期刊
HEALTH & PLACE
卷 33, 期 -, 页码 1-8出版社
ELSEVIER SCI LTD
DOI: 10.1016/j.healthplace.2015.02.001
关键词
Allostatic load; Neighborhood context; Relative income; Puerto Ricans
资金
- National Institutes of Health [P01 AG023394, P50 HL105185]
- NIH [R01MD006064, R01HD058510, R24HD041023]
Neighborhood context may influence health and health disparities. However, most studies have been constrained by cross-sectional designs that limit causal inference due to failing to establish temporal order of exposure and disease. We tested the impact of baseline neighborhood context (neighborhood socioeconomic status factor at the block-group level, and relative income of individuals compared to their neighbors) on allostatic load two years later. We leveraged data from the Boston Puerto Rican Health Study, a prospective cohort of aging Puerto Rican adults (aged 45-75 at baseline), with change in AL modeled between baseline and the 2nd wave of follow-up using two-level hierarchical linear regression models. Puerto Rican adults with higher income, relative to their neighbors, exhibited lower AL after two years, after adjusting for NSES, age, gender, individual-level SES, length of residence, and city After additional control for baseline AL, this association was attenuated to marginal significance. We found no significant association of NSES with AL Longitudinal designs are an important tool to understand how neighborhood contexts influence health and health disparities. (C) 2015 Elsevier Ltd. All rights reserved.
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