The association of neighborhood socioeconomic characteristics with cardiovascular health: A quasi-experimental study of refugees to Denmark
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The association of neighborhood socioeconomic characteristics with cardiovascular health : A quasi-experimental study of refugees to Denmark. / Jensen, Natasja Koitzsch; Frøslev, Trine; Foverskov, Else; Glymour, Maria; Sørensen, Henrik Toft; Hamad, Rita.
In: Health and Place, Vol. 84, 103128, 2023.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - The association of neighborhood socioeconomic characteristics with cardiovascular health
T2 - A quasi-experimental study of refugees to Denmark
AU - Jensen, Natasja Koitzsch
AU - Frøslev, Trine
AU - Foverskov, Else
AU - Glymour, Maria
AU - Sørensen, Henrik Toft
AU - Hamad, Rita
N1 - Publisher Copyright: © 2023 The Authors
PY - 2023
Y1 - 2023
N2 - Neighborhood socioeconomic disadvantage is associated with cardiovascular health, although it is unclear which specific aspects of neighborhoods matter most. We leveraged a natural experiment in which refugees to Denmark were quasi-randomly assigned to neighborhoods across the country during 1986–1998, creating variation in exposure to various aspects of neighborhood disadvantage. The cohort was followed through December 2018. Exposures included neighborhood-level family income, educational attainment, unemployment, and welfare transfers measured in the first neighborhood after arrival to Denmark. Outcomes included cardiovascular risk factors (hyperlipidemia, hypertension, diabetes and anxiety/depression) and cardiovascular disease (acute myocardial infarction and ischemic heart disease). Neighborhood-level income and education were most consistently associated with cardiovascular risk factors, whereas welfare transfers were most consistently associated with cardiovascular disease. Addressing these specific aspects of neighborhood disadvantage could therefore lower the risk of poor cardiovascular health among refugees. Future research is warranted to examine if results are generalizable to other immigrant groups, countries or time periods.
AB - Neighborhood socioeconomic disadvantage is associated with cardiovascular health, although it is unclear which specific aspects of neighborhoods matter most. We leveraged a natural experiment in which refugees to Denmark were quasi-randomly assigned to neighborhoods across the country during 1986–1998, creating variation in exposure to various aspects of neighborhood disadvantage. The cohort was followed through December 2018. Exposures included neighborhood-level family income, educational attainment, unemployment, and welfare transfers measured in the first neighborhood after arrival to Denmark. Outcomes included cardiovascular risk factors (hyperlipidemia, hypertension, diabetes and anxiety/depression) and cardiovascular disease (acute myocardial infarction and ischemic heart disease). Neighborhood-level income and education were most consistently associated with cardiovascular risk factors, whereas welfare transfers were most consistently associated with cardiovascular disease. Addressing these specific aspects of neighborhood disadvantage could therefore lower the risk of poor cardiovascular health among refugees. Future research is warranted to examine if results are generalizable to other immigrant groups, countries or time periods.
KW - Cardiovascular disease
KW - Cardiovascular risk factors
KW - Neighborhood disadvantage
KW - Policy evaluation
KW - Quasi-experiment
KW - Refugees
U2 - 10.1016/j.healthplace.2023.103128
DO - 10.1016/j.healthplace.2023.103128
M3 - Journal article
C2 - 37844523
AN - SCOPUS:85173802222
VL - 84
JO - Health and Place
JF - Health and Place
SN - 1353-8292
M1 - 103128
ER -
ID: 374519926