IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0289170.html
   My bibliography  Save this article

Neighborhood socioeconomic position, living arrangements, and cardiometabolic disease among older Puerto Ricans: An examination using PREHCO 2002–2007

Author

Listed:
  • Nekehia T Quashie
  • Catherine García
  • Gabriella Meltzer
  • Flavia C D Andrade
  • Amílcar Matos-Moreno

Abstract

Cardiometabolic diseases are among the leading causes of mortality worldwide and are increasingly prevalent in rapidly aging populations. Neighborhood socioeconomic position (SEP) and living arrangements are increasingly recognized as important determinants of cardiometabolic health but have not been examined within Puerto Rico. This study examined the association between neighborhood SEP, living arrangements, and incidence of cardiometabolic conditions among island-dwelling older Puerto Ricans, using longitudinal data from the Puerto Rican Elderly Health Conditions Project (Waves I 2002/03 and II 2006/07) linked with 2000 Census data for neighborhood-level conditions. Our sample consists of non-institutionalized adults aged 60 and older who remained in the same residence over both waves of data collection (N = 2,769). We used multilevel multinomial logistic regression models to examine the relationship between neighborhood SEP and the prevalence and incidence of cardiometabolic disease. Findings show that residence in a socioeconomically advantaged neighborhood was positively associated with reporting having one cardiometabolic condition at baseline, but not associated with the incidence of cardiometabolic conditions at follow-up. Living without a partner was negatively associated with reporting having cardiometabolic conditions compared to living with a partner. Similar results were found for the incidence of cardiometabolic conditions. Living arrangements significantly modified the relationship between neighborhood SEP and cardiometabolic conditions. Compared to living with a partner, living alone in a socioeconomically advantaged neighborhood was associated with a reduced risk of reporting having one condition. Living with children in a socioeconomically advantaged neighborhood was associated with a reduced risk of developing one cardiometabolic condition than living with a partner. Living arrangements are more salient to cardiometabolic health than neighborhood SEP. Social programs and services focused on household composition and familial support are needed to identify older Puerto Ricans potentially at risk of underdiagnosed chronic conditions, especially as ongoing economic, demographic, environmental, and healthcare crises potentially exacerbate social inequalities.

Suggested Citation

  • Nekehia T Quashie & Catherine García & Gabriella Meltzer & Flavia C D Andrade & Amílcar Matos-Moreno, 2023. "Neighborhood socioeconomic position, living arrangements, and cardiometabolic disease among older Puerto Ricans: An examination using PREHCO 2002–2007," PLOS ONE, Public Library of Science, vol. 18(8), pages 1-20, August.
    • Handle: RePEc:plo:pone00:0289170
    DOI: 10.1371/journal.pone.0289170
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0289170
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0289170&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0289170?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Mary Mceniry & Alberto Palloni, 2010. "Early life exposures and the occurrence and timing of heart disease among the older adult Puerto Rican population," Demography, Springer;Population Association of America (PAA), vol. 47(1), pages 23-43, February.
    2. Benach, Joan & Díaz, Marinilda Rivera & Muñoz, Nylca J. & Martínez-Herrera, Eliana & Pericàs, Juan Manuel, 2019. "What the Puerto Rican hurricanes make visible: Chronicle of a public health disaster foretold," Social Science & Medicine, Elsevier, vol. 238(C), pages 1-1.
    3. Meyler, Deanna & Stimpson, Jim P. & Peek, M. Kristen, 2007. "Health concordance within couples: A systematic review," Social Science & Medicine, Elsevier, vol. 64(11), pages 2297-2310, June.
    4. James Dietz, 1982. "Puerto Rico in the 1970s and 1980s: Crisis of the Development Model," Journal of Economic Issues, Taylor & Francis Journals, vol. 16(2), pages 497-506, June.
    5. Nekehia T Quashie & Flavia C D Andrade & Gabriella Meltzer & Catherine García & Jessica Kelley, 2022. "Living Arrangements and Intergenerational Support in Puerto Rico: Are Fathers Disadvantaged? [Demography of informal caregiving]," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 77(11), pages 2078-2090.
    6. Jimenez, Marcia P. & Wellenius, Gregory A. & Subramanian, S.V. & Buka, Stephen & Eaton, Charles & Gilman, Stephen E. & Loucks, Eric B., 2019. "Longitudinal associations of neighborhood socioeconomic status with cardiovascular risk factors: A 46-year follow-up study," Social Science & Medicine, Elsevier, vol. 241(C).
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Janet Currie & Tom Vogl, 2013. "Early-Life Health and Adult Circumstance in Developing Countries," Annual Review of Economics, Annual Reviews, vol. 5(1), pages 1-36, May.
    2. Missinne, Sarah & Colman, Elien & Bracke, Piet, 2013. "Spousal influence on mammography screening: A life course perspective," Social Science & Medicine, Elsevier, vol. 98(C), pages 63-70.
    3. Jong-Yi Wang & Chiu-Shong Liu & Chi-Hsuan Lung & Ya-Tun Yang & Ming-Hung Lin, 2017. "Investigating spousal concordance of diabetes through statistical analysis and data mining," PLOS ONE, Public Library of Science, vol. 12(8), pages 1-16, August.
    4. Kristjana Baldursdottir & Paul McNamee & Edward C. Norton & Tinna Laufey Asgeirsdottir, 2023. "Life satisfaction and body mass index: estimating the monetary value of achieving optimal body weight," Review of Economics of the Household, Springer, vol. 21(4), pages 1215-1246, December.
    5. Ginevra Floridi & Nekehia T Quashie & Karen Glaser & Martina Brand, 2022. "Partner Care Arrangements and Well-Being in Mid- and Later Life: The Role of Gender Across Care Contexts [Societal and individual determinants of medical care utilization in the United States]," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 77(2), pages 435-445.
    6. Jolidon, Vladimir, 2022. "Gender inequality and mammography screening: Does living with a partner improve women's mammography uptake?," Social Science & Medicine, Elsevier, vol. 298(C).
    7. Brainerd, Elizabeth & Menon, Nidhiya, 2014. "Seasonal effects of water quality: The hidden costs of the Green Revolution to infant and child health in India," Journal of Development Economics, Elsevier, vol. 107(C), pages 49-64.
    8. Wilson, Sven E., 2012. "Marriage, gender and obesity in later life," Economics & Human Biology, Elsevier, vol. 10(4), pages 431-453.
    9. James Banks & Iris Kesternich & James P. Smith, 2021. "International differences in interspousal health correlations," Health Economics, John Wiley & Sons, Ltd., vol. 30(5), pages 1152-1177, May.
    10. Lei, Man-Kit & Berg, Mark T. & Simons, Ronald L. & Simons, Leslie G. & Beach, Steven R.H., 2020. "Childhood adversity and cardiovascular disease risk: An appraisal of recall methods with a focus on stress-buffering processes in childhood and adulthood," Social Science & Medicine, Elsevier, vol. 246(C).
    11. Chen, Qihui & Hu, Yue & Zhang, Bo, 2022. "Effects of Chronic Disease Diagnoses on Alcohol Consumption among Elderly Individuals—Longitudinal Evidence from China," 2022 Annual Meeting, July 31-August 2, Anaheim, California 322083, Agricultural and Applied Economics Association.
    12. Kimberly-Ann Gittens-Baynes, 2022. "Understanding individual health decision-making in small developing countries a theoretical model," SN Business & Economics, Springer, vol. 2(9), pages 1-16, September.
    13. Richard H. Steckel & Garrett Senney, 2015. "Historical Origins of a Major Killer: Cardiovascular Disease in the American South," NBER Working Papers 21809, National Bureau of Economic Research, Inc.
    14. Lin, Ming-Jen & Liu, Elaine M., 2014. "Does in utero exposure to Illness matter? The 1918 influenza epidemic in Taiwan as a natural experiment," Journal of Health Economics, Elsevier, vol. 37(C), pages 152-163.
    15. Morton, Patricia M. & Mustillo, Sarah A. & Ferraro, Kenneth F., 2014. "Does childhood misfortune raise the risk of acute myocardial infarction in adulthood?," Social Science & Medicine, Elsevier, vol. 104(C), pages 133-141.
    16. Lena Karlsson, 2017. "Indigenous Infant Mortality by Age and Season of Birth, 1800–1899: Did Season of Birth Affect Children’s Chances for Survival?," IJERPH, MDPI, vol. 15(1), pages 1-12, December.
    17. Ma, Yuanyuan & Nolan, Anne, 2025. "Health information and health behaviours: Does new information on hypertension status matter?," The Journal of the Economics of Ageing, Elsevier, vol. 30(C).
    18. Anderson, David M. & Hoagland, Alex & Zhu, Ed, 2024. "Medical bill shock and imperfect moral hazard," Journal of Public Economics, Elsevier, vol. 236(C).
    19. Mark E. McGovern, 2019. "How much does birth weight matter for child health in developing countries? Estimates from siblings and twins," Health Economics, John Wiley & Sons, Ltd., vol. 28(1), pages 3-22, January.
    20. Reczek, Corinne, 2012. "The promotion of unhealthy habits in gay, lesbian, and straight intimate partnerships," Social Science & Medicine, Elsevier, vol. 75(6), pages 1114-1121.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0289170. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.