Neighborhood conditions and risk of incident lower-body functional limitations among middle-aged African Americans

Mario Schootman, Elena Andresen, Fredric D. Wolinsky, Theodore K. Malmstrom, J. Philip Miller, Douglas K. Miller

Research output: Contribution to journalArticle

58 Citations (Scopus)

Abstract

The authors investigated the association between observed neighborhood conditions and lower-body functional limitations (LBFLs) using data from 563 subjects of the African-American Health Study. This population-based cohort received in-home evaluations. Five items involving LBFL were obtained at baseline (2000-2001) and 3 years later. Subjects were considered to have LBFL if they reported difficulty on at least two of the five tasks. The external appearance of the block the respondent lived on was rated during sample enumeration by use of five items (rated excellent, good, fair, or poor). Of 563 subjects with 0-1 LBFL at baseline, 15% and 14% lived in neighborhoods with 4-5 and 2-3 fair/poor conditions, respectively. Logistic regression adjusting for propensity scores showed that persons who lived in neighborhoods with 4-5 versus 0-1 fair/poor condition were 3.07 times (95% confidence interval: 1.58, 5.94) more likely to develop two or more LBFLs. The odds ratio was 2.24 (95% confidence interval: 1.07, 4.70) when living in neighborhoods with 2-3 conditions versus 0-1 fair/poor condition. Odds ratios for individual neighborhood characteristics varied from 3.45 (fair/poor street conditions) to 2.01 (fair/poor noise level). Sensitivity analyses showed the robustness of the findings. Poor neighborhood conditions appear to be an independent contributor to the risk of incident LBFLs in middle-aged African Americans.

Original languageEnglish (US)
Pages (from-to)450-458
Number of pages9
JournalAmerican Journal of Epidemiology
Volume163
Issue number5
DOIs
StatePublished - Mar 2006
Externally publishedYes

Fingerprint

African Americans
Odds Ratio
Confidence Intervals
Propensity Score
Noise
Logistic Models
Health
Population

Keywords

  • African Americans
  • Aging
  • Health status indicators
  • Questionnaires
  • Residence characteristics
  • Social environment

ASJC Scopus subject areas

  • Epidemiology

Cite this

Neighborhood conditions and risk of incident lower-body functional limitations among middle-aged African Americans. / Schootman, Mario; Andresen, Elena; Wolinsky, Fredric D.; Malmstrom, Theodore K.; Miller, J. Philip; Miller, Douglas K.

In: American Journal of Epidemiology, Vol. 163, No. 5, 03.2006, p. 450-458.

Research output: Contribution to journalArticle

Schootman, Mario ; Andresen, Elena ; Wolinsky, Fredric D. ; Malmstrom, Theodore K. ; Miller, J. Philip ; Miller, Douglas K. / Neighborhood conditions and risk of incident lower-body functional limitations among middle-aged African Americans. In: American Journal of Epidemiology. 2006 ; Vol. 163, No. 5. pp. 450-458.
@article{d28ccb7bab3f4ab49a7baf31360aaec9,
title = "Neighborhood conditions and risk of incident lower-body functional limitations among middle-aged African Americans",
abstract = "The authors investigated the association between observed neighborhood conditions and lower-body functional limitations (LBFLs) using data from 563 subjects of the African-American Health Study. This population-based cohort received in-home evaluations. Five items involving LBFL were obtained at baseline (2000-2001) and 3 years later. Subjects were considered to have LBFL if they reported difficulty on at least two of the five tasks. The external appearance of the block the respondent lived on was rated during sample enumeration by use of five items (rated excellent, good, fair, or poor). Of 563 subjects with 0-1 LBFL at baseline, 15{\%} and 14{\%} lived in neighborhoods with 4-5 and 2-3 fair/poor conditions, respectively. Logistic regression adjusting for propensity scores showed that persons who lived in neighborhoods with 4-5 versus 0-1 fair/poor condition were 3.07 times (95{\%} confidence interval: 1.58, 5.94) more likely to develop two or more LBFLs. The odds ratio was 2.24 (95{\%} confidence interval: 1.07, 4.70) when living in neighborhoods with 2-3 conditions versus 0-1 fair/poor condition. Odds ratios for individual neighborhood characteristics varied from 3.45 (fair/poor street conditions) to 2.01 (fair/poor noise level). Sensitivity analyses showed the robustness of the findings. Poor neighborhood conditions appear to be an independent contributor to the risk of incident LBFLs in middle-aged African Americans.",
keywords = "African Americans, Aging, Health status indicators, Questionnaires, Residence characteristics, Social environment",
author = "Mario Schootman and Elena Andresen and Wolinsky, {Fredric D.} and Malmstrom, {Theodore K.} and Miller, {J. Philip} and Miller, {Douglas K.}",
year = "2006",
month = "3",
doi = "10.1093/aje/kwj054",
language = "English (US)",
volume = "163",
pages = "450--458",
journal = "American Journal of Epidemiology",
issn = "0002-9262",
publisher = "Oxford University Press",
number = "5",

}

TY - JOUR

T1 - Neighborhood conditions and risk of incident lower-body functional limitations among middle-aged African Americans

AU - Schootman, Mario

AU - Andresen, Elena

AU - Wolinsky, Fredric D.

AU - Malmstrom, Theodore K.

AU - Miller, J. Philip

AU - Miller, Douglas K.

PY - 2006/3

Y1 - 2006/3

N2 - The authors investigated the association between observed neighborhood conditions and lower-body functional limitations (LBFLs) using data from 563 subjects of the African-American Health Study. This population-based cohort received in-home evaluations. Five items involving LBFL were obtained at baseline (2000-2001) and 3 years later. Subjects were considered to have LBFL if they reported difficulty on at least two of the five tasks. The external appearance of the block the respondent lived on was rated during sample enumeration by use of five items (rated excellent, good, fair, or poor). Of 563 subjects with 0-1 LBFL at baseline, 15% and 14% lived in neighborhoods with 4-5 and 2-3 fair/poor conditions, respectively. Logistic regression adjusting for propensity scores showed that persons who lived in neighborhoods with 4-5 versus 0-1 fair/poor condition were 3.07 times (95% confidence interval: 1.58, 5.94) more likely to develop two or more LBFLs. The odds ratio was 2.24 (95% confidence interval: 1.07, 4.70) when living in neighborhoods with 2-3 conditions versus 0-1 fair/poor condition. Odds ratios for individual neighborhood characteristics varied from 3.45 (fair/poor street conditions) to 2.01 (fair/poor noise level). Sensitivity analyses showed the robustness of the findings. Poor neighborhood conditions appear to be an independent contributor to the risk of incident LBFLs in middle-aged African Americans.

AB - The authors investigated the association between observed neighborhood conditions and lower-body functional limitations (LBFLs) using data from 563 subjects of the African-American Health Study. This population-based cohort received in-home evaluations. Five items involving LBFL were obtained at baseline (2000-2001) and 3 years later. Subjects were considered to have LBFL if they reported difficulty on at least two of the five tasks. The external appearance of the block the respondent lived on was rated during sample enumeration by use of five items (rated excellent, good, fair, or poor). Of 563 subjects with 0-1 LBFL at baseline, 15% and 14% lived in neighborhoods with 4-5 and 2-3 fair/poor conditions, respectively. Logistic regression adjusting for propensity scores showed that persons who lived in neighborhoods with 4-5 versus 0-1 fair/poor condition were 3.07 times (95% confidence interval: 1.58, 5.94) more likely to develop two or more LBFLs. The odds ratio was 2.24 (95% confidence interval: 1.07, 4.70) when living in neighborhoods with 2-3 conditions versus 0-1 fair/poor condition. Odds ratios for individual neighborhood characteristics varied from 3.45 (fair/poor street conditions) to 2.01 (fair/poor noise level). Sensitivity analyses showed the robustness of the findings. Poor neighborhood conditions appear to be an independent contributor to the risk of incident LBFLs in middle-aged African Americans.

KW - African Americans

KW - Aging

KW - Health status indicators

KW - Questionnaires

KW - Residence characteristics

KW - Social environment

UR - http://www.scopus.com/inward/record.url?scp=33645075210&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33645075210&partnerID=8YFLogxK

U2 - 10.1093/aje/kwj054

DO - 10.1093/aje/kwj054

M3 - Article

C2 - 16421245

AN - SCOPUS:33645075210

VL - 163

SP - 450

EP - 458

JO - American Journal of Epidemiology

JF - American Journal of Epidemiology

SN - 0002-9262

IS - 5

ER -