Am J Epidemiol 2004; 159:655-662.
Copyright © 2004 by the Johns
Hopkins Bloomberg School of Public Health
ORIGINAL CONTRIBUTIONS |
Neighborhood Socioeconomic Environment and Incidence of Coronary Heart Disease: A Follow-up Study of 25,319 Women and Men in Sweden
1 Department of Family Medicine, Karolinska Institutet, Stockholm, Sweden.
2 Stanford Prevention Research Center, Stanford University School of Medicine, Palo Alto, CA.
In this study, the authors examined whether neighborhood socioeconomic environment predicted incident coronary heart disease after adjustment for individual-level characteristics. A random sample of the Swedish population (25,319 women and men aged 35–74 years) was interviewed between 1986 and 1993 and was followed through December 1997 for incident coronary heart disease (1,189 events). Neighborhood socioeconomic environment was defined by small-area market statistics (6,145 neighborhoods) and measured by two indicators: neighborhood education (proportion of people with less than 10 years of education in the neighborhood) and neighborhood income (proportion of people with incomes in the lowest national income quartile). Separate multilevel Cox proportional hazards models showed that low neighborhood education and low neighborhood income each predicted incident coronary heart disease after adjustment for age, sex, and individual-level education and income (hazard ratios were 1.25 and 1.23, respectively). The authors conclude that neighborhood socioeconomic environment predicts incident coronary heart disease, having a significant effect on coronary heart disease risk beyond the individual effect.
coronary disease; follow-up studies; incidence; regression analysis; residence characteristics; social class; social environment
Abbreviations: Abbreviations: CI, confidence interval; HR, hazard ratio; ICD, International Classification of Diseases; SAMS, small-area market statistics.
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  T. Augustin, T. A. Glass, B. D. James, and B. S. Schwartz Neighborhood Psychosocial Hazards and Cardiovascular Disease: The Baltimore Memory Study Am J Public Health, September 1, 2008; 98(9): 1664 - 1670. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 Y. Gerber, S. A. Weston, J. M. Killian, T. M. Therneau, S. J. Jacobsen, and V. L. Roger Neighborhood Income and Individual Education: Effect on Survival After Myocardial Infarction Mayo Clin. Proc., June 1, 2008; 83(6): 663 - 669. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 B Chaix, M Lindstrom, M Rosvall, and J Merlo Neighbourhood social interactions and risk of acute myocardial infarction J Epidemiol Community Health, January 1, 2008; 62(1): 62 - 68. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Riva, L. Gauvin, and T. A Barnett Toward the next generation of research into small area effects on health: a synthesis of multilevel investigations published since July 1998 J Epidemiol Community Health, October 1, 2007; 61(10): 853 - 861. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M Rosvall, G Engstrom, B Hedblad, L Janzon, and G Berglund Area social characteristics and carotid atherosclerosis Eur J Public Health, August 1, 2007; 17(4): 333 - 339. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. S. Mujahid, A. V. Diez Roux, J. D. Morenoff, and T. Raghunathan Assessing the Measurement Properties of Neighborhood Scales: From Psychometrics to Ecometrics Am. J. Epidemiol., April 15, 2007; 165(8): 858 - 867. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. Chaix, M. Rosvall, and J. Merlo Assessment of the magnitude of geographical variations and socioeconomic contextual effects on ischaemic heart disease mortality: a multilevel survival analysis of a large Swedish cohort J Epidemiol Community Health, April 1, 2007; 61(4): 349 - 355. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y. C. Cozier, J. R. Palmer, N. J. Horton, L. Fredman, L. A. Wise, and L. Rosenberg Relation Between Neighborhood Median Housing Value and Hypertension Risk Among Black Women in the United States Am J Public Health, April 1, 2007; 97(4): 718 - 724. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. V. D. Roux, K. R. Evenson, A. P. McGinn, D. G. Brown, L. Moore, S. Brines, and D. R. Jacobs Jr Availability of Recreational Resources and Physical Activity in Adults Am J Public Health, March 1, 2007; 97(3): 493 - 499. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. Chaix, M. Rosvall, and J. Merlo Recent Increase of Neighborhood Socioeconomic Effects on Ischemic Heart Disease Mortality: A Multilevel Survival Analysis of Two Large Swedish Cohorts Am. J. Epidemiol., January 1, 2007; 165(1): 22 - 26. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Lofors, V. Ramirez-Leon, and K. Sundquist Neighbourhood income and anxiety: a study based on random samples of the Swedish population Eur J Public Health, December 1, 2006; 16(6): 633 - 639. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Galea and J. Ahern Invited Commentary: Considerations about Specificity of Associations, Causal Pathways, and Heterogeneity in Multilevel Thinking Am. J. Epidemiol., June 15, 2006; 163(12): 1079 - 1082. [Full Text] [PDF]
|
|
|
|
 |
|
 C. Cubbin, K. Sundquist, H. Ahlen, S.-E. Johansson, M. A. Winkleby, and J. Sundquist Neighborhood deprivation and cardiovascular disease risk factors: Protective and harmful effects Scand J Public Health, May 1, 2006; 34(3): 228 - 237. [Abstract] [PDF]
|
|
|
|
|
|
S. Picciotto, F. Forastiere, M. Stafoggia, D. D'Ippoliti, C. Ancona, and C. A Perucci Associations of area based deprivation status and individual educational attainment with incidence, treatment, and prognosis of first coronary event in Rome, Italy J Epidemiol Community Health, January 1, 2006; 60(1): 37 - 43. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Cubbin and M. A. Winkleby Protective and Harmful Effects of Neighborhood-Level Deprivation on Individual-Level Health Knowledge, Behavior Changes, and Risk of Coronary Heart Disease Am. J. Epidemiol., September 15, 2005; 162(6): 559 - 568. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. M Finkelstein, M. Jerrett, and M. R Sears Environmental inequality and circulatory disease mortality gradients J Epidemiol Community Health, June 1, 2005; 59(6): 481 - 487. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. J. Benjamin, M. Jessup, J. M. Flack, H. M. Krumholz, K. Liu, V. M. Nadkarni, D. A. Rhoades, B. L. Rodriguez, R. P. Scott, M. P. Taylor, et al. Discovering the Full Spectrum of Cardiovascular Disease: Minority Health Summit 2003: Report of the Outcomes Writing Group Circulation, March 15, 2005; 111(10): e124 - e133. [Full Text] [PDF]
|
|