The Association Between Neighborhood Social Vulnerability and Cardiovascular Health Risk Among Black/African American Women in the InterGEN Study.
Bridget Basile Ibrahim, Veronica Barcelona, Eileen M Condon and 2 others
PMID 34074961WHAT IT FOUND
Black/African American women in the most vulnerable neighborhoods were 3.29 times more likely to have elevated BP.
Poverty and unemployment were linked to higher diastolic BP; overall vulnerability was not linked to BMI.
Key findings
01Women living in the most vulnerable 10% of neighborhoods in the sample were 3.29 times more likely to have elevated BP than women in less vulnerable neighborhoods after adjustment.
02Census tracts with higher poverty and unemployment had significantly higher diastolic BP in adjusted models.
03Stress moderated some associations between neighborhood vulnerability and BP or BMI, but coping and depression did not.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The analysis was cross-sectional, so it cannot show that neighborhood vulnerability caused elevated BP or BMI. It used baseline home addresses only and did not measure how long women had lived there or how they perceived their neighborhood. Fourteen of 250 participants were excluded because addresses were missing or incomplete. The sample was drawn from one state and was mostly low-income, single-parent households, so results may not apply to other groups. Some associations were significant while overall neighborhood vulnerability was not associated with BMI, so the pattern is mixed.
Declared interests
The authors reported no conflicts of interest.
The easy way to misread this
Do not read the 3.29 odds ratio as proof that neighborhood vulnerability causes elevated BP. The analysis was cross-sectional and did not measure how long women had lived at the address.