Abstract
BackgroundThe risk of mortgage foreclosure disproportionately burdens Hispanic/Latino populations perpetuating racial disparities in health. In this study, we examined the relationship between area-level mortgage foreclosure risk, homeownership, and the prevalence of cardiovascular disease risk factors among participants of the Hispanic Community Health Study/Study of Latinos (HCHS/SOL).MethodsHCHS/SOL participants were age 18–74 years when recruited from four U.S. metropolitan areas. Mortgage foreclosure risk was obtained from the U.S. Department of Housing and Urban Development. Homeownership, sociodemographic factors, and cardiovascular disease risk factors were measured at baseline interview between 2008 and 2011. There were 13,856 individuals contributing to the analysis (median age 39 years old, 53% female).ResultsRenters in high foreclosure risk areas had a higher prevalence of hypertension and hypercholesterolemia but no association with smoking status compared to renters in low foreclosure risk areas. Renters were more likely to smoke cigarettes than homeowners.ConclusionAmong US Hispanic/Latinos in urban cities, area foreclosure and homeownership have implications for risk of cardiovascular disease.
Highlights
The risk of mortgage foreclosure disproportionately burdens Hispanic/Latino populations perpetuating racial disparities in health
The purpose of this study was to examine the relationship between neighborhood foreclosure risk, homeownership, and cardiovascular disease risk factors - i.e., hypertension, hypercholesterolemia, cigarette smoking - among Hispanic/Latino adults living in 4 major metropolitan areas in the U.S We further examined whether the association of neighborhood foreclosure risk on cardiovascular disease risk factors differed between homeowners and renters, rarely addressed in previous research
The growing evidence including the results from this study show that home mortgage foreclosures can negatively affect community health
Summary
The risk of mortgage foreclosure disproportionately burdens Hispanic/Latino populations perpetuating racial disparities in health. We examined the relationship between area-level mortgage foreclosure risk, homeownership, and the prevalence of cardiovascular disease risk factors among participants of the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). Studies of associations of area foreclosures and BMI are inconsistent [4,5,6] Inconsistent findings among these studies may reflect differences in measurement of foreclosures at the neighborhood levels or possibly differing mechanisms driving the association between foreclosures and various cardiovascular disease risk factors. More research is needed to confirm prior findings of the association of neighborhood foreclosures and cardiovascular disease These studies should characterize the risk among homeowners and renters and examine a wider range of cardiovascular disease risk factors such as high cholesterol and cigarette smoking
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