Associations of neighborhood area level deprivation with the metabolic syndrome and inflammation among middle- and older- age adults

作者：Keita Akilah Dulin^*; Judd Suzanne E; Howard Virginia J; Carson April P; Ard Jamy D; Fernandez Jose R

来源：BMC Public Health, 2014, 14(1): 1319.

DOI：10.1186/1471-2458-14-1319

• Neighborhoods
• Socioeconomic factors
• Metabolic syndrome
• Cardiovascular disease

Background: The study examines the association of neighborhood socioeconomic deprivation and metabolic syndrome with inflammation. %26lt;br%26gt;Methods: The analysis included 19, 079 black and white participants from the REasons for Geographic And Racial Differences in Stroke Study who were age %26gt; 45 years at baseline. Logistic regression examined whether neighborhood deprivation was associated with increased odds of METS and CRP-MetS. %26lt;br%26gt;Results: Among black adults, residing in the most deprived neighborhoods was associated with increased odds of obesity (p %26lt; .01), lower HDL (p %26lt; .001), high blood pressure (p %26lt; .01), elevated fasting glucose (p %26lt; .001), inflammation (p %26lt; .01), and CRP-MetS (p %26lt; .001). Among white adults, neighborhood deprivation was associated with higher waist circumference (p %26lt; .001), lower HDL (p %26lt; .001), higher triglycerides (p %26lt; .01), higher glucose (p %26lt; .001), higher BMI (p %26lt; .0001), higher blood pressure (p = .01), METS (p %26lt; .001), inflammation (p %26lt; .01) and CRP-MetS (p %26lt; .001). %26lt;br%26gt;Conclusions: These findings highlight the role of neighborhood socioeconomic deprivation on METS and CRP-MetS for black and white adults. Interventions tailored to address the contextual effects of deprived neighborhoods may reduce the observed neighborhood disparities.

• 出版日期2014-12-23