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BMC Public Health. 2019 Jan 17;19(1):77. doi: 10.1186/s12889-019-6412-2.

Relationship between area mortgage foreclosures, homeownership, and cardiovascular disease risk factors: The Hispanic Community Health Study/Study of Latinos.

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Department of Family & Social Medicine, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Harold and Muriel Block Building, Rm. 409, Bronx, NY, 10461, USA.
Department of Epidemiology & Population Health, Albert Einstein College of Medicine, Bronx, NY, 10461, USA.
Department of Epidemiology & Population Health, Albert Einstein College of Medicine, Bronx, NY, 10461, USA.
NYU Spatial Epidemiology Laboratory, Department of Population Health, New York University School of Medicine, New York, NY, 10016, USA.
Department of Community Health and Social Medicine, City University of New York School of Medicine, New York, NY, 10031, USA.
Department of Health Systems Science, University of Illinois at Chicago College of Nursing, Chicago, IL, 60610, USA.
Department of Medicine, Massachusetts General Hospital/Harvard Medical School, Boston, MA, 02114, USA.
Department of Social Medicine, University of North Carolina, Chapel Hill, NC, 27599-7240, USA.
Behavioral Medicine Research Center, Department of Psychology, University of Miami, Miami, FL, 33136, USA.
Department of Psychology, San Diego State University, San Diego, CA, 92120, USA.



The risk of mortgage foreclosure disproportionately burdens Hispanic/Latino populations perpetuating racial disparities in health. In this study, we examined the relationship between area-level mortgage foreclosure risk, homeownership, and the prevalence of cardiovascular disease risk factors among participants of the Hispanic Community Health Study/Study of Latinos (HCHS/SOL).


HCHS/SOL participants were age 18-74 years when recruited from four U.S. metropolitan areas. Mortgage foreclosure risk was obtained from the U.S. Department of Housing and Urban Development. Homeownership, sociodemographic factors, and cardiovascular disease risk factors were measured at baseline interview between 2008 and 2011. There were 13,856 individuals contributing to the analysis (median age 39 years old, 53% female).


Renters in high foreclosure risk areas had a higher prevalence of hypertension and hypercholesterolemia but no association with smoking status compared to renters in low foreclosure risk areas. Renters were more likely to smoke cigarettes than homeowners.


Among US Hispanic/Latinos in urban cities, area foreclosure and homeownership have implications for risk of cardiovascular disease.


Cardiovascular disease; Foreclosure; Homeownership; Housing

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