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The Association of Neighborhood Medical Facilities with Aging in Place and Risk of Incident Myocardial Infarction

2020; SAGE Publishing; Volume: 33; Issue: 3-4 Linguagem: Inglês

10.1177/0898264320975228

1552-6887

Janene Brown, Jana A. Hirsch, Suzanne E. Judd, Philip M. Hurvitz, Virginia J. Howard, Monika M. Safford, Jeffrey L. Moore, Gina S. Lovasi,

Urban Green Space and Health

Objectives: Aging in place (residential stability) is a desirable means of aging where adults remain in their homes, even when facing challenges that impair their capacity for self-care. Residential stability, especially following acute health challenges, depends on individual and community factors, possibly including proximity to medical facilities. Methods: We explored the association between the density of medical facilities around homes with risk of incident myocardial infarction (MI) and with aging in place following incident MI. Results: Densities of neighborhood pharmacies were not associated with aging in place or time to MI. High densities of neighborhood clinical care facilities were significantly associated with decreased residential stability. Discussion: The lack of significant associations between medical facility exposures and MI-related outcomes, coupled with prior findings, casts doubt on their salience and may indicate that other neighborhood features are more strongly associated with these outcomes.