Table 4.

Multivariable associations of neighborhood attributes and risk of incident CVD in the Pathways Heart Study

	HR*	95% CI
Percent Asian American/Pacific Islander Residents
Quintile 1: low (<2.0%)	1.85	1.03	3.33
Quintile 2 (2.0–4.8%)	1.48	0.96	2.28
Quintile 3 (4.9–9.2%)	1.26	0.86	1.84
Quintile 4 (9.3–18.8%)	1.02	0.72	1.46
Quintile 5: high (>18.8%)	1.00
P trend	0.0228
Percent Foreign Born Residents
Quintile 1: low (<12.7%)	1.00
Quintile 2 (12.7–20.1%)	0.90	0.58	1.39
Quintile 3 (20.2–29.3%)	0.96	0.66	1.37
Quintile 4 (29.4–40.9%)	1.04	0.75	1.43
Quintile 5: high (>40.9%)	1.01	0.59	1.75
P trend	0.7691
Neighborhood Crime Index
Quartile 1: low (<45)	1.00
Quartile 2 (45–80)	0.95	0.71	1.28
Quartile 3 (81–146)	0.97	0.70	1.33
Quartile 4: high (>146)	1.48	1.08	2.03
P trend	0.0470
Urbanization
Metropolitan urban	1.00
Suburban (metro areas)	0.99	0.65	1.52
City outside of metro areas	1.21	0.75	1.96
Small town/Rural	0.75	0.37	1.53
P value (type 3)	0.2371

^*Adjusted for age, race/ethnicity (Pacific Islander, American Indian, Alaska Native combined as “other” category), education, household income, family history of breast cancer, menopausal, tumor type (ER PR), stage at diagnosis, radiation therapy (yes/no), chemotherapy (yes/no), endocrine therapy (yes/no), smoking history, BMI at baseline, physical activity at baseline, cardiometabolic risk factors: dyslipidemia, diabetes, and hypertension (condition present up to 3 years before diagnosis date), and the neighborhood attributes in the table.