 289

Location

United States

Related Subject Headings

  • Young Adult
  • Urban Population
  • Socioeconomic Factors
  • Social Class
  • Smoking
  • Rural Population
  • Risk Factors
  • Residence Characteristics
  • Poverty
  • Obesity