Prevalence of cardiovascular disease risk factors associated with residential natural hazard risk

IF 8 1区环境科学与生态学 Q1 ENVIRONMENTAL SCIENCES

Science of the Total Environment Pub Date : 2025-04-11 DOI:10.1016/j.scitotenv.2025.179335

Kaitlyn G. Lawrence , Marina R. Sweeney , Emily J. Werder , Casey Zuzak , Melanie Gall , Christopher T. Emrich , Ian D. Buller , W. Braxton Jackson II , Dazhe Chen , Kate E. Christenbury , Lawrence S. Engel , Dale P. Sandler

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Abstract

Background

Specific natural hazards are associated with increased chronic disease risk. Less is known about the impact of living in regions with elevated natural hazards risk.

Objective

We evaluated cross-sectional associations between predicted residential natural hazard risk and CVD-related risk factors.

Methods

We used data from the Gulf Long-term Follow-up Study, a prospective cohort enrolled following the Deepwater Horizon disaster (N = 32,608). We evaluated diabetes prevalence among 29,714 participants who provided enrollment data on self-reported physician diagnosis of diabetes. In separate analyses, we evaluated obesity and hypertension using data from 10,727 home visit participants with measured height, weight, and blood pressure. We linked geocoded residential enrollment and home visit addresses to the National Risk Index (NRI, 1960–2020), a monetized risk score that quantifies overall and hazard-specific risk at the census-tract level. Modified Poisson regression estimated prevalence ratios (PRs) and 95 % confidence intervals (CIs) for associations between quartiles of overall and natural hazard-specific risks and prevalence of diabetes, hypertension (systolic/diastolic blood pressure ≥ 140/90 mmHg or antihypertensive medication use), and obesity (BMI ≥ 30.0 kg/m²).

Results

The highest quartile of overall NRI was associated with hypertension (Q4 vs. Q1 PR:1.16[1.09,1.24]) but not diabetes or obesity. All quartiles of hurricane risk were associated with higher diabetes prevalence (PR1.33 to 1.36). Increasing quartiles of heatwave risk were associated with increasing prevalence of diabetes, hypertension, and obesity, with PRs 1.23[1.09,1.38], 1.12[1.04,1.19] and 1.09[1.03,1.16] for Q4 vs. Q1, respectively.

Conclusion

Residing in areas prone to natural disasters is associated with higher prevalence of key cardiovascular disease risk factors.

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心血管疾病流行与住宅自然灾害风险相关的危险因素

背景：特定自然灾害与慢性病风险增加有关。人们对生活在自然灾害风险高的地区的影响知之甚少。目的评估预测住宅自然灾害风险与心血管疾病相关危险因素之间的横断面相关性。方法：我们使用来自墨西哥湾长期随访研究的数据，这是一个在深水地平线灾难后注册的前瞻性队列（N = 32,608）。我们评估了29,714名参与者的糖尿病患病率，这些参与者提供了自我报告的医生诊断糖尿病的入组数据。在单独的分析中，我们使用来自10,727名家访参与者的身高、体重和血压数据来评估肥胖和高血压。我们将地理编码的居民登记和家访地址与国家风险指数（NRI, 1960-2020）联系起来，NRI是一种货币化的风险评分，在人口普查区层面量化总体风险和特定风险。修正泊松回归估计了总体和自然危险特异性风险与糖尿病、高血压（收缩压/舒张压≥140/90 mmHg或使用降压药物）和肥胖（BMI≥30.0 kg/m2）患病率之间的患病率比（pr）和95%置信区间（CIs）。结果总体NRI的最高四分位数与高血压相关（Q4 vs. Q1 PR:1.16[1.09,1.24]），但与糖尿病或肥胖无关。飓风风险的所有四分位数都与较高的糖尿病患病率相关（PR1.33至1.36）。热浪风险增加的四分位数与糖尿病、高血压和肥胖症患病率增加相关，第四季度与第一季度的pr分别为1.23[1.09,1.38]、1.12[1.04,1.19]和1.09[1.03,1.16]。结论居住在自然灾害易发地区的人群心血管疾病高危因素患病率较高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Science of the Total Environment 环境科学-环境科学

CiteScore

17.60

自引率

10.20%

发文量

8726

审稿时长

2.4 months

期刊介绍： The Science of the Total Environment is an international journal dedicated to scientific research on the environment and its interaction with humanity. It covers a wide range of disciplines and seeks to publish innovative, hypothesis-driven, and impactful research that explores the entire environment, including the atmosphere, lithosphere, hydrosphere, biosphere, and anthroposphere. The journal's updated Aims & Scope emphasizes the importance of interdisciplinary environmental research with broad impact. Priority is given to studies that advance fundamental understanding and explore the interconnectedness of multiple environmental spheres. Field studies are preferred, while laboratory experiments must demonstrate significant methodological advancements or mechanistic insights with direct relevance to the environment.