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City living linked to lower stroke risk — Level B1 — aerial view of city during nighttime

City living linked to lower stroke riskCEFR B1

31 Mar 2026

Adapted from U. Michigan, Futurity CC BY 4.0

Photo by Christina Boemio, Unsplash

Level B1 – Intermediate
3 min
170 words

New research followed more than 25,000 adults and found a 2.5% lower risk of first-time stroke in areas with medium or high development compared with less developed areas. The team says living in more developed places may reduce stroke risk.

The study used data from REGARDS, which examines health differences in the "stroke belt," an 11-state region in the Southeastern United States where stroke mortality is high among Black Americans, according to Cathy Antonakos of the University of Michigan School of Kinesiology.

Researchers measured development intensity with satellite data in 5-mile (8-km) road networks around more than 34,000 residential locations. The association held after adjusting for age, race, sex and conditions such as diabetes and high blood pressure.

Antonakos says the next step is to identify which environmental features explain the link. High-intensity development often brings more housing, retail and better access to health care, stores and public transport, but the study did not test these features directly. The research appears in Cities & Health.

Difficult words

  • developmentbuilding and growth of towns and cities
  • strokesudden brain injury caused by blood flow problem
  • satellitea man-made object that orbits the Earth
  • residentialrelating to places where people live
  • associationa statistical link between two or more things
  • adjustto change numbers to account for other factors
    adjusting

Tip: hover, focus or tap highlighted words in the article to see quick definitions while you read or listen.

Discussion questions

  • Which local services (for example health care, stores or public transport) do you think most affect people's health where you live?
  • Do you think living in a more developed area could reduce other health risks? Why or why not?
  • What changes could a town make to reduce stroke risk for its residents?

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