Associations of neighborhood area level deprivation with the metabolic syndrome and inflammation among middle- and older- age adults

BMC Public Health. 2014 Dec 23:14:1319. doi: 10.1186/1471-2458-14-1319.

Abstract

Background: The study examines the association of neighborhood socioeconomic deprivation and metabolic syndrome with inflammation.

Methods: The analysis included 19, 079 black and white participants from the REasons for Geographic And Racial Differences in Stroke Study who were age > 45 years at baseline. Logistic regression examined whether neighborhood deprivation was associated with increased odds of METS and CRP-MetS.

Results: Among black adults, residing in the most deprived neighborhoods was associated with increased odds of obesity (p < .01), lower HDL (p < .001), high blood pressure (p < .01), elevated fasting glucose (p < .001), inflammation (p < .01), and CRP-MetS (p < .001). Among white adults, neighborhood deprivation was associated with higher waist circumference (p < .001), lower HDL (p < .001), higher triglycerides (p < .01), higher glucose (p < .001), higher BMI (p < .0001), higher blood pressure (p = .01), METS (p < .001), inflammation (p < .01) and CRP-MetS (p < .001).

Conclusions: These findings highlight the role of neighborhood socioeconomic deprivation on METS and CRP-MetS for black and white adults. Interventions tailored to address the contextual effects of deprived neighborhoods may reduce the observed neighborhood disparities.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Aged
  • Black or African American / statistics & numerical data
  • Blood Glucose
  • C-Reactive Protein / immunology*
  • Cholesterol, HDL / blood
  • Dyslipidemias / blood
  • Dyslipidemias / epidemiology
  • Female
  • Humans
  • Hypertension / epidemiology
  • Inflammation / immunology
  • Logistic Models
  • Male
  • Metabolic Syndrome / blood
  • Metabolic Syndrome / epidemiology*
  • Metabolic Syndrome / immunology
  • Middle Aged
  • Obesity / blood
  • Obesity / epidemiology
  • Obesity / immunology
  • Residence Characteristics / statistics & numerical data*
  • Social Class*
  • Triglycerides / blood
  • Waist Circumference
  • White People / statistics & numerical data

Substances

  • Blood Glucose
  • Cholesterol, HDL
  • Triglycerides
  • C-Reactive Protein