Evaluating options for measurement of neighborhood socioeconomic context: Evidence from a myocardial infarction case-control study

Gina S. Lovasi, Anne Vernez Moudon, Nicholas L. Smith, Thomas Lumley, Eric B. Larson, Dong W. Sohn, David S. Siscovick, Bruce M. Psaty

Research output: Contribution to journalArticlepeer-review

32 Citations (Scopus)

Abstract

We hypothesized that neighborhood socioeconomic context would be most strongly associated with risk of myocardial infarction (MI) for smaller "neighborhood" definitions. We used data on 487 non-fatal, incident MI cases and 1873 controls from a case-control study in Washington State. Census data on income, home ownership, and education were used to estimate socioeconomic context across four neighborhood definitions: 1 km buffer, block group, census tract, and ZIP code. No neighborhood definition led to consistently stronger associations with MI. Although we confirmed the association between neighborhood socioeconomic measures and risk of MI, we did not find these associations sensitive to neighborhood definition.

Original languageEnglish
Pages (from-to)453-467
Number of pages15
JournalHealth and Place
Volume14
Issue number3
DOIs
Publication statusPublished - 2008 Sep

Bibliographical note

Funding Information:
This research was supported by a University of Washington Royalty Research Fund Award, and by Grants R01-HL043201, R01-HL068639, and T32-HL07902 from the National Heart, Lung, and Blood Institute, and Grant R01-AG09556 from the National Institute on Aging. GSL, a Health and Society Scholar at Columbia University, thanks the Robert Wood Johnson Foundation's Health & Society Scholars Program for its financial support.

All Science Journal Classification (ASJC) codes

  • Health(social science)
  • Sociology and Political Science
  • Life-span and Life-course Studies

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