TY  - JOUR
PY  - 2023//
TI  - Neighborhood factors and survival to old age: the Jackson Heart Study
JO  - Preventive medicine reports
A1  - Odden, Michelle C.
A1  - Li, Yongmei
A1  - Thorpe, Roland J. Jr
A1  - Tan, Annabel
A1  - Sims, Kendra D.
A1  - Ratcliff, Jourdan
A1  - Abdel Magid, Hoda S.
A1  - Sims, Mario
SP  - e102360
EP  - e102360
VL  - 35
IS  - 
N2  - Few studies have evaluated environmental factors that predict survival to old age. Our study included 913 African American participants in the Jackson Heart Study (JHS) who resided in the tri-county area of the Jackson, MS metropolitan area and were 65-80 years at baseline. Participants were followed from 2000 through 2019 for the outcome of survival to 85 years old. We evaluated each of the following census tract-level measures of the social/physical environment as exposures: socioeconomic status, cohesion, violence, disorder, healthy food stores, residential land use, and walkability. We assessed mediation by physical activity and chronic conditions. As a complementary ecologic analysis, we used census-tract data to examine factors associated with a greater life expectancy. A total of 501 (55%) JHS participants survived to age 85 years or older. Higher social cohesion and greater residential land use were modestly associated with survival to old age (risk difference = 25%, 95% CI: 0-49%; and 4%, 95% CI: 1-7%, respectively). These neighborhood effects were modestly mediated through leisure time physical activity; additionally, social cohesion was mediated through home and yard activity. In our ecologic analysis, a greater percentage of homeowners and a greater proportion of people living in partnered families were associated with higher census-tract level life expectancy. African American older adults living in residential neighborhoods or neighborhoods with high social cohesion were more likely to survive to old age.<p />  <p>Language: en</p>
LA  - en
SN  - 2211-3355
UR  - http://dx.doi.org/10.1016/j.pmedr.2023.102360
ID  - ref1
ER  -