干旱区生态环境知识资源中心(Arid): Relation of Living in a Food Desert to Recurrent Hospitalizations in Patients With Heart Failure

Arid

DOI	10.1016/j.amjcard.2018.10.004
	Relation of Living in a Food Desert to Recurrent Hospitalizations in Patients With Heart Failure
	Morris, Alanna A.1; McAllister, Paris 2; Grant, Aubrey 1; Geng, Siyi 3; Kelli, Heval M.1; Kalogeropoulos, Andreas 1; Quyyumi, Arshed 1; Butler, Javed 4
通讯作者	Morris, Alanna A.
来源期刊	AMERICAN JOURNAL OF CARDIOLOGY
ISSN	0002-9149
EISSN	1879-1913
出版年	2019
卷号	123 期号:2 页码:291-296
英文摘要	Food deserts (FD), low-income areas with low access to healthful foods, are associated with higher burden of cardiovascular risk factors. Few studies have examined the impact of FD on clinical outcomes in heart failure (HF). FD status was assessed in 457 HF patients (mean age 55.9 +/- 12.5 years; 50.3% Black) using the Food Desert Research Atlas. The Andersen-Gill extension of Cox model was used to examine the association of living in a ED with risk of repeat hospitalization (all-cause and HF-specific). Patients living in a FD were younger (p = 0.01), more likely to be Black (p < 0.0001), less educated (p = 0.003), and less likely to have commercial insurance (p = 0.003). During a median follow-up of 827 (506, 1,379) days, death occurred in 60 (13.1%) subjects, and hospitalizations occurred in 262 (57.3%) subjects. There was no difference in the risk of death based on ED status. The overall frequency of all-cause (94.1 vs 63.6 per 100 patient-years) and HF-specific (59.6 vs 30.5 per 100 patient-years) hospitalizations was higher in subjects who lived in a FD. After adjustment for covariates, living in a FD was associated with an increased risk of repeat all-cause (hazard ratio 1.39, 95% confidence interval 1.19 to 1.63; p = 0.03) and HF-specific (hazard ratio 1.30, 95% confidence interval 1.02 to 1.65; p = 0.03) hospitalizations. In conclusion, patients living in a FD have a higher risk of repeat all-cause and HF-specific hospitalization. (C) 2018 Elsevier Inc. All rights reserved.
类型	Article
语种	英语
国家	USA
开放获取类型	Green Accepted
收录类别	SCI-E ; SSCI
WOS记录号	WOS:000466263300014
WOS关键词	SOCIOECONOMIC-STATUS ; NEIGHBORHOOD ; INSECURITY ; MORTALITY ; RISK ; IMPACT
WOS类目	Cardiac & Cardiovascular Systems
WOS研究方向	Cardiovascular System & Cardiology
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/214122
作者单位	1.Emory Univ, Div Cardiol, Atlanta, GA 30322 USA; 2.Morehouse Sch Med, Dept Med, Atlanta, GA 30310 USA; 3.Emory Rollins Sch Publ Hlth, Atlanta, GA USA; 4.Univ Mississippi, Dept Med, Jackson, MS 39216 USA
推荐引用方式 GB/T 7714	Morris, Alanna A.,McAllister, Paris,Grant, Aubrey,et al. Relation of Living in a Food Desert to Recurrent Hospitalizations in Patients With Heart Failure[J],2019,123(2):291-296.
APA	Morris, Alanna A..,McAllister, Paris.,Grant, Aubrey.,Geng, Siyi.,Kelli, Heval M..,...&Butler, Javed.(2019).Relation of Living in a Food Desert to Recurrent Hospitalizations in Patients With Heart Failure.AMERICAN JOURNAL OF CARDIOLOGY,123(2),291-296.
MLA	Morris, Alanna A.,et al."Relation of Living in a Food Desert to Recurrent Hospitalizations in Patients With Heart Failure".AMERICAN JOURNAL OF CARDIOLOGY 123.2(2019):291-296.