Key result
Young Black men identify neighborhood economic opportunity and health choices as top cardiovascular drivers.
Why the study?
The neighborhood environment is a crucial social determinant of CVH, but specific perspectives on which features most influence CVH behaviors among young Black men needed identification.
Cross-Sectional (n=30)
Yes
Young Black men perceive neighborhood economic opportunity and health choices as the most critical social determinants for fostering or undermining cardiovascular health behaviors.
Supports assessing neighborhood economic factors in CV counseling for young Black men; hypothesis-generating for place-based interventions.
Cardiovascular health (CVH) is both a concept and a measure that refers to health behaviors and clinical factors that help prevent cardiovascular disease (CVD). The neighborhood environment is increasingly recognized as a crucial social determinant of CVH, especially for Black populations. The purpose of this participatory concept mapping (CM) study was to (1) understand perspectives on neighborhood features that influence health and (2) identify which features are most important to achieving CVH behaviors for young Black men. We conducted CM with Black men ( n = 30), ages 18 to 34, living in two majority Black communities in one southeastern state. The CM process included three sequential phases—brainstorming, structuring, and interpretation. We defined CVH behaviors as having a healthy diet, healthy weight, engaging in sufficient physical activity, and no tobacco use. Participants depicted neighborhood characteristics across 45 statements that were grouped into eight conceptual clusters. Clusters were rated in terms of relative importance to achieving CVH behaviors. Participants ranked the Economic Opportunity and Health Choices clusters as the most important to achieving CVH behaviors. Conversely, Economic Stressors and Environmental Stressors had the lowest rating of relative importance to achieving CVH behaviors. Pattern matching revealed that average cluster ratings of importance to CVH behaviors achievement were ranked similarly across city type (metropolitan vs. small city) and neighborhood racial composition (most Black vs. racially diverse), but with some nuance. This participant-driven process highlights the neighborhood environment as a meaningful social determinant of fostering or undermining CVH behaviors for young Black men.
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Chung et al. (2026) conducted a cross-sectional in Cardiovascular health behaviors (n=30). Neighborhood environment features was evaluated on Participant-rated importance of neighborhood conceptual clusters for achieving cardiovascular health behaviors (5-point scale). Young Black men rated neighborhood Economic Opportunity and Health Choices as the most important conceptual clusters for achieving cardiovascular health behaviors, highlighting place-based social determinants.
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