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Residential relocation by older adults in response to incident cardiovascular health events: a case-crossover analysis.
Monday,2014-05-05 12:51 America/Los_Angeles — poolea2
| Title | Residential relocation by older adults in response to incident cardiovascular health events: a case-crossover analysis. |
| Publication Type | Journal Article |
| Year of Publication | 2014 |
| Authors | Lovasi, GS, Richardson, JM, Rodriguez, CJ, Kop, WJ, Ahmed, A, Brown, AF, Greenlee, H, Siscovick, DS |
| Journal | J Environ Public Health |
| Volume | 2014 |
| Pagination | 951971 |
| Date Published | 2014 |
| ISSN | 1687-9813 |
| Keywords | Aged, Cardiovascular Diseases, Cross-Over Studies, Female, Humans, Incidence, Life Change Events, Logistic Models, Longitudinal Studies, Male, Prospective Studies, Residence Characteristics, United States |
| Abstract | <p><b>OBJECTIVE: </b>We use a case-crossover analysis to explore the association between incident cardiovascular events and residential relocation to a new home address.</p><p><b>METHODS: </b>We conducted an ambidirectional case-crossover analysis to explore the association between incident cardiovascular events and residential relocation to a new address using data from the Cardiovascular Health Study (CHS), a community-based prospective cohort study of 5,888 older adults from four U.S. sites beginning in 1989. Relocation was assessed twice a year during follow-up. Event occurrences were classified as present or absent for the period preceding the first reported move, as compared with an equal length of time immediately prior to and following this period.</p><p><b>RESULTS: </b>Older adults (65+) that experience incident cardiovascular disease had an increased probability of reporting a change of residence during the following year (OR 1.6, 95% confidence interval (CI) = 1.2-2.1). Clinical conditions associated with relocation included stroke (OR: 2.0, 95% CI: 1.2-3.3), angina (OR: 1.6, 95% CI: 1.0-2.6), and congestive heart failure (OR: 1.5, 95% CI: 1.0-2.1).</p><p><b>CONCLUSIONS: </b>Major incident cardiovascular disease may increase the probability of residential relocation in older adults. Case-crossover analyses represent an opportunity to investigate triggering events, but finer temporal resolution would be crucial for future research on residential relocations.</p> |
| DOI | 10.1155/2014/951971 |
| Alternate Journal | J Environ Public Health |
| PubMed ID | 24782900 |
| PubMed Central ID | PMC3981061 |
| Grant List | K01HD067390 / HD / NICHD NIH HHS / United States R01 AG015928 / AG / NIA NIH HHS / United States U01 HL080295 / HL / NHLBI NIH HHS / United States R01 HL104199 / HL / NHLBI NIH HHS / United States N01 HC015103 / HC / NHLBI NIH HHS / United States R56 AG020098 / AG / NIA NIH HHS / United States AG-20098 / AG / NIA NIH HHS / United States N01HC55222 / HL / NHLBI NIH HHS / United States N01HC85086 / HL / NHLBI NIH HHS / United States AG-027058 / AG / NIA NIH HHS / United States HHSN268201200036C / HL / NHLBI NIH HHS / United States R01 HL080295 / HL / NHLBI NIH HHS / United States K01 HD067390 / HD / NICHD NIH HHS / United States R01 AG020098 / AG / NIA NIH HHS / United States N01HC75150 / HL / NHLBI NIH HHS / United States HL080295 / HL / NHLBI NIH HHS / United States AG-023629 / AG / NIA NIH HHS / United States N01HC85079 / HL / NHLBI NIH HHS / United States R01 AG023629 / AG / NIA NIH HHS / United States R01 AG027058 / AG / NIA NIH HHS / United States N01 HC045133 / HC / NHLBI NIH HHS / United States N01 HC035129 / HC / NHLBI NIH HHS / United States R56 AG023629 / AG / NIA NIH HHS / United States |