Impact of Individual and Neighborhood Factors on Cardiovascular Risk in White Hispanic and Non‐Hispanic Women and Men
One source of CVD risk may be environmental context. Neighborhood‐level characteristics may be potential risk or protective factors. Low neighborhood socioeconomic status (NSES) has been associated with increased prevalence of CVD risks of obesity, diabetes, and smoking (Boykin et al., 2011; Salinas, Abdelbary, et al., 2012). Neighborhoods with high Hispanic concentration have also had higher prevalence of obesity (Do et al., 2007; Salinas, Rocha, Abdelbary, Gay, & Sexton, 2012). Findings are inconsistent, however. Kershaw, Osypuk, Do, Chavez, and Diez Roux (2015) studied neighborhood‐level ethnic concentration and found it was not was not associated with CVD risk among Hispanics.
The unexplained difference in estimated CVD risk versus cardiac mortality rates for Hispanics in the US impairs accurate assessment of CVD risk to plan appropriate treatment, medication, and behavioral interventions. The purpose of this study was to examine relationships among individual‐ and neighborhood‐level CVD risk factors, neighborhood‐level cardiac mortality rates, and individual‐level estimated CVD risk for White Hispanic and Non‐Hispanic White women and men in Miami‐Dade County, FL. Study aims were to: (a) identify differences in individual‐ and neighborhood‐level risk factors, cardiac mortality rates and estimated CVD risk across race/ethnicity and sex subgroups; (b) determine whether neighborhood‐level characteristics were associated with cardiac mortality rates and estimated CVD risk; and (c) determine whether selected individual‐ and neighborhood‐level characteristics predicted estimated CVD risk for White Hispanic and non‐Hispanic women and men.