Neighborhood Context and Youth Cardiovascular Health Behaviors
Rebecca E. Lee, PhD and
Catherine Cubbin, PhD
At the time of the study, Rebecca E. Lee was with the Stanford Center for Research in Disease Prevention, Stanford University School of Medicine, Palo Alto, Calif. Catherine Cubbin is with the Stanford Center for Research in Disease Prevention, Stanford University School of Medicine, and the Department of Family and Community Medicine, University of California, San Francisco.
Correspondence: Requests for reprints should be sent to Rebecca E. Lee, PhD, Department of Preventive Medicine, University of Kansas School of Medicine, 3901 Rainbow Blvd, Kansas City, KS 66160 (e-mail: relee{at}kumc.edu).
Objectives. This study sought to determine the relationshipsbetween race/ethnicity, socioeconomic status (SES), and cardiovascularhealth behaviors among youths and whether neighborhood characteristicsare associated with such behaviors independently of individualcharacteristics.
Methods. Linear models determined the effects of individualand neighborhood characteristics (SES, social disorganization,racial/ethnic minority concentration, urbanization) on dietaryhabits, physical activity, and smoking among 8165 youths aged12 to 21 years.
Results. Low SES was associated with poorer dietary habits,less physical activity, and higher odds of smoking. After adjustmentfor SES, Black race was associated with poorer dietary habitsand lower odds of smoking. Hispanic ethnicity was associatedwith healthier dietary habits, lower levels of physical activity,and lower odds of smoking than non-Hispanic ethnicity. Low neighborhoodSES and high neighborhood social disorganization were independentlyassociated with poorer dietary habits, while high neighborhoodHispanic concentration and urbanicity were associated with healthierdietary habits. Neighborhood characteristics were not associatedwith physical activity or smoking.
Conclusions. Changes in neighborhood social structures and policiesthat reduce social inequalities may enhance cardiovascular healthbehaviors. (Am J Public Health. 2002;92:428436)
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