Associations between GIS-measured built environment features and cardiovascular disease mortality in Montreal, Canada — ASN Events

Associations between GIS-measured built environment features and cardiovascular disease mortality in Montreal, Canada (16923)

Torbjorn van Heeswijck 1 , Catherine Paquet 1 , Yan Kestens 2 , Benoit Thierry 2 , Mark Daniel 1 3
  1. School of Population Health, University of South Australia, Adelaide, South Australia, Australia
  2. Montreal School of Public Health, Montreal Hospital University Research Center, Montreal, Quebec, Canada
  3. Department of Medicine, St. Vincent's Hospital, The University of Melbourne, Melbourne, Victoria, Australia

Relationships between built environment features, measured objectively using a Geographic Information System and transportation survey data, and cardiovascular disease mortality rates at the census tract level were investigated in a metropolitan setting. Individual exposures to the built environment were aggregated to the census tract level (n = 461) and Generalised Estimating Equations analysis used to test associations with CVD mortality rates. Models were adjusted for sociodemographic covariates as well as area income. Increased density of destinations was related to lower CVD mortality rates specifically, while increased greenness was related to both CVD mortality and all-cause mortality rates. Statistically significant interactions between area income and greenness were also observed.