BACKGROUND: It has been hypothesised that the presence of health-damaging factors and lack of health-promoting factors lie in the causal pathway between neighbourhood deprivation and coronary heart disease (CHD). This study is the first to examine the associations between individual-level CHD risk and neighbourhood availability of fast-food restaurants, bars/pubs, physical activity facilities and healthcare resources. METHODS: Multilevel logistic regression models were used for the follow-up of 1 065 000 men and 1 100 000 women (aged 35-80 years) between 1 December 2005 and 31 December 2007, for individual-level CHD events (both morbidity and mortality). RESULTS: The relatively weak associations between neighbourhood availability of potentially health-damaging and health-promoting goods, services and resources, and CHD incidence no longer remained significant after adjustment for neighbourhood-level deprivation and individual-level age and income. CONCLUSIONS: The presence of potentially health-damaging factors and lack of potentially health-promoting factors do not seem to contribute significantly to the development of CHD. Other features of deprived neighbourhoods appear to play a greater role.
BACKGROUND: It has been hypothesised that the presence of health-damaging factors and lack of health-promoting factors lie in the causal pathway between neighbourhood deprivation and coronary heart disease (CHD). This study is the first to examine the associations between individual-level CHD risk and neighbourhood availability of fast-food restaurants, bars/pubs, physical activity facilities and healthcare resources. METHODS: Multilevel logistic regression models were used for the follow-up of 1 065 000 men and 1 100 000 women (aged 35-80 years) between 1 December 2005 and 31 December 2007, for individual-level CHD events (both morbidity and mortality). RESULTS: The relatively weak associations between neighbourhood availability of potentially health-damaging and health-promoting goods, services and resources, and CHD incidence no longer remained significant after adjustment for neighbourhood-level deprivation and individual-level age and income. CONCLUSIONS: The presence of potentially health-damaging factors and lack of potentially health-promoting factors do not seem to contribute significantly to the development of CHD. Other features of deprived neighbourhoods appear to play a greater role.
Authors: Axel C Carlsson; Xinjun Li; Martin J Holzmann; Per Wändell; Danijela Gasevic; Jan Sundquist; Kristina Sundquist Journal: Heart Date: 2016-02-10 Impact factor: 5.994
Authors: Yi Wang; Gregory A Wellenius; DeMarc A Hickson; Annie Gjelsvik; Charles B Eaton; Sharon B Wyatt Journal: Am J Epidemiol Date: 2016-11-15 Impact factor: 4.897
Authors: Marc Marí-Dell'olmo; Mercè Gotsens; Carme Borrell; Miguel A Martinez-Beneito; Laia Palència; Glòria Pérez; Lluís Cirera; Antonio Daponte; Felicitas Domínguez-Berjón; Santiago Esnaola; Ana Gandarillas; Pedro Lorenzo; Carmen Martos; Andreu Nolasco; Maica Rodríguez-Sanz Journal: J Urban Health Date: 2014-02 Impact factor: 3.671