Neighborhood Psychosocial Hazards and Cardiovascular Disease

The Baltimore Memory Study

Bibliographic Data

ID11028674
AuthorsToms Augustin (0000-0001-6063-9859, At the time of the study, Toms Augustin and Bryan D. James were with the Center on Aging and Health, Johns Hopkins University, Baltimore, MD. Thomas A. Glass, Bryan D. James, and Brian S. Schwartz were with the Department of Epidemiology, Johns Hopkins University, Baltimore. Brian S. Schwartz was with the Department of Environmental Health Sciences, Bloomberg School of Public Health, Johns Hopkins University, Baltimore.), Thomas A Gla (0000-0003-4399-612X, Johns Hopkins University), Thomas A Glass (At the time of the study, Toms Augustin and Bryan D. James were with the Center on Aging and Health, Johns Hopkins University, Baltimore, MD. Thomas A. Glass, Bryan D. James, and Brian S. Schwartz were with the Department of Epidemiology, Johns Hopkins University, Baltimore. Brian S. Schwartz was with the Department of Environmental Health Sciences, Bloomberg School of Public Health, Johns Hopkins University, Baltimore.), Bryan D James (0000-0003-1932-151X, At the time of the study, Toms Augustin and Bryan D. James were with the Center on Aging and Health, Johns Hopkins University, Baltimore, MD. Thomas A. Glass, Bryan D. James, and Brian S. Schwartz were with the Department of Epidemiology, Johns Hopkins University, Baltimore. Brian S. Schwartz was with the Department of Environmental Health Sciences, Bloomberg School of Public Health, Johns Hopkins University, Baltimore.), Brian S Schwartz (0000-0002-0739-9865, At the time of the study, Toms Augustin and Bryan D. James were with the Center on Aging and Health, Johns Hopkins University, Baltimore, MD. Thomas A. Glass, Bryan D. James, and Brian S. Schwartz were with the Department of Epidemiology, Johns Hopkins University, Baltimore. Brian S. Schwartz was with the Department of Environmental Health Sciences, Bloomberg School of Public Health, Johns Hopkins University, Baltimore.)
Year2008
Volume98
Issue9
Pages1664-1670
Publication date2008-09-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2007.125138
PMID18633086
PMCIDPMC2509598
OpenAlexW2141771679
LanguageEN
Citations received32
References cited49

Objectives. We examined associations between cardiovascular disease and neighborhood psychosocial hazards, such as violent crime, abandoned buildings, and signs of incivility, to evaluate whether features of place are associated with older adult health. Methods. We analyzed first-visit data from the Baltimore Memory Study of randomly selected residents aged 50 to 70 years (n=1140) of 65 contiguous neighborhoods in Baltimore, Maryland. We looked for associations between self-reports of history of selected cardiovascular diseases and scores on the 12-item neighborhood psychosocial hazards scale. Results. After adjustment for established individual risk factors for cardiovascular disease, residents in neighborhoods with scores in the highest quartile of the psychosocial hazards scale had more than 4 times higher odds of a history of myocardial infarction and more than 3 times higher odds of myocardial infarction, stroke, transient ischemic attack, or intermittent claudication compared with residents living in neighborhoods scoring in the lowest quartile. Conclusions. Neighborhood psychosocial hazards were significantly associated with self-reported cardiovascular disease after adjustment for individual-level risk factors. This is consistent with the hypothesis that environmental stress plays a role in the etiology of cardiovascular disease

Arterial disease · Claudication · Confidence interval · Disease · Environmental health · Logistic regression · Myocardial infarction · Odds · Odds ratio · Psychiatry · Psychosocial · Quartile · Stroke (engine) · Vascular disease · Demography · Health disparities and outcomes · Internal Medicine · Medicine · Urban Green Space and Health · Urban Transport and Accessibility · Gerontology

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