Residential mobility and chronic disease among World Trade Center Health Registry enrollees, 2004–2016. (January 2020)

• Record Type: Journal Article
• Authors: Jacobson, Melanie; Crossa, Aldo; Liu, Sze Yan; Locke, Sean; Poirot, Eugenie; Stein, Cheryl; Lim, Sungwoo
• Is Part Of: Health & place. Volume 61(2020:Jan.)
• Publication Date: 2020-01
• Subjects: Residential mobility -- Displacement -- Chronic disease -- Built environment -- Gentrification; 9/11 September 11, 2001 -- WTC World Trade Center -- PUMA public use microdata area -- PTSD posttraumatic stress disorder -- HR hazard ratio -- CI Confidence Interval; Health -- Social aspects -- Periodicals; Health services accessibility -- Periodicals; Public health -- Periodicals; Political planning -- Periodicals; Social medicine -- Periodicals; Epidemiology -- Periodicals; Health Policy -- Periodicals; Health Services Accessibility -- Periodicals; Public Health -- Periodicals; Public Policy -- Periodicals; Sociology, Medical -- Periodicals; Épidémiologie -- Périodiques; Politique sanitaire -- Périodiques; Santé, Services de -- Accessibilité -- Périodiques; Health services accessibility; Health -- Social aspects; Political planning; Public health; Social medicine; Periodicals; 613
• DOI: 10.1016/j.healthplace.2019.102270
• Languages: English
• ISSNs: 1353-8292

Abstract

Abstract: Residential mobility is hypothesized to impact health through changes to the built environment and disruptions in social networks, and may vary by neighborhood deprivation exposure. However, there are few longitudinal investigations of residential mobility in relation to health outcomes. This study examined enrollees from the World Trade Center Health Registry, a longitudinal cohort of first responders and community members in lower Manhattan on September 11, 2001. Enrollees who completed ≥2 health surveys between 2004 and 2016 and did not have diabetes (N = 44, 089) or hypertension (N = 35, 065) at baseline (i.e., 2004) were included. Using geocoded annual home addresses, residential mobility was examined using two indicators: moving frequency and displacement. Moving frequency was defined as the number of times someone was recorded as living in a different neighborhood; displacement as any moving to a more disadvantaged neighborhood. We fit adjusted Cox proportional hazards models with time-dependent exposures (moving frequency and displacement) and covariates to evaluate associations with incident diabetes and hypertension. From 2004 to 2016, the majority of enrollees never moved (54.5%); 6.5% moved ≥3 times. Those who moved ≥3 times had a similar hazard of diabetes (hazard ratio (HR) = 0.78; 95% Confidence Interval (CI): 0.40, 1.53) and hypertension (HR = 0.99; 95% CI: 0.68, 1.43) compared with those who never moved. Similarly, displacement was not associated with diabetes or hypertension. Residential mobility was not associated with diabetes or hypertension among a cohort of primarily urban-dwelling adults. Highlights: Few longitudinal studies have been conducted on residential mobility and health. Assessed residential mobility in relation to chronic disease in longitudinal cohort - Moving frequency and residential displacement examined over 12 year period. Moving frequency and displacement were not associated with diabetes or hypertension.