Multilevel Mediators on the Associations of Neighborhood Social Environmental Factors and Severity of Metabolic Syndrome: The Jackson Heart Study
All PNSEs (violence, problems, and social cohesion) were directly related to MetS severity in women only. PA mediated the relationship between each PNSE and MetS in a sex-specific manner. Efforts focusing on local conditions are needed to better understand why such disparities exist for at-risk minoritized groups.
Authors
- Shannon N. Zenk
- Kelly Jones (ORCID: https://orcid.org/0000-0002-1552-7847)
- Lauren A. Reid (ORCID: https://orcid.org/0000-0003-1021-8364)
- Tiffany M. Powell‐Wiley (ORCID: https://orcid.org/0000-0001-9488-4131)
- Mohammad Moniruzzaman (ORCID: https://orcid.org/0000-0003-2144-7111)
- Kosuke Tamura (ORCID: https://orcid.org/0000-0002-4920-2856)
- Gloria Lena Vega
- Mario Sims (ORCID: https://orcid.org/0009-0006-4083-8328)
- Scott M. Grundy
Institutions
- University of California, Riverside (US)
- National Institutes of Health (US)
- South College (US)
- National Heart, Lung, and Blood Institute (US)
- National Institute of Nursing Research (US)
- HumanN (United States) (US)
- National Institute on Minority Health and Health Disparities (US)
- The University of Texas Southwestern Medical Center (US)
Publication Details
- Journal
- Journal of the American Heart Association
- Published
- 2024-12-20
- DOI
- https://doi.org/10.1161/jaha.124.035216
- Citations
- 2
- Primary Topic
- Health disparities and outcomes
- Type
- article
- Field-Weighted Citation Impact
- 1.06
Funders
- Jackson State University
- Mississippi State Department of Health
- National Institutes of Health
- National Heart, Lung, and Blood Institute
- National Institute of Diabetes and Digestive and Kidney Diseases
- National Institute on Minority Health and Health Disparities
- NHLBI Division of Intramural Research