Food Access and Cardiovascular Outcomes in Metropolitan Atlanta Census Tracts With Residents at Low Risk and High Risk of Cardiovascular Disease: The Morehouse-Emory Cardiovascular Center for Health Equity Study.
Food Access and Cardiovascular Outcomes in Metropolitan Atlanta Census Tracts With Residents at Low Risk and High Risk of Cardiovascular Disease: The Morehouse-Emory Cardiovascular Center for Health Equity Study.
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DOI：
10.5888/pcd18.200316
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发表时间：
2021-05-06
影响因子：
5.5
通讯作者：
Baltrus P
中科院分区：
文献类型：
--
作者：
Cohen S;Yan F;Taylor H;Sims M;Li C;Quyyumi AA;Mubasher M;Lewis TT;Baltrus P
在城市地区，特别是黑人中，人们对健康食品的感知和实际获得可能有所不同。我们评估了客观和感知的邻里食物获取对生活在格鲁吉亚亚特兰大市高风险和低风险地区的黑人自我报告的心血管疾病（CVD）的影响。我们假设，感知和客观的食物获取将独立预测自我报告的心血管疾病。我们使用了Morehouse-Emory心血管（MECA）健康公平研究中心的调查数据。研究参与者包括1，402名年龄在35岁至64岁之间的黑人成年人，他们居住在亚特兰大城市人口普查区，心血管疾病发病率高或低。我们通过自我报告的选择和产品质量以及低脂食品选择来评估社区健康食品的获得。我们通过2015年美国农业部食品获取研究地图集评估了客观的食品获取。低准入被定义为人口普查区，至少有500人居住在距离大型食品零售商1英里以上的地方。自我报告的CVD包括相关疾病和/或手术。我们使用多水平logistic模型调整人口统计学特征，以检查客观和感知的食物获取和自我报告的CVD之间的关联。总体而言，自我报告的CVD对于感知（比值比= 0.87; 95%CI，0.59-1.29）或客观（比值比= 0.74; 95%CI，0.48-1.12）健康食品获取并不显著。在生活在CVD发病率高于预期的地区的成年人中也获得了类似的结果。这项研究的结果表明，自我报告的心血管事件的几率并没有受到感知或客观获得健康食品的显著影响。
Perceived and actual access to healthy foods may differ in urban areas, particularly among Black people. We assessed the effect of objective and perceived neighborhood food access on self-reported cardiovascular disease (CVD) among Black people living in areas of high risk and low risk for the disease in Atlanta, Georgia. We hypothesized that perceived and objective food access would independently predict self-reported CVD. We used survey data from the Morehouse–Emory Cardiovascular (MECA) Center for Health Equity Study. Study participants consisted of 1,402 Black adults, aged 35 to 64, residing in urban Atlanta census tracts with high rates or low rates of CVD. We assessed perceived neighborhood healthy food access by self-reported selection and quality of produce and low-fat food options. We assessed objective food access by the 2015 US Department of Agriculture Food Access Research Atlas. Low access was defined as census tracts with at least 500 people living more than 1 mile from a large food retailer. Self-reported CVD included related conditions and/or procedures. We used multilevel logistic models adjusted for demographic characteristics to examine the association between objective and perceived food access and self-reported CVD. Overall, self-reported CVD was not significant for perceived (odds ratio = 0.87; 95% CI, 0.59–1.29) or objective (odds ratio = 0.74; 95% CI, 0.48–1.12) healthy food access. Similar results were obtained among adults living in areas with higher-than-expected rates of CVD. Results of this study suggest the odds for self-reported CVD events were not significantly affected by perceived or objective access to healthy foods.
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DOI：
10.1161/circoutcomes.113.000698
发表时间：
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影响因子：
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