干旱区生态环境知识资源中心(Arid): Mixed Effects of Neighborhood Revitalization on Residents' Cardiometabolic Health

Arid

DOI	10.1016/j.amepre.2021.04.023
	Mixed Effects of Neighborhood Revitalization on Residents' Cardiometabolic Health
	Troxel, Wendy M.; Bogart, Andy; Holliday, Stephanie Brooks; Dubowitz, Tamara; Ghosh-Dastidar, Bonnie; Baird, Matthew D.; Gary-Webb, Tiffany L.
通讯作者	Troxel, WM (corresponding author)，RAND Corp, Behav & Policy Sci Div, 4570 Fifth Ave,Suite 600, Pittsburgh, PA 15213 USA.
来源期刊	AMERICAN JOURNAL OF PREVENTIVE MEDICINE
ISSN	0749-3797
EISSN	1873-2607
出版年	2021
卷号	61 期号:5
英文摘要	Introduction: Despite the growing recognition of the importance of neighborhood conditions for cardiometabolic health, causal relationships have been difficult to establish owing to a reliance on cross-sectional designs and selection bias. This is the first natural experiment to examine the impact of neighborhood revitalization on cardiometabolic outcomes in residents from 2 predominantly African American neighborhoods, one of which has experienced significant revitalization (intervention), whereas the other has not (comparison). Methods: The sample included 532 adults (95% African American, 80% female, mean age=58.9 years) from 2 sociodemographically similar, low-income neighborhoods in Pittsburgh, PA, with preintervention and postintervention measures (2016 and 2018) of BMI, diastolic and systolic blood pressure, HbA1c, and high-density lipoprotein cholesterol and covariates. Data were collected in 2016 and 2018 and analyzed in 2020. Results: Difference-in-difference analyses showed significant improvement in high-density lipoprotein cholesterol in intervention residents relative to that in the comparison neighborhood (b=3.88, 95% CI=0.47, 7.29). There was also a significant difference-in-difference estimate in diastolic blood pressure (b=3.00, 95% CI=0.57, 5.43), with residents of the intervention neighborhood showing a greater increase in diastolic blood pressure than those in the comparison neighborhood. No statistically significant differences were found for other outcomes. Conclusions: Investing in disadvantaged neighborhoods has been suggested as a strategy to reduce health disparities. Using a natural experiment, findings suggest that improving neighborhood conditions may have a mixed impact on certain aspects of cardiometabolic health. Findings underscore the importance of examining the upstream causes of health disparities using rigorous designs and longer follow-up periods that provide more powerful tests of causality. (C) 2021 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.
类型	Article
语种	英语
收录类别	SCI-E ; SSCI
WOS记录号	WOS:000746438400008
WOS关键词	BODY-MASS INDEX ; FOOD DESERT ; BUILT ENVIRONMENT ; RISK-FACTORS ; PHYSICAL-ACTIVITY ; DISPARITIES ; OBESITY ; WALKABILITY ; PERCEPTIONS ; SUPERMARKET
WOS类目	Public, Environmental & Occupational Health ; Medicine, General & Internal
WOS研究方向	Public, Environmental & Occupational Health ; General & Internal Medicine
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/375890
作者单位	[Troxel, Wendy M.; Dubowitz, Tamara] RAND Corp, Behav & Policy Sci Div, 4570 Fifth Ave,Suite 600, Pittsburgh, PA 15213 USA; [Bogart, Andy; Ghosh-Dastidar, Bonnie] RAND Corp, Econ Sociol & Stat Div, Santa Monica, CA USA; [Holliday, Stephanie Brooks] RAND Corp, Behav & Policy Sci Div, Santa Monica, CA USA; [Baird, Matthew D.] RAND Corp, Econ Sociol & Stat Div, Pittsburgh, PA 15213 USA; [Gary-Webb, Tiffany L.] Univ Pittsburgh, Grad Sch Publ Hlth, Pittsburgh, PA USA
推荐引用方式 GB/T 7714	Troxel, Wendy M.,Bogart, Andy,Holliday, Stephanie Brooks,et al. Mixed Effects of Neighborhood Revitalization on Residents' Cardiometabolic Health[J],2021,61(5).
APA	Troxel, Wendy M..,Bogart, Andy.,Holliday, Stephanie Brooks.,Dubowitz, Tamara.,Ghosh-Dastidar, Bonnie.,...&Gary-Webb, Tiffany L..(2021).Mixed Effects of Neighborhood Revitalization on Residents' Cardiometabolic Health.AMERICAN JOURNAL OF PREVENTIVE MEDICINE,61(5).
MLA	Troxel, Wendy M.,et al."Mixed Effects of Neighborhood Revitalization on Residents' Cardiometabolic Health".AMERICAN JOURNAL OF PREVENTIVE MEDICINE 61.5(2021).