TY  - JOUR
AU  - Gaglioti, Anne H.
AU  - Xu, Junjun
AU  - Rollins, Latrice
AU  - Baltrus, Peter
AU  - O'Connell, Laura Kathryn
AU  - Cooper, Dexter L.
AU  - Hopkins, Jammie
AU  - Botchwey, Nisha D.
AU  - Akintobi, Tabia Henry
PY  - 2018
TI  - Neighborhood Environmental Health and Premature Death From Cardiovascular Disease
T2  - Preventing Chronic Disease
JO  - Prev Chronic Dis
SP  - E17
VL  - 15
CY  - Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA.
N2  - INTRODUCTION  Cardiovascular disease (CVD) is the leading cause of death in the United States and disproportionately affects racial/ethnic minority groups. Healthy neighborhood conditions are associated with increased uptake of health behaviors that reduce CVD risk, but minority neighborhoods often have poor food access and poor walkability. This study tested the community-driven hypothesis that poor access to food at the neighborhood level and poor neighborhood walkability are associated with racial disparities in premature deaths from CVD. METHODS  We examined the relationship between neighborhood-level food access and walkability on premature CVD mortality rates at the census tract level for the city of Atlanta using multivariable logistic regression models. We produced maps to illustrate premature CVD mortality, food access, and walkability by census tract for the city. RESULTS  We found significant racial differences in premature CVD mortality rates and geographic disparities in food access and walkability among census tracts in Atlanta. Improved food access and walkability were associated with reduced overall premature CVD mortality in unadjusted models, but this association did not persist in models adjusted for census tract population composition and poverty. Census tracts with high concentrations of minority populations had higher levels of poor food access, poor walkability, and premature CVD mortality. CONCLUSION  This study highlights disparities in premature CVD mortality and neighborhood food access and walkability at the census tract level in the city of Atlanta. Improving food access may have differential effects for subpopulations living in the same area. These results can be used to calibrate neighborhood-level interventions, and they highlight the need to examine race-specific health outcomes.
SN  - 1545-1151
UR  - https://doi.org/10.5888/pcd15.170220
DO  - 10.5888/pcd15.170220
ER  - 
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