Distinct moderating pathways for psychosocial risk and resilience in the association of neighborhood disadvantage with incident heart failure among Black persons.

ABSTRACT:

Objective

To assess whether psychosocial factors moderate the associations between neighborhood disadvantage and incident heart failure (HF).

Methods

Among 1448 Non-Hispanic (NH) Black persons dually enrolled in two community-based cohorts in Jackson, Mississippi who were free of HF as of January 1, 2000, 336 HF events classified by reviewer panel accrued through December 31, 2017. Multilevel, multivariable Cox regression models were used to examine whether optimism and negative affect moderated the associations of two measures of neighborhood characteristics (the national Area Deprivation Index (ADI) and perceived neighborhood problems) on incident hospitalized HF.

Results

Optimism moderated the association of the ADI with incident HF. Compared to participants report

SUBMITTER: Bey GS 

PROVIDER: S-EPMC10509709 | biostudies-literature | 2023 Dec

REPOSITORIES: biostudies-literature