干旱区生态环境知识资源中心(Arid): Living in Food Deserts and Adverse Cardiovascular Outcomes in Patients With Cardiovascular Disease

Arid

DOI	10.1161/JAHA.118.010694
	Living in Food Deserts and Adverse Cardiovascular Outcomes in Patients With Cardiovascular Disease
	Kelli, Heval M.1; Kim, Jeong Hwan 1; Tahhan, Ayman Samman 1; Liu, Chang 1; Ko, Yi-An 2; Hammadah, Muhammad 1; Sullivan, Samaah 3; Sandesara, Pratik 1; Alkhoder, Ayman A.1; Choudhary, Fahad K.1; Gafeer, M. Mazen 1; Patel, Keyur 1; Qadir, Saqib 1; Lewis, Tene T.3; Vaccarino, Viola 1,3; Sperling, Laurence S.1; Quyyumi, Arshed A.1
通讯作者	Quyyumi, Arshed A.
来源期刊	JOURNAL OF THE AMERICAN HEART ASSOCIATION
EISSN	2047-9980
出版年	2019
卷号	8 期号:4
英文摘要	Background-Food deserts (FDs), defined as low-income communities with limited access to healthy food, are a growing public health concern. We evaluated the impact of living in FDs on incident cardiovascular events. Methods and Results-We recruited 4944 subjects (age 64 +/- 12, 64% male) undergoing cardiac catheterization into the Emory Cardiovascular Biobank. Using the US Department of Agriculture definition of FD, we determined whether their residential addresses had (1) poor access to healthy food, (2) low income, or (3) both (=FD). Subjects were prospectively followed for a median of 3.2 years for myocardial infarction (MI) and death. Fine and Gray's subdistribution hazard models for MI and Cox proportional hazard models for death/MI were used to examine the association between area characteristics (FD, poor access, and low income) and the rates of adverse events after adjusting for traditional risk factors. A total of 981 (20%) lived in FDs and had a higher adjusted risk of MI (subdistribution hazard ratio, 1.44 [95% CI, 1.06-1.95]) than those living in non-FDs. In a multivariate analysis including both food access and area income, only living in a low-income area was associated with a higher adjusted risk of MI (subdistribution hazard ratio, 1.40 [1.06-1.85]) and death/MI (hazard ratio, 1.18 [1.02-1.35]) while living in a poor-access area was not significantly associated with either (subdistribution hazard ratio, 1.05 [0.80-1.38] and hazard ratio, 0.99 [0.87-1.14], respectively). Conclusions-Living in an FD is associated with a higher risk of adverse cardiovascular events in those with coronary artery disease. Specifically, low area income of FDs, not poor access to food, was significantly associated with worse outcomes.
英文关键词	cardiovascular disease death environment food desert myocardial infarction socioeconomic position
类型	Article
语种	英语
国家	USA
开放获取类型	Green Published, gold, Green Submitted
收录类别	SCI-E ; SSCI
WOS记录号	WOS:000460144600014
WOS关键词	CORONARY-HEART-DISEASE ; NEIGHBORHOOD CHARACTERISTICS ; ATHEROSCLEROSIS RISK ; SOCIOECONOMIC-STATUS ; UNITED-STATES ; OBESITY ; HEALTH ; URBAN ; ENVIRONMENTS ; MORTALITY
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/2XILL650/217357
作者单位	1.Emory Univ, Sch Med, Dept Med, Div Cardiol, Atlanta, GA USA; 2.Emory Univ, Dept Biostat & Bioinformat, Rollins Sch Publ Hlth, Atlanta, GA 30322 USA; 3.Emory Univ, Dept Epidemiol, Rollins Sch Publ Hlth, Atlanta, GA 30322 USA
推荐引用方式 GB/T 7714	Kelli, Heval M.,Kim, Jeong Hwan,Tahhan, Ayman Samman,et al. Living in Food Deserts and Adverse Cardiovascular Outcomes in Patients With Cardiovascular Disease[J],2019,8(4).
APA	Kelli, Heval M..,Kim, Jeong Hwan.,Tahhan, Ayman Samman.,Liu, Chang.,Ko, Yi-An.,...&Quyyumi, Arshed A..(2019).Living in Food Deserts and Adverse Cardiovascular Outcomes in Patients With Cardiovascular Disease.JOURNAL OF THE AMERICAN HEART ASSOCIATION,8(4).
MLA	Kelli, Heval M.,et al."Living in Food Deserts and Adverse Cardiovascular Outcomes in Patients With Cardiovascular Disease".JOURNAL OF THE AMERICAN HEART ASSOCIATION 8.4(2019).