Evaluating options for measurement of neighborhood socioeconomic context: evidence from a myocardial infarction case-control study.

Full Abstract

We hypothesized that neighborhood socioeconomic context would be most strongly associated with risk of myocardial infarction (MI) for smaller "neighborhood" definitions. We used data on 487 non-fatal, incident MI cases and 1873 controls from a case-control study in Washington State. Census data on income, home ownership, and education were used to estimate socioeconomic context across four neighborhood definitions:
1 km buffer, block group, census tract, and ZIP code. No neighborhood definition led to consistently stronger associations with MI. Although we confirmed the association between neighborhood socioeconomic measures and risk of MI, we did not find these associations sensitive to neighborhood definition.

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Author information

Author/s: Lovasi, Gina S (GS); Moudon, Anne Vernez (AV); Smith, Nicholas L (NL); Lumley, Thomas (T); Larson, Eric B (EB); Sohn, Dong W (DW); Siscovick, David S (DS); Psaty, Bruce M (BM);

Affiliation: Institute of Social and Economic Research and Policy, Columbia University, 820 IAB, MC 3355, 420 W 118th Street, New York, NY 10027, USA. gl2225(-atsign-)columbia.edu

Grants: R01-AG09556 (Agency:United States NIA) ; R01-HL043201 (Agency:United States NHLBI) ; R01-HL068639 (Agency:United States NHLBI) ; T32-HL07902 (Agency:United States NHLBI)

Journal and publication information

Publication Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't

Journal: Health & place (Health Place), published in England. (Language: eng)

Reference: 2008-Sep; vol 14 (issue 3) : pp 453-67

Dates: Created 2008/04/03; Completed 2008/06/25;

PMID: 17950024, status: MEDLINE (last retrieval date: 11/6/2008)

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Middle Aged
Myocardial Infarction - epidemiology; etiology
Residence Characteristics - classification; statistics & numerical data
Social Class
Washington - epidemiology

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