Socioeconomic and Ethnic Disparities in Cardiovascular Risk In the United States, 2001-2006
Socioeconomic and Ethnic Disparities in Cardiovascular Risk In the United States, 2001-2006
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DOI：
10.1016/j.annepidem.2010.05.003
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发表时间：
2010-08-01
影响因子：
5.6
通讯作者：
Seeman, Teresa E.
中科院分区：
文献类型：
--
作者：
Karlamangla, Arun S.;Merkin, Sharon Stein;Seeman, Teresa E.
目得：为了量化社会经济地位和种族差异的风险，冠心病（CHD）的主要危险因素在美国累计。方法：数据来自全国健康和营养检查调查2001-2006年。检查的结果为（a）根据国家胆固醇教育计划成人治疗小组111 2004年更新指南预测的10年CHD事件风险;和（B）代谢综合征和显性糖尿病的患病率（冠心病风险当量）。除了在外国出生的墨西哥裔美国男性外，所有种族/民族群体都存在强烈的社会经济逆梯度风险，并且通过控制体力活动、吸烟和腹部肥胖而减弱。相比之下，种族/民族的差异被认为是在一些，但不是所有的社会经济阶层，与一些非西班牙裔黑人和美国出生的墨西哥裔美国人有较高的风险和一些外国出生的墨西哥裔美国人有较低的risk.CONCLUSIONS：在美国心血管疾病风险的差异主要与社会经济地位和种族/民族。社会经济上处于不利地位的个人应该有针对性的生活方式咨询和风险因素的早期筛查，无论种族/民族，以减少心血管结局的社会差异。Ann Epidemiol 2010;20：617-628. (C)2010年爱思唯尔公司All rights reserved.
PURPOSE: To quantity socioeconomic status and ethnic differences in risk for coronary heart disease (CHD) accrued from major risk factors in the United States.METHODS: Data came from the National Health and Nutrition Examination Survey 2001-2006. Outcomes examined were (a) 10-year risk for CHD events as predicted by the National Cholesterol Education Program Adult Treatment Panel 111 2004 Updated Guidelines; and (b) the prevalence of the metabolic syndrome and overt diabetes mellitus (a CHD risk-equivalent).RESULTS: Strong inverse socioeconomic gradients with risk were present in all race/ethnicity groups except foreign-born Mexican American men, and were attenuated by controls for physical activity, smoking, and abdominal obesity. In contrast, race/ethnicity disparities were seen in some but not all socioeconomic strata, with some non-Hispanic Blacks and US-born Mexican Americans having higher risk and some foreign-born Mexican Americans having lower risk.CONCLUSIONS: Disparities in cardiovascular risk in the United States are primarily related to socioeconomic status and less to race/ethnicity. Socioeconomically disadvantaged individuals should be targeted for lifestyle counseling and early screening for risk factors, regardless of race/ethnicity, to reduce social disparities in cardiovascular outcomes. Ann Epidemiol 2010;20:617-628. (C) 2010 Elsevier Inc. All rights reserved.