| Title | Residential Proximity to Major Roadways and Prevalent Hypertension Among Older Women and Men: Results From the Chinese Longitudinal Healthy Longevity Survey |
| Authors | Yao, Yao Cao, Kaixi Zhang, Kehan Zhu, Tinglong Yue, Dahai Zhang, Hao Zhang, Jim Jin, Xurui Zeng, Yi |
| Affiliation | Peking Univ, Ctr Hlth Aging & Dev Studies, Natl Sch Dev, Beijing, Peoples R China Duke Univ, Ctr Study Aging & Human Dev, Med Sch, Durham, NC 27708 USA Duke Kunshan Univ, Global Hlth Res Ctr, Suzhou, Peoples R China Univ Calif Los Angeles, Fielding Sch Publ Hlth, Dept Hlth Policy & Management, Los Angeles, CA USA Weill Cornell Med, Dept Healthcare Policy & Res, New York, NY USA Duke Univ, Global Hlth Inst, Durham, NC 27708 USA Duke Univ, Nicholas Sch Environm, Durham, NC 27708 USA |
| Keywords | LONG-TERM EXPOSURE FINE PARTICULATE MATTER AIR-POLLUTION BLOOD-PRESSURE MORTALITY ROADS COHORTS ADULTS |
| Issue Date | 17-Nov-2020 |
| Publisher | FRONTIERS IN CARDIOVASCULAR MEDICINE |
| Abstract | Background and Objectives: Prior studies suggested that residential proximity to major roadways was associated with increased risks of cardiovascular diseases in developed countries, for which one explanation is that road proximity could heighten the risks of hypertension. However, the association of residential distance to major roadways with hypertension is still unclear in low- and middle-income countries (LMICs) with levels of air pollution and socioeconomic development distinctively different from developed countries. Methods: We derived data from the eighth wave of the Chinese Longitudinal Healthy Longevity Survey, a nationwide prospective cohort. The present study included 12,881 individuals older than 65 years (mean age, 85.2 +/- 11.7 years) with 55.8% of them being female. We ascertained the residential proximity to major roadways based on self-reports and hypertension was defined as systolic blood pressure >= 140 mm Hg or diastolic blood pressure >= 90 mm Hg. We then used logistic regression to examine the association between residential distance to major roadways and hypertension. Results: The odds ratios (ORs) of hypertension for participants living 50 to 100, 101 to 200, and >= 200 meters from major roads were 1.17 [95% confidence interval (95% CI) = 1.02-1.33], 1.21 (95% CI = 1.05-1.41), and 1.22 (95% CI = 1.10-1.34), respectively, compared to those living within 50 m (P-for trend < 0.001). Significant effects of modifications from socioeconomic status and accessibility to health care resources were observed (Ps for interaction < 0.05). Compared to living within 50 m from a major roadway, the ORs of hypertension for living >= 50 m were higher in manual/agricultural workers, low-education groups, participants without household ventilation, and participants lacking in health education and health care resources. We observed considerable variations across geographic regions with the association in question attenuating in Eastern China but remaining significant in other regions. Conclusion: Residential proximity to major roadways was associated with lower odds of hypertension among older adults in China. The utility of residential proximity to major roadways as a marker of increased risks of hypertension and cardiovascular diseases may need to be revisited in LMICs. |
| URI | http://hdl.handle.net/20.500.11897/599850 |
| ISSN | 2297-055X |
| DOI | 10.3389/fcvm.2020.587222 |
| Indexed | SCI(E) |
| Appears in Collections: | 国家发展研究院 |
