ArticleAmerican journal of preventive medicine2018
Associations Between Neighborhood Environment, Health Behaviors, and Mortality.
Article in American journal of preventive medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.
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Who cites it
33 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The influence of socioeconomic status on the association between unhealthy lifestyle factors and adverse health outcomes: a systematic review.Wellcome open research · 2023Pooled it
- Systematic review of neighborhood socioeconomic indices studied across the cancer control continuum.Cancer medicine · 2022Pooled it
- Family and neighborhood environments in adolescence and subsequent mortality.The journals of gerontology. Series B, Psychological sciences and social sciences · 2026Article
- The Effect of Environmental Vulnerability on Family Caregiver Health.Oncology nursing forum · 2026Article
- Mapping the mortality niche of chronic lower respiratory diseases complicated by respiratory failure: a multiscale spatial analysis of environmental and social drivers.Frontiers in public health · 2026Article
- Article
- Historical redlining and mortality in children, adolescents, and young adults with cancer in California, 2000-2019.Journal of the National Cancer Institute · 2025Article
- Neighbourhood deprivation and cardiometabolic outcomes in the UK Biobank: differences by sex and ethnicity.Open heart · 2025Article
- The impact of neighborhood environment and social interaction on the health of Chinese residents: empirical analysis from CGSS 2021.Frontiers in public health · 2025Article
- Achieving clinically meaningful outcomes in digital health: a six-step, cyclical precision engagement framework (ENGAGE).Frontiers in digital health · 2025Article
- Neighborhood Stressors and Epigenetic Age Acceleration Among Older Americans.The journals of gerontology. Series B, Psychological sciences and social sciences · 2024Article
- Neighborhood Socioeconomic Disadvantage Across the Life Course and Premature Mortality.JAMA network open · 2024Article
- Article
- Area deprivation and premature cardiovascular mortality: a nationwide population-based study in South Korea.BMJ public health · 2024Article
- Influence of the Social Environment on Ideal Cardiovascular Health.Journal of the American Heart Association · 2023Article
- Neighborhood socioeconomic status and mortality in the nurses' health study (NHS) and the nurses' health study II (NHSII).Environmental epidemiology (Philadelphia, Pa.) · 2023Article
- Association of maternal education, neighborhood deprivation, and racial segregation with gestational age at birth by maternal race/ethnicity and United States Census region in the ECHO cohorts.Frontiers in public health · 2023Article
- Association of Retail Environment and Neighborhood Socioeconomic Status With Mortality Among Community-Dwelling Older Adults in the United States: Cardiovascular Health Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2022Article
- Sociocultural Factors, Access to Healthcare, and Lifestyle: Multifactorial Indicators in Association with Colorectal Cancer Risk.Cancer prevention research (Philadelphia, Pa.) · 2022Article
- Neighborhood deprivation and risk of mortality among men with prostate cancer: Findings from a long-term follow-up study.The Prostate · 2022Article
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Authors and funding
7 authors.
Funding
Abstract
introductionConsidering the joint association of neighborhood socioeconomic environment and individual-level health behaviors with health outcomes may help officials design effective disease prevention strategies. This study evaluates the joint influences of neighborhood socioeconomic environment and individual health behaviors on mortality in a cohort primarily comprising people with low individual-level SES.
methodsThe prospective Southern Community Cohort Study includes 77,896 white and African American participants recruited in the years 2002-2009; 55% of participants had a household income <$15,000 at baseline interview. Mortality from cancer (n=2,471), cardiovascular diseases (n=3,005), and all-causes (n=10,099) was identified from the National Death Index through December 31, 2013 (median follow-up, 8 years). Data were analyzed in 2016 and 2017. Associations were assessed between mortality, a neighborhood deprivation index composed of 11 census tract-level variables, five health behaviors, and a composite healthy lifestyle score.
resultsLiving in a neighborhood with the greatest socioeconomic disadvantage was associated with higher all-cause mortality in both men (hazard ratio=1.41, 95% CI=1.27, 1.57) and women (hazard ratio=1.77, 95% CI=1.57, 2.00). Associations were attenuated after adjustment for individual-level SES and major risk factors (hazard ratio for men=1.09, 95% CI=0.98, 1.22, and hazard ratio for women=1.26, 95% CI=1.12, 1.42). The dose-response association between neighborhood disadvantage and mortality was less apparent among smokers. Nevertheless, individuals who lived in disadvantaged neighborhoods and had the unhealthiest lifestyle scores experienced the highest mortality.
conclusionsDisadvantaged neighborhood socioeconomic environments are associated with increased mortality in a cohort of individuals of low SES. Positive individual-level health behaviors may help negate the adverse effect of disadvantage on mortality.
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