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.

Inclusion Criteria:

1. Age 30-75 years old at the time of enrollment
2. Non-institutionalized
3. 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
4. Able to answer questions without assistance
5. Living in a stable dwelling

Exclusion Criteria:

Convenience community-wide sample of eligible adults living in all of Puerto Rico.

IPD will be managed and distributed observing NIH and IRB policies on the dissemination and sharing of research results. Study information and requests for data will be available immediately upon the data being de-identified and properly revised for quality control on the study website.

2-years

The requested data will be shared with investigators via a secured, password-protected software website.