@article{adeeb50edf69473182ea3ac3c0464132,
title = "The Neighborhood Environment and Hispanic/Latino Health",
abstract = "Purpose: Hispanic/Latino adults on the Texas-Mexico border have high rates of chronic disease. Neighborhoods can influence health, though there is a limited research on neighborhood environment and health in Hispanics/Latinos. The purpose of this study was to assess the relation of neighborhood environment with health variables in Hispanic/Latino adults, including physical activity [PA], depression, anxiety, and lab-assessed conditions (type 2 diabetes, metabolic syndrome, and chronic inflammation). Methods: Participants were randomly-selected from a Hispanic/Latino cohort on the Texas-Mexico border. Neighborhood environment, self-reported PA, anxiety, and depression were assessed through questionnaires. Laboratory values determined Type 2 diabetes, metabolic syndrome, and C-reactive protein (CRP). We conducted multivariable linear and logistic regression analyses to assess the associations of neighborhood environment and health variables, controlling for covariates. Results: Participants (n = 495) were mostly females, without insurance. After controlling for covariates, crime (Adjusted Odds Ratio [AOR] = 1.59 (95%CI 1.06-2.38), no streetlights (AOR = 1.65, 95%CI 1.06-2.57), and traffic (AOR = 1.74, 95%CI 1.16-2.62) were all significantly associated with anxiety. Only traffic was significantly associated with depression (AOR = 1.61, 95%CI1.05-2.47). A lack of nearby shops (AOR = 0.57, 95%CI 0.38-0.84) and no one out doing PA (AOR = 0.53, 95% CI 0.34-0.83) were both significantly associated with lower odds of meeting PA guidelines. A lack of nearby shops was associated with a 26% increase in the CRP value (β = 0.26, 95%CI 0.04-0.47). Discussion: Several neighborhood environment variables were significantly associated with mental health, PA and CRP, though estimates were small. The neighborhood environment is a meaningful contextual variable to consider for health-related interventions in Hispanic/Latino adults, though more study is needed regarding the magnitude of the estimates. Trial registration: NCT01168765.",
keywords = "Hispanic, Latino, Mexican American, active living, anxiety, built environment, c-reactive protein, community, crime, depression, environmental health, health disparities, inflammation, mental health, metabolic syndrome, neighborhood, opportunity, physical activity, specific settings, traffic, type 2 diabetes",
author = "Heredia, {Natalia I.} and Tianlin Xu and Lee, {Min Jae} and McNeill, {Lorna H.} and Reininger, {Belinda M.}",
note = "Funding Information: The authors of this manuscript would like to acknowledge the participants who so willingly participated in this study, our community partners, and Community Action Board members who are dedicated to eliminating health disparities. We would also like to acknowledge our Tu Salud ¡Si Cuenta! professional intervention team, including Vanessa Saldana, Marcelina Martinez, Angelica Muniz, Silvia Garcia, Arisve Ramirez, and others. We thank the cohort team, led by Drs. Susan Fisher-Hoch and Joseph McCormick and Ms. Rocio Uribe and her team, who recruited and documented the participants. We also thank Marcela Morris and other laboratory staff for their contributions, and Christina Villarreal for administrative support. We thank Valley Baptist Medical Center, Brownsville, TX for providing us space for our Center for Clinical and Translational Science Clinical Research Unit. We acknowledge the support provided by the Biostatistics/Epidemiology/Research Design component of the Center for Clinical and Translational Sciences for this project. Funding Information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The research presented in this paper is that of the authors and does not reflect the official policy of the NIH. The intervention and analysis work described in the manuscript was partially supported by the Clinical and Translational Science Award (UL1TR000371) from the NIH{\textquoteright}s National Center for Advancing Translational Sciences, the Cancer Prevention & Research Institute of Texas (PP110163 and RP170259), and NIH/National Cancer Institute through MD Anderson{\textquoteright}s Cancer Center Support Grant (CA016672). Funding Information: The authors of this manuscript would like to acknowledge the participants who so willingly participated in this study, our community partners, and Community Action Board members who are dedicated to eliminating health disparities. We would also like to acknowledge our Tu Salud ?Si Cuenta! professional intervention team, including Vanessa Saldana, Marcelina Martinez, Angelica Muniz, Silvia Garcia, Arisve Ramirez, and others. We thank the cohort team, led by Drs. Susan Fisher-Hoch and Joseph McCormick and Ms. Rocio Uribe and her team, who recruited and documented the participants. We also thank Marcela Morris and other laboratory staff for their contributions, and Christina Villarreal for administrative support. We thank Valley Baptist Medical Center, Brownsville, TX for providing us space for our Center for Clinical and Translational Science Clinical Research Unit. We acknowledge the support provided by the Biostatistics/Epidemiology/Research Design component of the Center for Clinical and Translational Sciences for this project. The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The research presented in this paper is that of the authors and does not reflect the official policy of the NIH. The intervention and analysis work described in the manuscript was partially supported by the Clinical and Translational Science Award (UL1TR000371) from the NIH?s National Center for Advancing Translational Sciences, the Cancer Prevention & Research Institute of Texas (PP110163 and RP170259), and NIH/National Cancer Institute through MD Anderson?s Cancer Center Support Grant (CA016672). Publisher Copyright: {\textcopyright} The Author(s) 2021.",
year = "2022",
month = jan,
doi = "10.1177/08901171211022677",
language = "English (US)",
volume = "36",
pages = "38--45",
journal = "American Journal of Health Promotion",
issn = "0890-1171",
publisher = "American Journal of Health Promotion",
number = "1",
}