Association of neighborhood-level social determinants and food environments with pediatric hypertension care.

Association of neighborhood-level social determinants and food environments with pediatric hypertension care. Health Place. 2020 Aug 18;65:102383 Authors: Min J, Griffis HM, Tam V, Meyers KE, Natarajan SS Abstract Despite the apparent relationship between neighborhood characteristics and health, few studies of child health address neighborhood-level barriers, which may contribute to clinic no-show rates and difficulties following treatment plans in children and youth. We used longitudinal data from an outpatient hypertension clinic to examine neighborhood social disorganization, built environments, and their associations with patients' clinic attendance and the risk of obesity/hypertension using mixed-effects regression models. Patients from disorganized neighborhoods were less likely to attend a baseline visit, and more likely to develop overweight/obesity and hypertension during follow-up. High-level fast-food expenditures in the neighborhood were associated with higher BMI percentiles and SBP during follow-up. PMID: 32823141 [PubMed - as supplied by publisher]
Source: Health and Place - Category: Environmental Health Authors: Tags: Health Place Source Type: research