Neighborhood-Level Stressors and Individual-Level Cardiovascular Disease Risk in Native Hawaiians: a Cross-Sectional Study

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Ing, Claire Townsend ; Ahn, Hyeong Jun ; Antonio, Mapuana C.K. ; Dillard, Adrienne Y. ; Kekauoha, Bridget Puni ; Cassel, Kevin ; Abrigo, Scott ; Kauhane, Michelle ; Halzel, Melody S. ; Keaweʻaimoku Kaholokula, Joseph
• Description:
  Introduction
  
  Native Hawaiian people have higher rates of illness and death related to cardiovascular disease (CVD) than non-Hispanic White people. Research in other populations has shown that individual-level CVD risk factors (ie, high-fat diet, physical inactivity, obesity, and tobacco use) are associated with neighborhood characteristics (ie, social cohesion, walkability, availability of healthy food, and safety). This association has yet to be examined among Native Hawaiians.
  
  Methods
  
  We conducted a cross-sectional survey of community-dwelling Native Hawaiian people in 2020. Three multiple regression models and 1 logistic regression model were assessed. Each model included individual-level CVD risk factors, age, sex, education, income, and neighborhood characteristics.
  
  Results
  
  The regression models for body mass index (BMI) and physical activity showed significant results. The BMI model (R2 = 0.22, F = 4.81, P < .001) demonstrated that age, sex, education level, physical activity, and percentage of fat in the diet were significantly related to BMI. The availability of healthy foods had a significant, independent relationship with BMI (standardized β = −1.47, SE = 0.53, P = .01). The physical activity model (R2 = 0.21, F = 4.46, P < .001) demonstrated that age, sex, education, and BMI were significantly related to physical activity. None of the neighborhood characteristics had significant, independent relationships to physical activity.
  
  Conclusions
  
  We found that neighborhood-level factors improved the model’s ability to explain variance in BMI. Efforts to decrease BMI would benefit from improving the availability of healthy foods in neighborhoods, a finding supported by research in other populations.
  
  
• Subjects:
  Cardiovascular Diseases Cross-Sectional Studies Humans Native Hawaiian Or Other Pacific Islander Obesity Residence Characteristics
• Source:
  Prev Chronic Dis. 2024; 21
• DOI:
  http://dx.doi.org/10.5888/pcd21.220341
• ISSN:
  1545-1151
• Pubmed ID:
  38359158
• Pubmed Central ID:
  PMC10870997
• Document Type:
  Journal Article
• Funding:
  K01 HL146930/HL/NHLBI NIH HHSUnited States/ ; R01 HL168858/HL/NHLBI NIH HHSUnited States/ ; U54 GM138062/GM/NIGMS NIH HHSUnited States/
• Volume:
  21
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:f31254883761de4216eb742fec11dcfb9c7952dd95161485ff9a8d9884f9b7c1f837f856f455af88042d74b4238855620041d03a8121f606a0b57a8162f65f36
• Download URL:
  https://stacks.cdc.gov/view/cdc/151981/cdc_151981_DS1.pdf
• File Type:
  [PDF - 585.92 KB ]