Residential Mobility and Chronic Disease Among World Trade Center Health Registry Enrollees, 2004–2016

Details

• Personal Author:
  Crossa A ; Jacobson M ; Lim S ; Liu SY ; Locke S ; Poirot E ; Stein C
• Description:
  Residential mobility is hypothesized to impact health through changes to the built environment and disruptions in social networks, and may vary by neighborhood deprivation exposure. However, there are few longitudinal investigations of residential mobility in relation to health outcomes. This study examined enrollees from the World Trade Center Health Registry, a longitudinal cohort of first responders and community members in lower Manhattan on September 11, 2001. Enrollees who completed >/=2 health surveys between 2004 and 2016 and did not have diabetes (N = 44,089) or hypertension (N = 35,065) at baseline (i.e., 2004) were included. Using geocoded annual home addresses, residential mobility was examined using two indicators: moving frequency and displacement. Moving frequency was defined as the number of times someone was recorded as living in a different neighborhood; displacement as any moving to a more disadvantaged neighborhood. We fit adjusted Cox proportional hazards models with time-dependent exposures (moving frequency and displacement) and covariates to evaluate associations with incident diabetes and hypertension. From 2004 to 2016, the majority of enrollees never moved (54.5%); 6.5% moved >/=3 times. Those who moved >/=3 times had a similar hazard of diabetes (hazard ratio (HR) = 0.78; 95% Confidence Interval (CI): 0.40, 1.53) and hypertension (HR = 0.99; 95% CI: 0.68, 1.43) compared with those who never moved. Similarly, displacement was not associated with diabetes or hypertension. Residential mobility was not associated with diabetes or hypertension among a cohort of primarily urban-dwelling adults. [Description provided by NIOSH]
• Subjects:
  Blood Cardiovascular Diseases Cardiovascular System Chronic Disease Cohort Studies Hematologic Diseases Occupational Health Safety September 11 Terrorist Attacks
• Keywords:
  Author Keywords: Residential Mobility Blood Sugar Disorders Built Environment Chronic Disease Chronic Diseases Cohort Studies Displacement Gentrification Hypertension Longitudinal Study Sociological Factors World Trade Center WTC

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• ISSN:
  1353-8292
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  New York ; OSHA Region 2
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  61
• NIOSHTIC Number:
  nn:20061636
• Citation:
  Health Place 2020 Jan; 61:102270
• Contact Point Address:
  Melanie Jacobson, Division of Environmental Pediatrics, Department of Pediatrics, NYU School of Medicine, USA
• Email:
  melanie.jacobson2@nyulangone.org
• Federal Fiscal Year:
  2020
• Performing Organization:
  New York City Health/Mental Hygiene
• Peer Reviewed:
  True
• Start Date:
  20090430
• Source Full Name:
  Health and Place
• End Date:
  20260630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:9ca65f8b5c0cf7b8829ffa460e202d071dab7b3f8de073c882e3df390687da5d3e03db9e34f03fe48be52eac026acc7d90750c023c243994bb90aa19d21d91d4
• Download URL:
  https://stacks.cdc.gov/view/cdc/225100/cdc_225100_DS1.pdf
• File Type:
  [PDF - 823.85 KB ]