The overall goal is to identify trends and longitudinal associations in psychosocial, food-related, and cardiometabolic risk factors that can guide public health priorities and future research needs aimed at reducing cardiovascular-related disparities in Puerto Rico. To this end, investigators will establish 'PROSPECT: Puerto Rico Observational Study of Psychosocial, Environmental, and Chronic disease Trends', an island-wide, longitudinal population cohort of 2,500 adults (30-75 years) in PR recruited with a community-wide sampling strategy, and assessed in a network of several partner clinics across the island. The study will collect comprehensive data on multiple psychosocial, dietary, and food-related factors, CVD biological markers, and medical record data, with follow-up at 2-years, and will assess variations by urban-rural area and by timing before-after Maria.
Age 30-75 years old at the time of enrollment
Non-institutionalized
Living in PR at the time of the first interview and the year before and not planning to move from the island within 3 years
Able to answer questions without assistance
None
Convenience community-wide sample of eligible adults living in all of Puerto Rico.
Cohort
Prospective
Not listed
Number of participants with self-reported medically-diagnosed chronic diseases
Estimate the prevalence and incidence of chronic diseases (and their dietary and psychosocial risk factors)
Difference in the number of participants with self-reported medically-diagnosed chronic diseases living urban vs. rural area
Estimate differences in prevalence and changes in chronic diseases (and their dietary and psychosocial risk factors) in urban vs. rural area
Risk of clinically-measured metabolic syndrome (e.g. high blood pressure, elevated adiposity, elevated blood glucose, and out-of-normal-range blood lipids), according to dietary and psychosocial risk factors
Determine risk of biological metabolic risk factors by changes in psychosocial factors or diet-related factors
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Harvard School of Public Health (HSPH)
Lead sponsor
National Heart, Lung, and Blood Institute (NHLBI)
Collaborator
National Institute on Minority Health and Health Disparities (NIMHD)
Collaborator
University of Massachusetts, Lowell
Collaborator
San Diego State University
Collaborator
Albert Einstein College of Medicine
Collaborator
Puerto Rico Consortium for Clinical Investigations
Collaborator
