Prevention & lipidsCross-sectional study
Neighborhood Environmental Burden and Cardiovascular Health in the US
- Cross-sectional study
- national
- neighbourhood-level (US Census tracts)
Authors' conclusion
In this cross-sectional study of US neighborhoods, cumulative environmental burden was associated with higher rates of cardiovascular risk factors and diseases, although absolute differences were small. The strongest associations were observed in socially vulnerable neighborhoods.
Study context
- Population
- US Census tracts; CDC/ATSDR environmental burden and social vulnerability indices linked to 2020 CDC PLACES data
- Participants
- 71,659 US Census tracts
- Exposure
- Highest vs lowest environmental burden quartile
- Outcome
- Neighbourhood-level prevalence of CV risk factors (hypertension, DM, obesity) and CVD (CHD, stroke)
Main finding
As reported in the abstract
Top EBI quartile
32.83% (7.99)
Hypertension, mean (SD) · DM, mean (SD) 12.19% (4.33) · Obesity, mean (SD) 33.57% (7.62) · CHD, mean (SD) 6.66% (2.15) · Stroke, mean (SD) 3.65% (1.47)
Bottom EBI quartile
32.14% (6.99)
Hypertension, mean (SD) · DM, mean (SD) 10.68% (3.27) · Obesity, mean (SD) 30.86% (6.15) · CHD, mean (SD) 6.82% (2.41) · Stroke, mean (SD) 3.31% (1.12)
Observational data: associations, not effects.
Further findings
Matched analysis (geospatial and other covariates)
- Results consistent after matching
By social vulnerability (subgroup)
- Associations most pronounced among socially vulnerable neighbourhoods
Original publication
Summarised from the published abstract; every number is checked against it