Abstract
Purpose of Review
This review summarizes approaches towards neighborhood characterization in relation to cardiovascular health; contemporary investigations relating neighborhood factors to cardiovascular risk and disease; and initiatives to support community-based interventions to address neighborhood-based social determinants related to cardiovascular health.
Recent Findings
Neighborhoods may be characterized by Census-derived measures, geospatial data, historical databases, and metrics that incorporate data from electronic medical records and health information exchange databases. Current research has examined neighborhood determinants spanning racial segregation, access to healthcare and food, educational opportunities, physical and built environment, and social environment, and their relations to cardiovascular health and associated outcomes. Community-based interventions have potential to alleviate health disparities but remain limited by implementation challenges.
Summary
Consideration of neighborhood context is essential in the design of interventions to prevent cardiovascular disease (CVD) and promote health equity. Partnership with community stakeholders may enhance implementation of programs addressing neighborhood-based health determinants.
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References
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Roux AVD, Merkin SS, Arnett D, Chambless L, Massing M, Nieto FJ, et al. Neighborhood of residence and incidence of coronary heart disease. N Engl J Med. 2001;345(2):99–106.
Durfey SNM, Kind AJH, Buckingham WR, DuGoff EH, Trivedi AN. Neighborhood disadvantage and chronic disease management. Health Serv Res. 2019;54(Suppl 1):206–16.
Khan SU, Javed Z, Lone AN, Dani SS, Amin Z, Al-Kindi SG, et al. Social vulnerability and premature cardiovascular mortality among US counties, 2014 to 2018. Circulation. 2021;144(16):1272–9.
Messer LC, Laraia BA, Kaufman JS, Eyster J, Holzman C, Culhane J, et al. The development of a standardized neighborhood deprivation index. J Urban Health. 2006;83(6):1041–62.
Butler DC, Petterson S, Phillips RL, Bazemore AW. Measures of social deprivation that predict health care access and need within a rational area of primary care service delivery. Health Serv Res. 2013;48(2pt1):539–59.
Kind AJH, Buckingham WR. Making neighborhood-disadvantage metrics accessible — The Neighborhood Atlas. N Engl J Med. 2018;378(26):2456–8.
Flanagan BE, Hallisey EJ, Adams E, Lavery A. Measuring community vulnerability to natural and anthropogenic hazards: the Centers for Disease Control and Prevention’s Social Vulnerability Index. J Environ Health. 2018;80(10):34–6.
Fareed N, Singh P, Jonnalagadda P, Swoboda C, Odden C, Doogan N. Construction of the Ohio Children’s Opportunity Index. Front Public Health. 2022;22(10): 734105.
Reardon SF, O’Sullivan D. Measures of spatial segregation. Sociol Methodol. 2004;34:121–62.
Creatore MI, Glazier RH, Moineddin R, Fazli GS, Johns A, Gozdyra P, et al. Association of neighborhood walkability with change in overweight, obesity, and diabetes. JAMA. 2016;315(20):2211–20.
Makhlouf MHE, Motairek I, Chen Z, Nasir K, Deo SV, Rajagopalan S, et al. Neighborhood walkability and cardiovascular risk in the United States. Curr Probl Cardiol. 2023;48(3): 101533.
Mitchell B, Franco J. HOLC “Redlining” Maps: The persistent structure of segregation and economic inequality [Internet]. National Community Reinvestment Coalition. 2018. Available from: https://ncrc.org/holc/.
Nelson R, Ayers E. Not Even Past: Social Vulnerability and the legacy of redlining [Internet]. The Digital Scholarship Lab and the National Community Reinvestment Coalition. 2023. Available from: https://dsl.richmond.edu/socialvulnerability/.
Namin S, Zhou Y, Xu W, McGinley E, Jankowski C, Laud P, et al. Persistence of mortgage lending bias in the United States: 80 years after the Home Owners’ Loan Corporation security maps. J Race Ethn City. 2022;3(1):70–94.
Lynch EE, Malcoe LH, Laurent SE, Richardson J, Mitchell BC, Meier HCS. The legacy of structural racism: associations between historic redlining, current mortgage lending, and health. SSM - Popul Health. 2021;20(14): 100793.
Lee EK, Donley G, Ciesielski TH, Gill I, Yamoah O, Roche A, et al. Health outcomes in redlined versus non-redlined neighborhoods: a systematic review and meta-analysis. Soc Sci Med 1982. 2022;294:114696.
Richardson J, Mitchell B, Edlebi J, Meier H, Lynch E. The lasting impact of historic “Redlining” on neighborhood health: higher prevalence of COVID-19 risk factors. National Community Reinvestment Coalition. 2020.
• Mujahid MS, Gao X, Tabb LP, Morris C, Lewis TT. Historical redlining and cardiovascular health: the multi-ethnic study of atherosclerosis. Proc Natl Acad Sci. 2021;118(51): e2110986118. This study determined that structural racism — operationalized as historical redlining — is associated with cardiovascular health, health factors, and health behaviors among MESA participants of Black race. The associations between structural racism and cardiovascular risk and health persisted after adjusting for individuals' physical and social environments.
Korzeniewski SJ, Bezold C, Carbone JT, Danagoulian S, Foster B, Misra D, et al. The Population Health OutcomEs aNd Information Exchange (PHOENIX) Program - a transformative approach to reduce the burden of chronic disease. Online J Public Health Inform [Internet]. 2020;12(1). Available from: https://journals.uic.edu/ojs/index.php/ojphi/article/view/10456 .
Brook RD, Dawood K, Foster B, Foust RM, Gaughan C, Kurian P, et al. Utilizing mobile health units for mass hypertension screening in socially vulnerable communities across Detroit. Hypertension [Internet]. 2022;79(6). Available from: https://doi.org/10.1161/HYPERTENSIONAHA.122.19088.
Levy P, McGlynn E, Hill AB, Zhang L, Korzeniewski SJ, Foster B, et al. From pandemic response to portable population health: a formative evaluation of the Detroit mobile health unit program. Telfair J, editor. PLOS ONE. 2021;16(11):e0256908.
Banaji MR, Fiske ST, Massey DS. Systemic racism: individuals and interactions, institutions and society. Cogn Res Princ Implic. 2021;20(6):82.
Essien UR, Youmans QR. Burning in “other suns”: the effects of residential segregation on cardiovascular health. Circ Cardiovasc Qual Outcomes. 2022;15(2): e008694.
Massey DS, Tannen J. Suburbanization and segregation in the United States: 1970–2010. Ethn Racial Stud. 2018;41(9):1594–611.
Fullilove MT, Wallace R. Serial forced displacement in American Cities, 1916–2010. J Urban Health Bull N Y Acad Med. 2011;88(3):381–9.
Keene DE, Geronimus AT. “Weathering” HOPE VI: the importance of evaluating the population health impact of public housing demolition and displacement. J Urban Health Bull N Y Acad Med. 2011;88(3):417–35.
Owens A. Unequal opportunity: school and neighborhood segregation in the USA. Race Soc Probl. 2020;12(1):29–41.
Acevedo-Garcia D, Noelke C, McArdle N, Sofer N, Hardy EF, Weiner M, et al. Racial and ethnic inequities in children’s neighborhoods: evidence from the New Child Opportunity Index 2.0. Health Aff Proj Hope. 2020;39(10):1693–701.
Walker RE, Keane CR, Burke JG. Disparities and access to healthy food in the United States: a review of food deserts literature. Health Place. 2010;16(5):876–84.
Qato DM, Daviglus ML, Wilder J, Lee T, Qato D, Lambert B. ‘Pharmacy deserts’ are prevalent in Chicago’s predominantly minority communities, raising medication access concerns. Health Aff (Millwood). 2014;33(11):1958–65.
Chisholm-Burns MA, Spivey CA, Gatwood J, Wiss A, Hohmeier K, Erickson SR. Evaluation of racial and socioeconomic disparities in medication pricing and pharmacy access and services. Am J Health Syst Pharm. 2017;74(10):653–68.
Alter DA, Naylor CD, Austin P, Tu JV. Effects of socioeconomic status on access to invasive cardiac procedures and on mortality after acute myocardial infarction. N Engl J Med. 1999;341(18):1359–67.
Fiscella K, Sanders MR. Racial and ethnic disparities in the quality of health care. Annu Rev Public Health. 2016;37(1):375–94.
Park S, Zachary WW, Gittelsohn J, Quinn CC, Surkan PJ. Neighborhood influences on physical activity among low-income African American adults with type 2 diabetes mellitus. Diabetes Educ. 2020;46(2):181–90.
Dimick J, Ruhter J, Sarrazin MV, Birkmeyer JD. Black patients more likely than whites to undergo surgery at low-quality hospitals in segregated regions. Health Aff (Millwood). 2013;32(6):1046–53.
Kramer MR, Hogue CR. Is segregation bad for your health? Epidemiol Rev. 2009;31(1):178–94.
Mobley LR, Root ED, Finkelstein EA, Khavjou O, Farris RP, Will JC. Environment, obesity, and cardiovascular disease risk in low-income women. Am J Prev Med. 2006;30(4):327-332.e1.
Kershaw KN, Osypuk TL, Do DP, De Chavez PJ, Diez Roux AV. Neighborhood-level racial/ethnic residential segregation and incident cardiovascular disease: the multi-ethnic study of atherosclerosis. Circulation. 2015;131(2):141–8.
Fang J, Madhavan S, Bosworth W, Alderman MH. Residential segregation and mortality in New York City. Soc Sci Med. 1998;47(4):469–76.
Kaufman JD, Elkind MSV, Bhatnagar A, Koehler K, Balmes JR, Sidney S, et al. Guidance to reduce the cardiovascular burden of ambient air pollutants: a policy statement from the American Heart Association. Circulation [Internet]. 2020;142(23). Available from: https://www.ahajournals.org/doi/10.1161/CIR.0000000000000930 .
Gupta AK. JAHA spotlight on air pollution and cardiovascular disease: a call for urgent action. J Am Heart Assoc. 2021;10(10): e022209.
• Brauer M, Casadei B, Harrington RA, Kovacs R, Sliwa K, the WHF Air Pollution Expert Group. Taking a stand against air pollution—the impact on cardiovascular disease: a joint opinion from the World Heart Federation, American College of Cardiology, American Heart Association, and the European Society of Cardiology. Circulation [Internet]. 2021;143(14). Available from: https://ahajournals.org/10.1161/CIRCULATIONAHA.120.052666.This statement developed by multiple cardiovascular professional societies summarizes the evidence that air pollution is a significant and causal determinant of cardiovascular health.
Bunker A, Wildenhain J, Vandenbergh A, Henschke N, Rocklöv J, Hajat S, et al. Effects of air temperature on climate-sensitive mortality and morbidity outcomes in the elderly; a systematic review and meta-analysis of epidemiological evidence. EBioMedicine. 2016;6:258–68.
Bai L, Li Q, Wang J, Lavigne E, Gasparrini A, Copes R, et al. Increased coronary heart disease and stroke hospitalisations from ambient temperatures in Ontario. Heart Br Card Soc. 2018;104(8):673–9.
Jones MR, Diez-Roux AV, Hajat A, Kershaw KN, O’Neill MS, Guallar E, et al. Race/ethnicity, residential segregation, and exposure to ambient air pollution: the Multi-Ethnic Study of Atherosclerosis (MESA). Am J Public Health. 2014;104(11):2130–7.
Erqou S, Clougherty JE, Olafiranye O, Magnani JW, Aiyer A, Tripathy S, et al. Particulate matter air pollution and racial differences in cardiovascular disease risk. Arterioscler Thromb Vasc Biol. 2018;38(4):935–42.
Dialesandro J, Brazil N, Wheeler S, Abunnasr Y. Dimensions of thermal inequity: neighborhood social demographics and urban heat in the Southwestern U.S. Int J Environ Res Public Health. 2021;18(3):941.
Mitchell BC, Chakraborty J. Exploring the relationship between residential segregation and thermal inequity in 20 U.S. cities. Local Environ. 2018 Aug 3;23(8):796–813.
Chakraborty T, Hsu A, Manya D, Sheriff G. Disproportionately higher exposure to urban heat in lower-income neighborhoods: a multi-city perspective. Environ Res Lett. 2019;14(10): 105003.
Hsu A, Sheriff G, Chakraborty T, Manya D. Disproportionate exposure to urban heat island intensity across major US cities. Nat Commun. 2021;12(1):2721.
United States Environmental Protection Agency. Heat Islands and Equity. 2019. Heat Islands and Equity. Available from: https://www.epa.gov/heatislands/heat-islands-and-equity
Hoffman JS, Shandas V, Pendleton N. The effects of historical housing policies on resident exposure to intra-urban heat: a study of 108 US urban areas. Climate. 2020;8(1):12.
Wilson B. Urban heat management and the legacy of redlining. J Am Plann Assoc. 2020;86(4):443–57.
Li D, Newman GD, Wilson B, Zhang Y, Brown RD. Modeling the relationships between historical redlining, urban heat, and heat-related emergency department visits: an examination of 11 Texas cities. Environ Plan B Urban Anal City Sci. 2022;49(3):933–52.
Malig BJ, Ostro BD. Coarse particles and mortality: evidence from a multi-city study in California. Occup Environ Med. 2009;66(12):832–9.
Di Q, Wang Y, Zanobetti A, Wang Y, Koutrakis P, Choirat C, et al. Air pollution and mortality in the Medicare population. N Engl J Med. 2017;376(26):2513–22.
Christine PJ, Auchincloss AH, Bertoni AG, Carnethon MR, Sánchez BN, Moore K, et al. Longitudinal associations between neighborhood physical and social environments and incident type 2 diabetes mellitus: The Multi-Ethnic Study of Atherosclerosis (MESA). JAMA Intern Med. 2015;175(8):1311–20.
Chandrabose M, den Braver NR, Owen N, Sugiyama T, Hadgraft N. Built environments and cardiovascular health: review and implications. J Cardiopulm Rehabil Prev. 2022;42(6):416–22.
Arcaya M, James P, Rhodes JE, Waters MC, Subramanian SV. Urban sprawl and body mass index among displaced Hurricane Katrina survivors. Prev Med. 2014;65:40–6.
Liu K, Cedres LB, Stamler J, Dyer A, Stamler R, Nanas S, et al. Relationship of education to major risk factors and death from coronary heart disease, cardiovascular diseases and all causes, Findings of three Chicago epidemiologic studies. Circulation. 1982;66(6):1308–14.
Winkleby MA, Jatulis DE, Frank E, Fortmann SP. Socioeconomic status and health: how education, income, and occupation contribute to risk factors for cardiovascular disease. Am J Public Health. 1992;82(6):816–20.
Kershaw KN, Droomers M, Robinson WR, Carnethon MR, Daviglus ML, Monique Verschuren WM. Quantifying the contributions of behavioral and biological risk factors to socioeconomic disparities in coronary heart disease incidence: the MORGEN study. Eur J Epidemiol. 2013;28(10):807–14.
Woodward M, Peters SAE, Batty GD, Ueshima H, Woo J, Giles GG, et al. Socioeconomic status in relation to cardiovascular disease and cause-specific mortality: a comparison of Asian and Australasian populations in a pooled analysis. BMJ Open. 2015;5(3):e006408–e006408.
Foraker RE, Bush C, Greiner MA, Sims M, Henderson K, Smith S, et al. Distribution of cardiovascular health by individual- and neighborhood-level socioeconomic status: findings from the Jackson Heart Study. Glob Heart. 2019;14(3):241.
Sundquist K. Neighborhood socioeconomic environment and incidence of coronary heart disease: a follow-up study of 25,319 women and men in Sweden. Am J Epidemiol. 2004;159(7):655–62.
Aris IM, Rifas-Shiman SL, Jimenez MP, Li LJ, Hivert MF, Oken E, et al. Neighborhood child opportunity index and adolescent cardiometabolic risk. Pediatrics. 2021;147(2): e2020018903.
Kirby JB, Kaneda T. Neighborhood socioeconomic disadvantage and access to health care. J Health Soc Behav. 2005;46(1):15–31.
Prentice JC. Neighborhood effects on primary care access in Los Angeles. Soc Sci Med. 2006;62(5):1291–303.
Kiran T, Hutchings A, Dhalla IA, Furlong C, Jacobson B. The association between quality of primary care, deprivation and cardiovascular outcomes: a cross-sectional study using data from the UK Quality and Outcomes Framework. J Epidemiol Community Health. 2010;64(10):927–34.
Amstislavski P, Matthews A, Sheffield S, Maroko AR, Weedon J. Medication deserts: survey of neighborhood disparities in availability of prescription medications. Int J Health Geogr. 2012;11(1):48.
Gao X, Engeda J, Moore LV, Auchincloss AH, Moore K, Mujahid MS. Longitudinal associations between objective and perceived healthy food environment and diet: The Multi-Ethnic Study of Atherosclerosis. Soc Sci Med 1982. 2022;292:114542.
Sharkey JR, Horel S, Dean WR. Neighborhood deprivation, vehicle ownership, and potential spatial access to a variety of fruits and vegetables in a large rural area in Texas. Int J Health Geogr. 2010;25(9):26.
Jiao J, Moudon AV, Ulmer J, Hurvitz PM, Drewnowski A. How to identify food deserts: measuring physical and economic access to supermarkets in King County. Washington Am J Public Health. 2012;102(10):e32-39.
Gamba RJ, Schuchter J, Rutt C, Seto EYW. Measuring the food environment and its effects on obesity in the United States: a systematic review of methods and results. J Community Health. 2015;40(3):464–75.
Fleischhacker SE, Evenson KR, Rodriguez DA, Ammerman AS. A systematic review of fast food access studies. Obes Rev. 2011;12(5):e460–71.
Lopez RP. Neighborhood risk factors for obesity. Obes Silver Spring Md. 2007;15(8):2111–9.
Dulin AJ, Park JW, Scarpaci MM, Dionne LA, Sims M, Needham BL, et al. Examining relationships between perceived neighborhood social cohesion and ideal cardiovascular health and whether psychosocial stressors modify observed relationships among JHS, MESA, and MASALA participants. BMC Public Health [Internet]. 2022;22(1). Available from: http://www.scopus.com/inward/record.url?scp=85139687037&partnerID=8YFLogxK.
Wang X, Auchincloss AH, Barber S, Mayne SL, Griswold ME, Sims M, et al. Neighborhood social environment as risk factors to health behavior among African Americans: The Jackson Heart Study. Health Place. 2017;45:199–207.
Lagisetty PA, Wen M, Choi H, Heisler M, Kanaya AM, Kandula NR. Neighborhood social cohesion and prevalence of hypertension and diabetes in a South Asian population. J Immigr Minor Health. 2016;18(6):1309–16.
Samuel LJ, Dennison Himmelfarb CR, Szklo M, Seeman TE, Echeverria SE, Diez Roux AV. Social engagement and chronic disease risk behaviors: the Multi-Ethnic Study of Atherosclerosis. Prev Med. 2015;71:61–6.
Barber S, Hickson DA, Kawachi I, Subramanian SV, Earls F. Double-jeopardy: The joint impact of neighborhood disadvantage and low social cohesion on cumulative risk of disease among African American men and women in the Jackson Heart Study. Soc Sci Med. 2016;1982(153):107–15.
Kim Y, Lee A, Cubbin C. Effect of social environments on cardiovascular disease in the United States. J Am Heart Assoc. 2022;11(20): e025923.
Diez Roux AV. Social epidemiology: past, present, and future. Annu Rev Public Health. 2022;5(43):79–98.
Henson RM, Ortigoza A, Martinez-Folgar K, Baeza F, Caiaffa W, Vives Vergara A, et al. Evaluating the health effects of place-based slum upgrading physical environment interventions: a systematic review (2012–2018). Soc Sci Med 1982. 2020;261:113102.
Walton-Moss B, Samuel L, Nguyen TH, Commodore-Mensah Y, Hayat MJ, Szanton SL. Community-based cardiovascular health interventions in vulnerable populations: a systematic review. J Cardiovasc Nurs. 2014;29(4):293–307.
Pennel CL, McLeroy KR, Burdine JN, Matarrita-Cascante D. Nonprofit hospitals’ approach to community health needs assessment. Am J Public Health. 2015;105(3):e103–13.
• Public Health England. Place-based approaches for reducing health inequalities: main report. 2021. Available from: https://www.gov.uk/government/publications/health-inequalities-place-based-approaches-to-reduce-inequalities/place-based-approaches-for-reducing-health-inequalities-main-report.This document articulates the components of a community-based intervention to provide exemplary guidance for addressing health inequities.
Puska P, Jaini P. The North Karelia Project: prevention of cardiovascular disease in Finland through population-based lifestyle interventions. Am J Lifestyle Med. 2020;14(5):495–9.
Vartiainen E. The North Karelia Project: cardiovascular disease prevention in Finland. Glob Cardiol Sci Pract. 2018;2:13.
Puska P, Vartiainen E, Nissinen A, Laatikainen T, Jousilahti P. Background, principles, implementation, and general experiences of the North Karelia Project. Glob Heart. 2016;11(2):173–8.
Puska P. Why did North Karelia—Finland work? Is it transferrable? Glob Heart. 2016;11(4):387–91.
Muncan B. Cardiovascular disease in racial/ethnic minority populations: illness burden and overview of community-based interventions. Public Health Rev. 2018;39:32.
CDC. Centers for Disease Control and Prevention. REACH Program Impact. 2020. Available from: https://www.cdc.gov/nccdphp/dnpao/state-local-programs/reach/program_impact/index.htm.
Omura JD, Carlson SA, Brown DR, Hopkins DP, Kraus WE, Staffileno BA, et al. Built environment approaches to increase physical activity: a science advisory from the American Heart Association. Circulation [Internet]. 2020;142(11). Available from: https://www.ahajournals.org/doi/10.1161/CIR.0000000000000884.
Guide to Community Preventative Services. [Internet]. Physical activity: built environment approaches combining transportation system interventions with land use and environmental design. 2017. Available from: https://www.thecommunityguide.org/findings/physical-activity-built-environment-approaches.html.
Guide to Community Preventative Services. [Internet]. Physical activity: interventions to increase active travel to school. 2021. Available from: https://www.thecommunityguide.org/findings/physical-activity-interventions-increase-active-travel-school.html.
TFFRS - Physical activity: interventions to increase active travel to school [Internet]. 2022. Available from: https://www.thecommunityguide.org/pages/tffrs-physical-activity-interventions-increase-active-travel-school.html.
Holt C. Building community practice competencies globally through the Community Tool Box. Glob J Community Psychol Pract [Internet]. 2013;4(4). Available from: http://www.gjcpp.org/en/article.php?issue=16&article=81.
Flanagan BE, Gregory EW, Hallisey EJ, Heitgerd JL, Lewis B. A social vulnerability index for disaster management. J Homel Secur Emerg Manag [Internet]. 2011;8(1). Available from: https://www.degruyter.com/document/doi/10.2202/1547-7355.1792/html.
Economic Innovation Group [Internet]. Distressed communities- Introduction to the Distressed Communities Index (DCI). 2023. Available from: https://eig.org/distressed-communities/.
Allen R, Burgess S, Davidson R, Windmeijer F. More reliable inference for the dissimilarity index of segregation. Econom J. 2015;18(1):40–66.
Duncan OD, Duncan B. A methodological analysis of segregation indexes. Am Sociol Rev. 1955;20(2):210.
United States Environmental Protection Agency [Internet]. National Walkability Index User Guide and Methodology. 2021. Available from: https://www.epa.gov/smartgrowth/national-walkability-index-user-guide-and-methodology.
Carr LJ, Dunsiger SI, Marcus BH. Walk Score™ as a global estimate of neighborhood walkability. Am J Prev Med. 2010;39(5):460–3.
Hirsch JA, Moore KA, Evenson KR, Rodriguez DA, Roux AVD. Walk Score® and Transit Score® and walking in the Multi-Ethnic Study of Atherosclerosis. Am J Prev Med. 2013;45(2):158–66.
Nguyen QC, Belnap T, Dwivedi P, Deligani AHN, Kumar A, Li D, et al. Google Street View Images as predictors of patient health outcomes, 2017–2019. Big Data Cogn Comput. 2022;6(1):15.
Phan L, Yu W, Keralis JM, Mukhija K, Dwivedi P, Brunisholz KD, et al. Google Street View derived built environment indicators and associations with state-level obesity, physical activity, and chronic disease mortality in the United States. Int J Environ Res Public Health. 2020;17(10):3659.
Funding
JWM is supported by National Institutes of Health/National Heart, Lung and Blood Institute Award number K24HL160527.
National Heart,Lung,and Blood Institute,K24HL160527,Jared W Magnani
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Fullin, K., Keen, S., Harris, K. et al. Impact of Neighborhood on Cardiovascular Health: A Contemporary Narrative Review. Curr Cardiol Rep 25, 1015–1027 (2023). https://doi.org/10.1007/s11886-023-01919-1
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DOI: https://doi.org/10.1007/s11886-023-01919-1