Sex and ethnicity modify the associations between individual and contextual socioeconomic indicators and ideal cardiovascular health: MESA study.
Aged
Aged, 80 and over
Blood Glucose
/ analysis
Blood Pressure
Body Mass Index
Cardiovascular Diseases
Cardiovascular Physiological Phenomena
Cardiovascular System
Cholesterol
/ blood
Cohort Studies
Ethnicity
/ statistics & numerical data
Exercise
Female
Health Status Disparities
Humans
Male
Middle Aged
Sex Distribution
Smoking
/ epidemiology
Socioeconomic Factors
United States
/ epidemiology
chronic disease
ethnicity
socioeconomics factors
Journal
Journal of public health (Oxford, England)
ISSN: 1741-3850
Titre abrégé: J Public Health (Oxf)
Pays: England
ID NLM: 101188638
Informations de publication
Date de publication:
30 09 2019
30 09 2019
Historique:
received:
03
05
2018
revised:
13
07
2018
accepted:
27
07
2018
pubmed:
24
8
2018
medline:
10
7
2020
entrez:
24
8
2018
Statut:
ppublish
Résumé
Low socioeconomic status (SES) is associated with cardiovascular disease (CVD) risk, but its association with different markers of SES may be heterogeneous by sex and race/ethnicity. We have examined the relationships of four SES markers (education, family income, occupation and neighborhood SES) to ideal cardiovascular health (ICH), an index formed by seven variables. A total of 6792 cohort participants from six regions in the USA: Baltimore City and Baltimore County, MD; Chicago, IL; Forsyth County, NC; Los Angeles County, CA; New York, NY; and St. Paul, MN of the Multi-Ethnic Study of Atherosclerosis (MESA) (52.8% women) were recruited at baseline (2000-2) and included in the present analysis. ICH was classified as poor, intermediate or ideal. Level of education was significantly and inversely associated with ICH in non-Hispanic White men and women, in Chinese-American and Hispanic American men and African-American women. Family income was inversely and significantly associated with poor ICH in African-American men only. We conclude that the strength of the associations between some SES markers and ICH differ between sexes and race/ethnic groups.
Sections du résumé
BACKGROUND
Low socioeconomic status (SES) is associated with cardiovascular disease (CVD) risk, but its association with different markers of SES may be heterogeneous by sex and race/ethnicity.
METHODS
We have examined the relationships of four SES markers (education, family income, occupation and neighborhood SES) to ideal cardiovascular health (ICH), an index formed by seven variables. A total of 6792 cohort participants from six regions in the USA: Baltimore City and Baltimore County, MD; Chicago, IL; Forsyth County, NC; Los Angeles County, CA; New York, NY; and St. Paul, MN of the Multi-Ethnic Study of Atherosclerosis (MESA) (52.8% women) were recruited at baseline (2000-2) and included in the present analysis.
RESULTS
ICH was classified as poor, intermediate or ideal. Level of education was significantly and inversely associated with ICH in non-Hispanic White men and women, in Chinese-American and Hispanic American men and African-American women. Family income was inversely and significantly associated with poor ICH in African-American men only.
CONCLUSIONS
We conclude that the strength of the associations between some SES markers and ICH differ between sexes and race/ethnic groups.
Identifiants
pubmed: 30137558
pii: 5076113
doi: 10.1093/pubmed/fdy145
doi:
Substances chimiques
Blood Glucose
0
Cholesterol
97C5T2UQ7J
Types de publication
Comparative Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e237-e244Informations de copyright
© The Author(s) 2018. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.