129 lines
4.4 KiB
YAML
129 lines
4.4 KiB
YAML
abstract: 'Background Transportation vulnerability (defined as lack of
|
|
|
|
personal/public transportation access) is particularly prevalent in
|
|
|
|
areas with high racial/ethnic segregation where communities typically
|
|
|
|
lack proximity to quality education, jobs, healthy food, playgrounds,
|
|
|
|
and medical care. Prior research has shown an association between
|
|
|
|
residential segregation and youth cardiovascular health, although little
|
|
|
|
work has examined the effects of transportation vulnerability on this
|
|
|
|
relationship. Methods Longitudinal mixed methods were used to compare
|
|
|
|
the effects of transportation vulnerability on the association between
|
|
|
|
changes in exposure to residential segregation (defined as the uneven
|
|
|
|
geographic distribution of minorities) and five cardiovascular health
|
|
|
|
outcomes across sex in minority youth for up to four consecutive years
|
|
|
|
of participation in an afterschool fitness program during 2010-2018 (n =
|
|
|
|
2742; Miami-Dade County, Florida, US). Results After accounting for
|
|
|
|
child race/ethnicity, age, year, and poverty, girls with high
|
|
|
|
transportation vulnerability and reduced exposure to segregation (vs.
|
|
|
|
increased or no change in segregation) showed the most improvements
|
|
|
|
across all outcomes, including body mass index percentile (26\% (95\% CI
|
|
|
|
23.84, 28.30)), sum of skinfold thicknesses (18\% (95\% CI 14.90,
|
|
|
|
20.46)), run time (17\% (95\% CI 14.88, 18.64)), systolic blood pressure
|
|
|
|
percentile (15\% (95\% CI 11.96, 17.08)), and diastolic blood pressure
|
|
|
|
percentile (12\% (95\% CI 9.09, 14.61)). Conclusion Transportation
|
|
|
|
inequities related to concentrated racial/ethnic segregation may be an
|
|
|
|
important factor in reducing disparities in youth cardiovascular health,
|
|
|
|
particularly among girls. These study findings provide important
|
|
|
|
longitudinal evidence in support of health interventions to reduce
|
|
|
|
transportation vulnerability for racial/ethnic minority youth in
|
|
|
|
underserved areas.'
|
|
affiliation: 'D''Agostino, EM (Corresponding Author), Duke Univ, Dept Family Med \&
|
|
Community Hlth, Sch Med, 2200 W Main St,Off 623,6th Fl, Durham, NC 27705 USA.
|
|
|
|
D''Agostino, EM (Corresponding Author), Miami Dade Cty Dept Pk Recreat \& Open Spaces,
|
|
275 NW 2nd St, Miami, FL 33128 USA.
|
|
|
|
D''Agostino, Emily M., Duke Univ, Dept Family Med \& Community Hlth, Sch Med, 2200
|
|
W Main St,Off 623,6th Fl, Durham, NC 27705 USA.
|
|
|
|
D''Agostino, Emily M.; Patel, Hersila H.; Hansen, Eric, Miami Dade Cty Dept Pk Recreat
|
|
\& Open Spaces, 275 NW 2nd St, Miami, FL 33128 USA.
|
|
|
|
Mathew, M. Sunil; Messiah, Sarah E., Univ Miami, Miller Sch Med, Dept Pediat, 1601
|
|
NW 12th Ave, Miami, FL 33136 USA.
|
|
|
|
Mathew, M. Sunil; Messiah, Sarah E., Univ Texas Hlth Sci Ctr, Sch Publ Hlth, Dallas,
|
|
TX USA.
|
|
|
|
Messiah, Sarah E., Childrens Hlth Syst Texas, Ctr Pediat Populat Hlth, Dallas, TX
|
|
USA.
|
|
|
|
Messiah, Sarah E., UTHlth Sci Ctr Sch Publ Hlth, Dallas, TX USA.'
|
|
author: D'Agostino, Emily M. and Patel, Hersila H. and Hansen, Eric and Mathew, M.
|
|
Sunil and Messiah, Sarah E.
|
|
author-email: emily.m.dagostino@duke.edu
|
|
author_list:
|
|
- family: D'Agostino
|
|
given: Emily M.
|
|
- family: Patel
|
|
given: Hersila H.
|
|
- family: Hansen
|
|
given: Eric
|
|
- family: Mathew
|
|
given: M. Sunil
|
|
- family: Messiah
|
|
given: Sarah E.
|
|
da: '2023-09-28'
|
|
doi: 10.1007/s40615-020-00821-8
|
|
earlyaccessdate: SEP 2020
|
|
eissn: 2196-8837
|
|
files: []
|
|
issn: 2197-3792
|
|
journal: JOURNAL OF RACIAL AND ETHNIC HEALTH DISPARITIES
|
|
keywords: 'Cardiovascular health; Fitness; Health disparities; Racial; ethnic
|
|
|
|
segregation; Transportation vulnerability; Youth'
|
|
keywords-plus: 'PHYSICAL-ACTIVITY; RESIDENTIAL SEGREGATION; RACIAL DISPARITIES; BUILT
|
|
|
|
ENVIRONMENT; LAND-USE; NEIGHBORHOOD; RISK; BEHAVIOR; OBESITY; FITNESS'
|
|
language: English
|
|
month: JUN
|
|
number: '3'
|
|
number-of-cited-references: '75'
|
|
orcid-numbers: 'D''Agostino, DrPH, MS, MEd, MA, Emily/0000-0003-0468-4836
|
|
|
|
Messiah, Sarah/0000-0001-6685-2175'
|
|
pages: 618-629
|
|
papis_id: 58e8ff313c9231d5ac77334bc0e7110e
|
|
ref: Dagostino2021longitudinaleffects
|
|
researcherid-numbers: 'Hansen, Eric/JEF-6566-2023
|
|
|
|
D''Agostino, Emily/IUO-1837-2023
|
|
|
|
'
|
|
times-cited: '8'
|
|
title: Longitudinal Effects of Transportation Vulnerability on the Association Between
|
|
Racial/Ethnic Segregation and Youth Cardiovascular Health
|
|
type: article
|
|
unique-id: WOS:000565504400001
|
|
usage-count-last-180-days: '0'
|
|
usage-count-since-2013: '8'
|
|
volume: '8'
|
|
web-of-science-categories: Public, Environmental \& Occupational Health
|
|
year: '2021'
|