Neighborhood characteristics and arterial stiffness among Black adults – Results from the Jackson Heart Study and Morehouse-Emory Cardiovascular Center for Health Equity Article Swipe
Shabatun Islam
,
Jeong Hwan Kim
,
Xiaona Li
,
Yi‐An Ko
,
Peter Baltrus
,
Gary F. Mitchell
,
Ervin R. Fox
,
Mahasin S. Mujahid
,
Viola Vaccarino
,
Tené T. Lewis
,
Herman A. Taylor
,
Mario Sims
,
Arshed A. Quyyumi
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1177/1358863x221136163
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1177/1358863x221136163
Introduction: Poor quality neighborhood environments are independent risk factors for cardiovascular disease (CVD) but are understudied in Black adults, who face large CVD health disparities. Arterial stiffness, a marker of early vascular aging, precedes development of hypertension and adverse CVD events but the effect of neighborhood on arterial stiffness among Black adults remains unknown. Objective: We compared the association between neighborhood environment and arterial stiffness among Black adults in Jackson, MS and Atlanta, GA. Methods: We studied 1582 Black adults (mean age 53 ± 10, 35% male) living in Jackson, MS from the Jackson Heart Study (JHS) and 451 Black adults (mean age 53 ± 10, 39% male) living in Atlanta, GA from the Morehouse-Emory Cardiovascular Center for Health Equity (MECA) study, without known CVD. Neighborhood problems (includes measures of aesthetic quality, walking environment, food access), social cohesion (includes activity with neighbors), and violence/safety were assessed using validated questionnaires. Arterial stiffness was measured as pulse wave velocity (PWV) using magnetic resonance imaging in JHS and as PWV and augmentation index (AIx) using applanation tonometry (SphygmoCor, Inc.) in MECA. Multivariable linear regression models were used to examine the association between neighborhood characteristics and arterial stiffness, adjusting for potential confounders. Results: Improved social characteristics, measured as social cohesion in JHS (β = −0.32 [−0.63, −0.02], p = 0.04) and activity with neighbors (β = −0.23 [−0.40, −0.05], p = 0.01) in MECA, were associated with lower PWV in both cohorts and lower AIx (β = −1.74 [−2.92, − 0.56], p = 0.004) in MECA, after adjustment for CVD risk factors and income. Additionally, in MECA, better food access (β = −1.18 [−2.35, − 0.01], p = 0.05) was associated with lower AIx and, in JHS, lower neighborhood problems (β = −0.33 [−0.64, − 0.02], p = 0.04) and lower violence (β = −0.30 [−0.61, 0.002], p = 0.05) were associated with lower PWV. Conclusion: Neighborhood social characteristics show an independent association with the vascular health of Black adults, findings that were reproducible in two distinct American cities.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1177/1358863x221136163
- https://journals.sagepub.com/doi/pdf/10.1177/1358863X221136163
- OA Status
- bronze
- Cited By
- 5
- References
- 36
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4313488119
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Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4313488119Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1177/1358863x221136163Digital Object Identifier
- Title
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Neighborhood characteristics and arterial stiffness among Black adults – Results from the Jackson Heart Study and Morehouse-Emory Cardiovascular Center for Health EquityWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2023Year of publication
- Publication date
-
2023-01-03Full publication date if available
- Authors
-
Shabatun Islam, Jeong Hwan Kim, Xiaona Li, Yi‐An Ko, Peter Baltrus, Gary F. Mitchell, Ervin R. Fox, Mahasin S. Mujahid, Viola Vaccarino, Tené T. Lewis, Herman A. Taylor, Mario Sims, Arshed A. QuyyumiList of authors in order
- Landing page
-
https://doi.org/10.1177/1358863x221136163Publisher landing page
- PDF URL
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https://journals.sagepub.com/doi/pdf/10.1177/1358863X221136163Direct link to full text PDF
- Open access
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YesWhether a free full text is available
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-
bronzeOpen access status per OpenAlex
- OA URL
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https://journals.sagepub.com/doi/pdf/10.1177/1358863X221136163Direct OA link when available
- Concepts
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Arterial stiffness, Medicine, Pulse wave velocity, Internal medicine, Cardiology, Confounding, Blood pressure, Demography, Gerontology, SociologyTop concepts (fields/topics) attached by OpenAlex
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5Total citation count in OpenAlex
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2025: 3, 2023: 2Per-year citation counts (last 5 years)
- References (count)
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36Number of works referenced by this work
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-
10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.−1.18 | 268 |
| abstract_inverted_index.−1.74 | 243 |
| abstract_inverted_index.American | 333 |
| abstract_inverted_index.Arterial | 25, 149 |
| abstract_inverted_index.Atlanta, | 72, 110 |
| abstract_inverted_index.Improved | 199 |
| abstract_inverted_index.Jackson, | 69, 89 |
| abstract_inverted_index.Methods: | 74 |
| abstract_inverted_index.Results: | 198 |
| abstract_inverted_index.access), | 135 |
| abstract_inverted_index.activity | 139, 217 |
| abstract_inverted_index.arterial | 47, 63, 192 |
| abstract_inverted_index.assessed | 145 |
| abstract_inverted_index.cohesion | 137, 205 |
| abstract_inverted_index.compared | 56 |
| abstract_inverted_index.distinct | 332 |
| abstract_inverted_index.findings | 326 |
| abstract_inverted_index.magnetic | 159 |
| abstract_inverted_index.measured | 152, 202 |
| abstract_inverted_index.measures | 128 |
| abstract_inverted_index.precedes | 33 |
| abstract_inverted_index.problems | 126, 285 |
| abstract_inverted_index.quality, | 131 |
| abstract_inverted_index.unknown. | 53 |
| abstract_inverted_index.vascular | 31, 321 |
| abstract_inverted_index.velocity | 156 |
| abstract_inverted_index.violence | 297 |
| abstract_inverted_index.(includes | 127, 138 |
| abstract_inverted_index.[−0.40, | 223 |
| abstract_inverted_index.[−0.61, | 301 |
| abstract_inverted_index.[−0.63, | 211 |
| abstract_inverted_index.[−0.64, | 289 |
| abstract_inverted_index.[−2.35, | 269 |
| abstract_inverted_index.[−2.92, | 244 |
| abstract_inverted_index.adjusting | 194 |
| abstract_inverted_index.aesthetic | 130 |
| abstract_inverted_index.neighbors | 219 |
| abstract_inverted_index.potential | 196 |
| abstract_inverted_index.resonance | 160 |
| abstract_inverted_index.stiffness | 48, 64, 150 |
| abstract_inverted_index.tonometry | 173 |
| abstract_inverted_index.validated | 147 |
| abstract_inverted_index.−0.02], | 212 |
| abstract_inverted_index.−0.05], | 224 |
| abstract_inverted_index.Objective: | 54 |
| abstract_inverted_index.adjustment | 253 |
| abstract_inverted_index.associated | 231, 276, 307 |
| abstract_inverted_index.regression | 180 |
| abstract_inverted_index.stiffness, | 26, 193 |
| abstract_inverted_index.Conclusion: | 311 |
| abstract_inverted_index.applanation | 172 |
| abstract_inverted_index.association | 58, 187, 318 |
| abstract_inverted_index.development | 34 |
| abstract_inverted_index.environment | 61 |
| abstract_inverted_index.independent | 6, 317 |
| abstract_inverted_index.neighbors), | 141 |
| abstract_inverted_index.(SphygmoCor, | 174 |
| abstract_inverted_index.Neighborhood | 125, 312 |
| abstract_inverted_index.augmentation | 168 |
| abstract_inverted_index.confounders. | 197 |
| abstract_inverted_index.disparities. | 24 |
| abstract_inverted_index.environment, | 133 |
| abstract_inverted_index.environments | 4 |
| abstract_inverted_index.hypertension | 36 |
| abstract_inverted_index.neighborhood | 3, 45, 60, 189, 284 |
| abstract_inverted_index.reproducible | 329 |
| abstract_inverted_index.understudied | 15 |
| abstract_inverted_index.Additionally, | 260 |
| abstract_inverted_index.Introduction: | 0 |
| abstract_inverted_index.Multivariable | 178 |
| abstract_inverted_index.Cardiovascular | 115 |
| abstract_inverted_index.cardiovascular | 10 |
| abstract_inverted_index.Morehouse-Emory | 114 |
| abstract_inverted_index.characteristics | 190, 314 |
| abstract_inverted_index.questionnaires. | 148 |
| abstract_inverted_index.violence/safety | 143 |
| abstract_inverted_index.characteristics, | 201 |
| cited_by_percentile_year.max | 97 |
| cited_by_percentile_year.min | 94 |
| corresponding_author_ids | https://openalex.org/A5085650630 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 13 |
| corresponding_institution_ids | https://openalex.org/I150468666 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/1 |
| sustainable_development_goals[0].score | 0.8100000023841858 |
| sustainable_development_goals[0].display_name | No poverty |
| citation_normalized_percentile.value | 0.80545153 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |