| Titre : | Health-promoting and health-damaging neighbourhood resources and coronary heart disease : a follow-up study of 2 165 000 people. (2011) |
| Auteurs : | KAWAKAMI (Naomi) : SWE. Center for Family and Community Medicine. Karolinska Institutet. Stockholm. ; Kristina SUNDQUIST ; . XINJUN LI |
| Type de document : | Article |
| Dans : | Journal of epidemiology and community health (vol. 65, n° 10, 2011) |
| Pagination : | 866-872 |
| Langues: | Anglais |
| Mots-clés : | Cardiopathie coronaire ; Milieu social |
| Résumé : | [BDSP. Notice produite par INIST-CNRS oGR0xHAq. Diffusion soumise à autorisation]. Background It has been hypothesised that the presence of health-damaging factors and lack of health-promoting factors lie in the causal pathway between neighbourhood deprivation and coronary heart disease (CHD). This study is the first to examine the associations between individual-level CHD risk and neighbourhood availability of fast-food restaurants, bars/pubs, physical activity facilities and healthcare resources. Methods Multilevel logistic regression models were used for the follow-up of 1 065 000 men and 1 100 000 women (aged 35-80 years) between 1 December 2005 and 31 December 2007, for individual-level CHD events (both morbidity and mortality). Results The relatively weak associations between neighbourhood availability of potentially health-damaging and health-promoting goods, services and resources, and CHD incidence no longer remained significant after adjustment for neighbourhood-level deprivation and individual-level age and income. Conclusions The presence of potentially health-damaging factors and lack of potentially health-promoting factors do not seem to contribute significantly to the development of CHD. Other features of deprived neighbourhoods appear to play a greater role. |
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