Community stressors (violence, victimization, and neighborhood disorder) with cardiometabolic outcomes in urban Jamaica

Bibliographic Data

ID22079479
AuthorsTiffany L Gary‐webb (0000-0001-9843-1084, University of Pittsburgh, corresponding author), Harika P Dyer (0000-0001-5300-1494, University of Pittsburgh), Harika Dyer, Joette McKenzie, Joette A McKenzie (0000-0001-9111-8546, University of the West Indies), Novie Younger-Coleman, Novie Younger‐Coleman (0000-0001-6525-9919, University of the West Indies), Marshall Tulloch-Reid, Marshall K Tulloch‐Reid (0000-0003-3081-4630, University of the West Indies), Alphanso L Blake (0000-0001-9610-7336, University of the West Indies), Alphanso Blake, Ishtar Govia (0000-0001-6852-102X, University of the West Indies), Nadia Bennett (0000-0002-9773-5112, University of the West Indies), Shelly McFarlane (0000-0002-7691-9174, University of the West Indies), Rainford Wilks (0000-0001-6494-6442, University of the West Indies), Rainford J Wilks, David R Williams (0000-0001-9922-8117), Trevor S Ferguson (0000-0002-2393-1452, University of the West Indies)
Year2023
Volume11
Pages1130830-1130830
Publication date2023-06-06
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2023.1130830
PMID37346100
OpenAlexW4379534694
LanguageEN
Citations received1
References cited21

Background Despite limited data on neighborhood factors and health risk in Caribbean populations, previous analyses from Jamaica have shown that neighborhood and home disorder were associated with lower physical activity and higher cumulative biological risk among women, while poorer neighborhood infrastructure was associated with higher overweight/obesity among men. Design Cross-sectional survey design. Objectives In this study, we explored whether community stressors, as measured by community violence, victimization and neighborhood disorder scores, were associated with cardiometabolic outcomes (obesity, diabetes, hypertension and high cholesterol) in urban Jamaican communities. Sex-specific Poisson regression models were used to estimate prevalence ratios (PR) for these associations, adjusting for age, education, diet, physical activity and smoking. Participants Of the 849 participants (M = 282; F = 567), mean age was 48 ± 18.5 years and most had at least a high school education. Men were more likely to be current smokers (29.4 vs. 10.6%) and adequately physically active (53.2 vs. 42.0%); more women were obese (46.0 vs. 19.0%), more likely to have hypertension (52.9 vs. 45.4%) and had high cholesterol (34.2 vs. 21.6%) (all p < 0.05). Results We observed significant associations only for those in the middle tertile of neighborhood disorder with prevalence of higher cholesterol [PR:1.72 (1.20 to 2.47)] in women and lower prevalence of obesity [PR:0.24 (0.10 to 0.53)] in men. Conclusion Results suggest that higher, but not the highest level of neighborhood disorder was associated with higher cholesterol levels in women and lower obesity in men. Future work will explore additional approaches to measuring neighborhood characteristics in Jamaica and the mechanisms that may underlie any relationships that are identified

Environmental health · Medical emergency · Poison control · Psychiatry · Stressor · Suicide prevention · Caribbean history, culture, and politics · Health disparities and outcomes · Medicine · Psychology · Racial and Ethnic Identity Research · Gerontology

Tools

Open DOIOpen Access