MESA and Cardiovascular Disease

Overview

MESA Neighborhoods has a long history of research on factors impacting an individual’s ability to have healthy behaviors that reduce cardiovascular risk. This includes work to characterize food environments, recreation resources, social interactions or safety, and neighborhood design in relation to diet, activity, obesity, diabetes, and cardiovascular disease. This work leverages the geographically and racially/ethnically diverse cohort to understand pathways between fundamental causes of disease (e.g. structural racism, economic conditions), intermediate pathways (e.g. neighborhood conditions), and health disparities.

Recent Publications

  • Roux, A. V. D., Mujahid, M. S., Hirsch, J. A., Moore, K., & Moore, L. V. (2016). The impact of neighborhoods on CV risk. Global heart, 11(3), 353-363.
  • Johnson, D. A., Hirsch, J. A., Moore, K. A., Redline, S., & Diez Roux, A. V. (2018). Associations between the built environment and objective measures of sleep: the multi-ethnic study of atherosclerosis. American journal of epidemiology, 187(5), 941-950.
  • Hirsch, J. A., Moore, K. A., Barrientos‐Gutierrez, T., Brines, S. J., Zagorski, M. A., Rodriguez, D. A., & Diez Roux, A. V. (2014). Built environment change and change in BMI and waist circumference: Multi‐ethnic Study of Atherosclerosis. Obesity, 22(11), 2450-2457.
  • Auchincloss, A. H., Mujahid, M. S., Shen, M., Michos, E. D., Whitt‐Glover, M. C., & Diez Roux, A. V. (2013). Neighborhood health‐promoting resources and obesity risk (the multi‐ethnic study of atherosclerosis). Obesity, 21(3), 621-628.
  • Hussein, M., Diez Roux, A. V., Mujahid, M. S., Hastert, T. A., Kershaw, K. N., Bertoni, A. G., & Baylin, A. (2018). Unequal exposure or unequal vulnerability? Contributions of neighborhood conditions and cardiovascular risk factors to socioeconomic inequality in incident cardiovascular disease in the multi-ethnic study of atherosclerosis. American journal of epidemiology, 187(7), 1424-1437.
  • Kershaw, K. N., Osypuk, T. L., Do, D. P., De Chavez, P. J., & Diez Roux, A. V. (2015). Neighborhood-level racial/ethnic residential segregation and incident cardiovascular disease: the multi-ethnic study of atherosclerosis. Circulation, 131(2), 141-148.
  • Mujahid, M. S., Moore, L. V., Petito, L. C., Kershaw, K. N., Watson, K., & Roux, A. V. D. (2017). Neighborhoods and racial/ethnic differences in ideal cardiovascular health (the Multi-Ethnic Study of Atherosclerosis). Health & place, 44, 61-69.
  • Unger, E., Diez-Roux, A. V., Lloyd-Jones, D. M., Mujahid, M. S., Nettleton, J. A., Bertoni, A., … & Allen, N. B. (2014). Association of neighborhood characteristics with cardiovascular health in the multi-ethnic study of atherosclerosis. Circulation: Cardiovascular Quality and Outcomes, 7(4), 524-531.
  • Hirsch, J. A., Moore, K. A., Evenson, K. R., Rodriguez, D. A., & Roux, A. V. D. (2013). Walk Score® and Transit Score® and walking in the multi-ethnic study of atherosclerosis. American journal of preventive medicine, 45(2), 158-166.
  • Hirsch, J. A., Moore, K. A., Clarke, P. J., Rodriguez, D. A., Evenson, K. R., Brines, S. J., … & Diez Roux, A. V. (2014). Changes in the built environment and changes in the amount of walking over time: longitudinal results from the multi-ethnic study of atherosclerosis. American journal of epidemiology, 180(8), 799-809.
  • Ranchod, Y. K., Diez Roux, A. V., Evenson, K. R., Sánchez, B. N., & Moore, K. (2014). Longitudinal associations between neighborhood recreational facilities and change in recreational physical activity in the multi-ethnic study of atherosclerosis, 2000–2007. American journal of epidemiology, 179(3), 335-343.
  • Kern, D. M., Auchincloss, A. H., Stehr, M. F., Roux, A. V. D., Moore, K. A., Kanter, G. P., & Robinson, L. F. (2018). Neighborhood price of healthier food relative to unhealthy food and its association with type 2 diabetes and insulin resistance: The multi-ethnic study of atherosclerosis. Preventive medicine, 106, 122-129.
  • Christine, P. J., Auchincloss, A. H., Bertoni, A. G., Carnethon, M. R., Sánchez, B. N., Moore, K., … & Roux, A. V. D. (2015). Longitudinal associations between neighborhood physical and social environments and incident type 2 diabetes mellitus: the Multi-Ethnic Study of Atherosclerosis (MESA). JAMA internal medicine, 175(8), 1311-1320.
  • Kern, D. M., Auchincloss, A. H., Stehr, M. F., Diez Roux, A. V., Moore, L. V., Kanter, G. P., & Robinson, L. F. (2017). Neighborhood prices of healthier and unhealthier foods and associations with diet quality: Evidence from the multi-ethnic study of atherosclerosis. International journal of environmental research and public health, 14(11), 1394.

Team

Ana V. Diez Roux, MD PhD MPH

PI, MESA Neighborhoods and Cardiovascular Disease Grant