The relationship between urban sprawl and coronary heart disease in women
The relationship between urban sprawl and coronary heart disease in women
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DOI：
10.1016/j.healthplace.2012.11.003
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发表时间：
2013-03-01
期刊：
影响因子：
4.8
通讯作者：
Escarce, Jose J.
中科院分区：
文献类型：
--
作者：
Griffin, Beth Ann;Eibner, Christine;Escarce, Jose J.
研究报告了城市扩张、身体活动和肥胖之间的关系，但迄今为止，还没有研究考虑到城市扩张与冠心病终点之间的关系。在本分析中，我们使用来自妇女健康倡议（WHI）临床试验的绝经后妇女的纵向数据来分析大都市统计区（MSA）水平的城市紧凑性（与扩张相反）与冠心病终点（包括死亡、任何冠心病事件和心肌梗死）之间的关系。模型控制个人和社区的社会人口特征。基线时居住在更紧凑社区的妇女在研究随访期间发生冠心病事件和冠心病死亡或心肌梗死的概率较低。紧凑性的一个组成部分，高居住密度，对结果有特别显著的影响。最后，探索性分析表明，紧凑性的影响受到种族和地区的调节。(C) 2012 Elsevier Ltd.版权所有。
Studies have reported relationships between urban sprawl, physical activity, and obesity, but - to date - no studies have considered the relationship between sprawl and coronary heart disease (CHD) endpoints. In this analysis, we use longitudinal data on post-menopausal women from the Women's Health Initiative (WHI) Clinical Trial to analyze the relationship between metropolitan statistical area (MSA)-level urban compactness (the opposite of sprawl) and CHD endpoints including death, any CHD event, and myocardial infarction. Models control for individual and neighborhood socio-demographic characteristics. Women who lived in more compact communities at baseline had a lower probability of experiencing a CHD event and CHD death or MI during the study follow-up period. One component of compactness, high residential density, had a particularly noteworthy effect on outcomes. Finally, exploratory analyses showed evidence that the effects of compactness were moderated by race and region. (C) 2012 Elsevier Ltd. All rights reserved.