The Effects of Social, Personal, and Behavioral Risk Factors and PM2.5 on Cardio-Metabolic Disparities in a Cohort of Community Health Center Patients

• DOI: 10.3390/ijerph17103561
• Publication Date: 2020-05-20T06:48:24Z
• Authors: Paul D. Juarez; Mohammad Tabatabai; Robert Burciaga V...; Darryl B. Hood; Wansoo Im; Charles Mouton; Cynthia Colen; Mohammad Z. Al-Ha...; Patricia Matthews...; Maureen Y. Lichtveld; Daniel Sarpong; Aramandla Ramesh; Michael A. Langston; Gary L. Rogers; Charles A. Phillips; John F. Reichard; Macarius M. Donne...; William Blot
• Keywords: Center (category theory)

(1) Background: Cardio-metabolic diseases (CMD), including cardiovascular disease, stroke, and diabetes, have numerous common individual environmental risk factors. Yet, few studies to date considered how these multiple factors together affect CMD disparities between Blacks Whites. (2) Methods: We linked daily fine particulate matter (PM2.5) measures with survey responses of participants in the Southern Community Cohort Study (SCCS). Generalized linear mixed modeling (GLMM) was used estimate relationship social-demographic characteristics, behavioral personal factors, exposure levels PM2.5. (3) Results: The study resulted four key findings: PM2.5 concentration level significantly associated reported CMD, rising by 2.6% for each µg/m3 increase PM2.5; race did not predict when clinical, lifestyle, were accounted for; a significant variation found among across states; (4) personal, played role predicting occurrence. Conclusions: Disparities low social status populations reflect complex interactions exposures cumulative risks contributed different from natural, built, environments.