TY - JOUR
T1 - Residential and GPS-Defined Activity Space Neighborhood Noise Complaints, Body Mass Index and Blood Pressure Among Low-Income Housing Residents in New York City
AU - Tamura, Kosuke
AU - Elbel, Brian
AU - Chaix, Basile
AU - Regan, Seann D.
AU - Al-Ajlouni, Yazan A.
AU - Athens, Jessica K.
AU - Meline, Julie
AU - Duncan, Dustin T.
N1 - Publisher Copyright:
© 2017, Springer Science+Business Media New York.
PY - 2017/10/1
Y1 - 2017/10/1
N2 - Little is known about how neighborhood noise influences cardiovascular disease (CVD) risk among low-income populations. The aim of this study was to investigate associations between neighborhood noise complaints and body mass index (BMI) and blood pressure (BP) among low-income housing residents in New York City (NYC), including the use of global positioning system (GPS) data. Data came from the NYC Low-Income Housing, Neighborhoods and Health Study in 2014, including objectively measured BMI and BP data (N = 102, Black = 69%), and 1 week of GPS data. Noise reports from “NYC 311” were used to create a noise complaints density (unit: 1000 reports/km2) around participants’ home and GPS-defined activity space neighborhoods. In fully-adjusted models, we examined associations of noise complaints density with BMI (kg/m2), and systolic and diastolic BP (mmHg), controlling for individual- and neighborhood-level socio-demographics. We found inverse relationships between home noise density and BMI (B = −2.7 [kg/m2], p = 0.009), and systolic BP (B = −5.3 mmHg, p = 0.008) in the fully-adjusted models, and diastolic BP (B = −3.9 mmHg, p = 0.013) in age-adjusted models. Using GPS-defined activity space neighborhoods, we observed inverse associations between noise density and systolic BP (B = −10.3 mmHg, p = 0.019) in fully-adjusted models and diastolic BP (B = −7.5 mmHg, p = 0.016) in age-adjusted model, but not with BMI. The inverse associations between neighborhood noise and CVD risk factors were unexpected. Further investigation is needed to determine if these results are affected by unobserved confounding (e.g., variations in walkability). Examining how noise could be related to CVD risk could inform effective neighborhood intervention programs for CVD risk reduction.
AB - Little is known about how neighborhood noise influences cardiovascular disease (CVD) risk among low-income populations. The aim of this study was to investigate associations between neighborhood noise complaints and body mass index (BMI) and blood pressure (BP) among low-income housing residents in New York City (NYC), including the use of global positioning system (GPS) data. Data came from the NYC Low-Income Housing, Neighborhoods and Health Study in 2014, including objectively measured BMI and BP data (N = 102, Black = 69%), and 1 week of GPS data. Noise reports from “NYC 311” were used to create a noise complaints density (unit: 1000 reports/km2) around participants’ home and GPS-defined activity space neighborhoods. In fully-adjusted models, we examined associations of noise complaints density with BMI (kg/m2), and systolic and diastolic BP (mmHg), controlling for individual- and neighborhood-level socio-demographics. We found inverse relationships between home noise density and BMI (B = −2.7 [kg/m2], p = 0.009), and systolic BP (B = −5.3 mmHg, p = 0.008) in the fully-adjusted models, and diastolic BP (B = −3.9 mmHg, p = 0.013) in age-adjusted models. Using GPS-defined activity space neighborhoods, we observed inverse associations between noise density and systolic BP (B = −10.3 mmHg, p = 0.019) in fully-adjusted models and diastolic BP (B = −7.5 mmHg, p = 0.016) in age-adjusted model, but not with BMI. The inverse associations between neighborhood noise and CVD risk factors were unexpected. Further investigation is needed to determine if these results are affected by unobserved confounding (e.g., variations in walkability). Examining how noise could be related to CVD risk could inform effective neighborhood intervention programs for CVD risk reduction.
KW - Geographic information systems
KW - Global positioning systems
KW - Health disparities
KW - Low-income housing residents
KW - Neighborhood noise exposure
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U2 - 10.1007/s10900-017-0344-5
DO - 10.1007/s10900-017-0344-5
M3 - Article
C2 - 28386706
AN - SCOPUS:85017145421
SN - 0094-5145
VL - 42
SP - 974
EP - 982
JO - Journal of Community Health
JF - Journal of Community Health
IS - 5
ER -