학술논문
Perceived neighborhood factors, health behaviors, and related outcomes in the Hispanic Community Health Study/Study of Latinos.
Document Type
Academic Journal
Author
Bayly JE; Division of Intramural Research, National Institute on Minority Health and Health Disparities, National Institutes of Health, Bethesda, MD, United States of America. Electronic address: jbayly@bidmc.harvard.edu.; Panigrahi A; Division of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD, United States of America. Electronic address: asmi.panigrahi@ucsf.edu.; Rodriquez EJ; Division of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD, United States of America. Electronic address: erik.rodriquez@nih.gov.; Gallo LC; Department of Psychology, San Diego State University, CA, United States of America. Electronic address: lgallo@mail.sdsu.edu.; Perreira KM; Department of Social Medicine, University of North Carolina School of Medicine, Chapel Hill, NC, United States of America. Electronic address: krista_perreira@med.unc.edu.; Talavera GA; Department of Psychology, San Diego State University, CA, United States of America. Electronic address: gtalavera@mail.sdsu.edu.; Estrella ML; Department of Epidemiology, Human Genetics & Environmental Sciences, School of Public Health, University of Texas Health Science Center at Houston, TX, United States of America. Electronic address: mayra.l.estrella@uth.tmc.edu.; Daviglus ML; Institute for Minority Health Research, University of Illinois at Chicago, IL, United States of America. Electronic address: daviglus@uic.edu.; Castaneda SF; Department of Psychology, San Diego State University, CA, United States of America. Electronic address: scastaneda@sdsu.edu.; Bainter SA; Department of Psychology, University of Miami, FL, United States of America. Electronic address: sbainter@miami.edu.; Chambers EC; Department of Family and Social Medicine, Albert Einstein College of Medicine, NY, United States of America. Electronic address: earle.chambers@einsteinmed.org.; Savin KL; Department of Social Medicine, University of North Carolina School of Medicine, Chapel Hill, NC, United States of America. Electronic address: ksavin@sdsu.edu.; Loop M; Department of Biostatistics, University of North Carolina School of Public Health, Chapel Hill, NC, United States of America. Electronic address: mloop@email.unc.edu.; Pérez-Stable EJ; Division of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD, United States of America; Office of the Director, National Institute on Minority Health and Health Disparities, National Institutes of Health, Bethesda, MD, United States of America. Electronic address: eliseo.perez-stable@nih.gov.
Source
Publisher: Academic Press Country of Publication: United States NLM ID: 0322116 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1096-0260 (Electronic) Linking ISSN: 00917435 NLM ISO Abbreviation: Prev Med Subsets: MEDLINE
Subject
Language
English
Abstract
Hispanic/Latino populations may experience significant neighborhood disadvantage, but limited research has explored whether these factors affect their health behaviors. Associations between perceived neighborhood factors at Visit 1 and health behaviors and related outcomes at Visit 2 in the Hispanic Community Health Study/Study of Latinos were evaluated. Multivariable logistic regression assessed cross-sectional and longitudinal relationships between perceived neighborhood social cohesion (NSC, 5 items), and neighborhood problems (NP, 7 items), with cancer screening, current smoking, excessive/binge drinking, hypertension, obesity, physical activity, and poor diet by gender and birthplace. NSC and NP scores were converted into quartiles. Mean age of participants was 42.5 years and 62.1% were women. Perceived NP, but not perceived NSC, differed by gender (p < 0.001). In unstratified models, no significant associations were observed between perceived NSC and any health behavior, whereas greater perceived NP was associated with less adherence to colon cancer screening (moderate level: aOR = 0.68, 95% CI = 0.51, 090) and more physical activity (very high level: aOR = 1.34, 95% CI = 1.06, 1.69) compared to low perceived NP. Women with moderate perceived NP, versus low NP, had a lower odds of colon cancer screening at Visit 1 (aOR = 0.62, 95% CI = 0.43, 0.91) and higher odds of mammogram adherence at Visit 2 (aOR = 2.86, 95% CI = 1.44, 5.68). Men with high perceived NP had a higher odds of excessive or binge drinking at Visit 2 (aOR = 1.99, 95% CI = 1.19, 3.31). We conclude that perceived NP were significantly related to health behaviors among HCHS/SOL individuals. Perceptions of neighborhood environment may be considered modifiable factors of structural neighborhood environment interventions.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Published by Elsevier Inc.)
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Published by Elsevier Inc.)