The authors investigated whether neighborhood socioeconomic characteristics are associated with coronary heart disease prevalence and risk factors, whether these associations persist after adjustment for individual-level social class indicators, and whether the effects of individual-level indicators vary across neighborhoods.
The study sample consisted of 12,601 persons in four US communities (Washington County, Maryland ; Forsyth County, North Carolina ; Minneapolis, Minnesota ; and Jackson, Mississippi) participating in the baseline examination of the Atherosclerosis Risk in Communities Study (1987-1989).
Neighborhood characteristics were obtained from 1990 US Census block-group measures.
Multilevel models were used to estimate associations with neighborhood variables after adjustment for individual-level indicators of social class.
Living in deprived neighborhoods was associated with increased prevalence of coronary heart disease and increased levels of risk factors, with associations generally persisting after adjustment for individual-level variables.
Inconsistent associations were documented for serum cholesterol and disease prevalence in African-American men.
For Jackson African-American men living in poor neighborhoods, coronary heart disease prevalence decreased as neighborhood characteristics worsened. (...)
Mots-clés Pascal : Cardiopathie coronaire, Epidémiologie, Facteur risque, Statut socioéconomique, Classe sociale, Etats Unis, Amérique du Nord, Amérique, Appareil circulatoire pathologie
Mots-clés Pascal anglais : Coronary heart disease, Epidemiology, Risk factor, Socioeconomic status, Social class, United States, North America, America, Cardiovascular disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0402682
Code Inist : 002B12A03. Création : 19/12/1997.