{"id":"https://openalex.org/W7160053095","doi":"https://doi.org/10.1161/cir.153.suppl_1.we571a","title":"Abstract WE571A: Psychosocial Stressors Linking Perceived Neighborhood Physical Disorder to Stroke Risk Among U.S. Adults","display_name":"Abstract WE571A: Psychosocial Stressors Linking Perceived Neighborhood Physical Disorder to Stroke Risk Among U.S. Adults","publication_year":2026,"publication_date":"2026-03-24","ids":{"openalex":"https://openalex.org/W7160053095","doi":"https://doi.org/10.1161/cir.153.suppl_1.we571a"},"language":"en","primary_location":{"id":"doi:10.1161/cir.153.suppl_1.we571a","doi":"https://doi.org/10.1161/cir.153.suppl_1.we571a","is_oa":false,"landing_page_url":"https://doi.org/10.1161/cir.153.suppl_1.we571a","pdf_url":null,"source":{"id":"https://openalex.org/S116251202","display_name":"Circulation","issn_l":"0009-7322","issn":["0009-7322","1524-4539"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-3","ki-jl-3","medline","norway-2"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5071454097","display_name":"Mohammad Moniruzzaman","orcid":"https://orcid.org/0000-0003-2144-7111","observed_orcids":["https://orcid.org/0000-0003-2144-7111"]},"institutions":[{"id":"https://openalex.org/I4210145867","display_name":"National Institute on Minority Health and Health Disparities","ror":"https://ror.org/0493hgw16","country_code":"US","type":"government","lineage":["https://openalex.org/I1299022934","https://openalex.org/I1299303238","https://openalex.org/I4210145867"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Mohammad Moniruzzaman","raw_affiliation_strings":["National Institute on Minority Health and Health Disparities, Bethesda, Maryland, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"National Institute on Minority Health and Health Disparities, Bethesda, Maryland, United States","institution_ids":["https://openalex.org/I4210145867"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5052752320","display_name":"Yangyang Deng","orcid":"https://orcid.org/0000-0002-7152-7315","observed_orcids":["https://orcid.org/0000-0002-7152-7315"]},"institutions":[{"id":"https://openalex.org/I4210145867","display_name":"National Institute on Minority Health and Health Disparities","ror":"https://ror.org/0493hgw16","country_code":"US","type":"government","lineage":["https://openalex.org/I1299022934","https://openalex.org/I1299303238","https://openalex.org/I4210145867"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Yangyang deng","raw_affiliation_strings":["National Institute on Minority Health and Health Disparities, Bethesda, Maryland, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"National Institute on Minority Health and Health Disparities, Bethesda, Maryland, United States","institution_ids":["https://openalex.org/I4210145867"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5135139341","display_name":"Sana Khan","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210145867","display_name":"National Institute on Minority Health and Health Disparities","ror":"https://ror.org/0493hgw16","country_code":"US","type":"government","lineage":["https://openalex.org/I1299022934","https://openalex.org/I1299303238","https://openalex.org/I4210145867"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sana Khan","raw_affiliation_strings":["National Institute on Minority Health and Health Disparities, Bethesda, Maryland, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"National Institute on Minority Health and Health Disparities, Bethesda, Maryland, United States","institution_ids":["https://openalex.org/I4210145867"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5122617920","display_name":"Qian Xiao","orcid":"https://orcid.org/0000-0002-8388-1178","observed_orcids":["https://orcid.org/0000-0002-8388-1178"]},"institutions":[{"id":"https://openalex.org/I919571938","display_name":"The University of Texas Health Science Center at Houston","ror":"https://ror.org/03gds6c39","country_code":"US","type":"education","lineage":["https://openalex.org/I919571938"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Qian Xiao","raw_affiliation_strings":["The University of Texas Health Science Center at Houston (UTHealth) School of Public Health, Houston, Texas, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The University of Texas Health Science Center at Houston (UTHealth) School of Public Health, Houston, Texas, United States","institution_ids":["https://openalex.org/I919571938"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Quynh Nguyen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210110704","display_name":"National Institute of Nursing Research","ror":"https://ror.org/01y3zfr79","country_code":"US","type":"facility","lineage":["https://openalex.org/I1299022934","https://openalex.org/I1299303238","https://openalex.org/I4210110704"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Quynh Nguyen","raw_affiliation_strings":["National Institute of Nursing Research, Bethesda, Maryland, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"National Institute of Nursing Research, Bethesda, Maryland, United States","institution_ids":["https://openalex.org/I4210110704"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5077755230","display_name":"Ram Jagannathan","orcid":"https://orcid.org/0000-0003-4267-5033","observed_orcids":["https://orcid.org/0000-0003-4267-5033"]},"institutions":[{"id":"https://openalex.org/I150468666","display_name":"Emory University","ror":"https://ror.org/03czfpz43","country_code":"US","type":"education","lineage":["https://openalex.org/I150468666"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ram Jagannathan","raw_affiliation_strings":["Rollins School of Public Health, Emory University, Atlanta, Georgia, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Rollins School of Public Health, Emory University, Atlanta, Georgia, United States","institution_ids":["https://openalex.org/I150468666"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101636271","display_name":"Lu Hu","orcid":"https://orcid.org/0000-0001-6465-6779","observed_orcids":["https://orcid.org/0000-0001-6465-6779"]},"institutions":[{"id":"https://openalex.org/I57206974","display_name":"New York University","ror":"https://ror.org/0190ak572","country_code":"US","type":"education","lineage":["https://openalex.org/I57206974"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Lu Hu","raw_affiliation_strings":["NYU Grossman School of Medicine, New York, New York, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"NYU Grossman School of Medicine, New York, New York, United States","institution_ids":["https://openalex.org/I57206974"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5047281190","display_name":"Omar El Shahawy","orcid":"https://orcid.org/0000-0003-3342-6377","observed_orcids":["https://orcid.org/0000-0003-3342-6377"]},"institutions":[{"id":"https://openalex.org/I57206974","display_name":"New York University","ror":"https://ror.org/0190ak572","country_code":"US","type":"education","lineage":["https://openalex.org/I57206974"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Omar El Shahawy","raw_affiliation_strings":["NYU Grossman School of Medicine, New York, New York, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"NYU Grossman School of Medicine, New York, New York, United States","institution_ids":["https://openalex.org/I57206974"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5086137416","display_name":"Kosuke Tamura","orcid":"https://orcid.org/0000-0002-4920-2856","observed_orcids":["https://orcid.org/0000-0002-4920-2856"]},"institutions":[{"id":"https://openalex.org/I4210145867","display_name":"National Institute on Minority Health and Health Disparities","ror":"https://ror.org/0493hgw16","country_code":"US","type":"government","lineage":["https://openalex.org/I1299022934","https://openalex.org/I1299303238","https://openalex.org/I4210145867"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kosuke Tamura","raw_affiliation_strings":["National Institute on Minority Health and Health Disparities, Bethesda, Maryland, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"National Institute on Minority Health and Health Disparities, Bethesda, Maryland, United States","institution_ids":["https://openalex.org/I4210145867"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":5,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"153","issue":"Suppl_1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10235","display_name":"Health disparities and outcomes","score":0.9868000149726868,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10235","display_name":"Health disparities and outcomes","score":0.9868000149726868,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10574","display_name":"Crime Patterns and Interventions","score":0.003700000001117587,"subfield":{"id":"https://openalex.org/subfields/3312","display_name":"Sociology and Political Science"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11645","display_name":"Urban, Neighborhood, and Segregation Studies","score":0.002300000051036477,"subfield":{"id":"https://openalex.org/subfields/3312","display_name":"Sociology and Political Science"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/neighborhood-physical-disorder","display_name":"neighborhood physical disorder","score":0.9190000295639038},{"id":"https://openalex.org/keywords/stroke-risk","display_name":"stroke risk","score":0.9200000166893005},{"id":"https://openalex.org/keywords/perceived-stress","display_name":"perceived stress","score":0.7910000085830688},{"id":"https://openalex.org/keywords/anxiety","display_name":"anxiety","score":0.9800000190734863},{"id":"https://openalex.org/keywords/psychosocial-stressors","display_name":"psychosocial stressors","score":0.9300000071525574},{"id":"https://openalex.org/keywords/mediation","display_name":"mediation","score":0.7059999704360962},{"id":"https://openalex.org/keywords/sex-differences","display_name":"sex differences","score":0.8960000276565552},{"id":"https://openalex.org/keywords/racial-and-ethnic-differences","display_name":"racial and ethnic differences","score":0.843999981880188},{"id":"https://openalex.org/keywords/middle-aged-and-older-adults","display_name":"middle-aged and older adults","score":0.8309999704360962},{"id":"https://openalex.org/keywords/vacant-housing","display_name":"vacant housing","score":0.6230000257492065},{"id":"https://openalex.org/keywords/vandalism","display_name":"vandalism","score":0.7609999775886536},{"id":"https://openalex.org/keywords/litter","display_name":"litter","score":0.4620000123977661},{"id":"https://openalex.org/keywords/chronic-disease-risk","display_name":"chronic disease risk","score":0.6589999794960022},{"id":"https://openalex.org/keywords/health-and-retirement-study","display_name":"Health and Retirement Study","score":0.6940000057220459},{"id":"https://openalex.org/keywords/indirect-effects","display_name":"indirect effects","score":0.6919999718666077},{"id":"https://openalex.org/keywords/stratified-analysis","display_name":"stratified analysis","score":0.4959999918937683}],"concepts":[{"id":"https://openalex.org/C150966472","wikidata":"https://www.wikidata.org/wiki/Q3410145","display_name":"Psychosocial","level":2,"score":0.7533000111579895},{"id":"https://openalex.org/C125370674","wikidata":"https://www.wikidata.org/wiki/Q1527480","display_name":"Stressor","level":2,"score":0.7250999808311462},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7078999876976013},{"id":"https://openalex.org/C558461103","wikidata":"https://www.wikidata.org/wiki/Q154430","display_name":"Anxiety","level":2,"score":0.5819000005722046},{"id":"https://openalex.org/C143095724","wikidata":"https://www.wikidata.org/wiki/Q515895","display_name":"Odds","level":3,"score":0.5116000175476074},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.48919999599456787},{"id":"https://openalex.org/C2780645631","wikidata":"https://www.wikidata.org/wiki/Q671554","display_name":"Stroke (engine)","level":2,"score":0.4772999882698059},{"id":"https://openalex.org/C137403100","wikidata":"https://www.wikidata.org/wiki/Q41710","display_name":"Ethnic group","level":2,"score":0.45590001344680786},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.4142000079154968},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.39329999685287476},{"id":"https://openalex.org/C142052008","wikidata":"https://www.wikidata.org/wiki/Q954027","display_name":"Cross-sectional study","level":2,"score":0.38850000500679016},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.3765000104904175},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.3587999939918518},{"id":"https://openalex.org/C2776317618","wikidata":"https://www.wikidata.org/wiki/Q544006","display_name":"Anxiety disorder","level":3,"score":0.34299999475479126},{"id":"https://openalex.org/C50440223","wikidata":"https://www.wikidata.org/wiki/Q1475848","display_name":"Risk factor","level":2,"score":0.31850001215934753},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.3125},{"id":"https://openalex.org/C181588539","wikidata":"https://www.wikidata.org/wiki/Q219067","display_name":"Physical exercise","level":2,"score":0.2946000099182129},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.2888000011444092},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.27059999108314514},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.26759999990463257},{"id":"https://openalex.org/C2779911313","wikidata":"https://www.wikidata.org/wiki/Q845224","display_name":"Generalized anxiety disorder","level":3,"score":0.2637999951839447},{"id":"https://openalex.org/C2776867660","wikidata":"https://www.wikidata.org/wiki/Q1814941","display_name":"Depression (economics)","level":2,"score":0.2623000144958496}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1161/cir.153.suppl_1.we571a","doi":"https://doi.org/10.1161/cir.153.suppl_1.we571a","is_oa":false,"landing_page_url":"https://doi.org/10.1161/cir.153.suppl_1.we571a","pdf_url":null,"source":{"id":"https://openalex.org/S116251202","display_name":"Circulation","issn_l":"0009-7322","issn":["0009-7322","1524-4539"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-3","ki-jl-3","medline","norway-2"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.98580002784729,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"},{"score":0.8787999749183655,"id":"https://metadata.un.org/sdg/11","display_name":"Sustainable cities and communities"}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"Introduction:":[0],"Neighborhood":[1],"disorder,":[2],"defined":[3],"as":[4,24,151],"adverse":[5,315],"physical":[6,41,59,129,158,199,229,289],"features":[7],"of":[8,20,66,72,98,207,294,299,308],"neighborhoods":[9,27,286],"(e.g.,":[10],"vandalism,":[11],"vacant":[12,140],"houses),":[13],"has":[14],"been":[15],"linked":[16],"to":[17,33,182,234,313],"elevated":[18,297],"risks":[19],"chronic":[21],"diseases,":[22],"such":[23],"stroke.":[25,34],"Adverse":[26],"may":[28,50,304,325],"elevate":[29],"psychosocial":[30,47],"stressors":[31],"related":[32,233],"However,":[35],"the":[36,46,52,94,102,154,177,254],"relationship":[37],"between":[38,156],"perceived":[39,73,127,147,217,300],"neighborhood":[40,58,128,157,198,228,316],"disorder":[42,60,130,159,200,230,290],"and":[43,45,75,77,84,105,139,149,160,191,296,302],"stroke,":[44,67,161,295],"pathways":[48],"that":[49],"drive":[51],"association,":[53],"remains":[54],"understudied.":[55],"Hypothesis:":[56],"Greater":[57],"is":[61],"associated":[62,203],"with":[63,169,204,212,239,270,287],"higher":[64,70,205,292],"odds":[65,206,293],"mediated":[68,184,258],"by":[69,82,120,189,259,277],"levels":[71,298],"stress":[74,148,218,301],"anxiety,":[76],"these":[78],"relationships":[79],"are":[80],"moderated":[81],"sex":[83,190],"racial":[85,192,278],"and/or":[86,193,279],"ethnic":[87,194,280],"groups.":[88,195,281],"Methods:":[89],"Cross-sectional":[90],"data":[91],"came":[92],"from":[93],"nationally":[95],"representative":[96],"sample":[97],"middle-aged-to-older":[99],"adults":[100],"in":[101,153,262,274,285,319],"2022":[103],"Health":[104],"Retirement":[106],"Study":[107],"(n=3,755;":[108],"mean":[109],"age=69.1":[110],"years;":[111],"female=54.1%;":[112],"White":[113],"adults=84.6%).":[114],"Stroke":[115],"status":[116],"(yes/no)":[117],"was":[118,180,201,231,257],"assessed":[119],"self-reported":[121],"physician":[122],"diagnosis.":[123],"Respondents":[124],"reported":[125],"their":[126],"on":[131],"four":[132],"items:":[133],"vandalism/graffiti,":[134],"safety":[135],"after":[136],"dark,":[137],"litter,":[138],"houses.":[141],"Using":[142],"multivariable":[143],"regressions,":[144],"we":[145],"tested":[146],"anxiety":[150,244,260,303],"mediators":[152],"association":[155,256],"adjusting":[162],"for":[163,176],"all":[164,268],"covariates.":[165],"Bootstrap":[166],"resampling":[167],"(k=5000)":[168],"95%":[170,210,220,237,246,265],"bias-corrected":[171],"confidence":[172],"intervals":[173],"(BC":[174],"CIs)":[175],"indirect":[178,214,241],"effects":[179],"used":[181],"assess":[183],"associations.":[185],"Analyses":[186],"were":[187],"stratified":[188],"Results:":[196],"Overall,":[197],"directly":[202,232],"stroke":[208,235,328],"(OR=1.16,":[209],"CI=1.01\u20131.33),":[211],"an":[213,240],"effect":[215,242],"via":[216,243],"(OR=1.04,":[219,264],"BC":[221,247,266],"CI=1.00\u20131.08;":[222],"Table":[223,249],"1,":[224],"Figure":[225],"1).":[226],"Similarly,":[227],"(OR=1.15,":[236],"CI=1.00\u20131.31),":[238],"(OR=1.03,":[245],"CI=1.00\u20131.07;":[248],"2).":[250],"In":[251],"sex-stratified":[252],"analyses,":[253],"observed":[255],"only":[261],"females":[263],"CI=1.01\u20131.08,":[267],"p<.05),":[269],"neither":[271],"significant":[272],"results":[273],"males":[275],"nor":[276],"Conclusions:":[282],"Individuals":[283],"living":[284],"greater":[288],"had":[291],"be":[305],"important":[306],"drivers":[307],"this":[309],"association.":[310],"Local":[311],"efforts":[312],"improve":[314],"contexts,":[317],"which":[318],"turn":[320],"could":[321],"ease":[322],"psychological":[323],"stress,":[324],"help":[326],"lower":[327],"risk.":[329]},"counts_by_year":[],"updated_date":"2026-10-01T08:54:57.152042","created_date":"2026-05-05T00:00:00"}
