Race disparities in cardiovascular disease risk factors within socioeconomic status strata
Race disparities in cardiovascular disease risk factors within socioeconomic status strata
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DOI：
10.1016/j.annepidem.2017.12.007
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发表时间：
2018-03-01
影响因子：
5.6
通讯作者：
LaVeist, Thomas A.
中科院分区：
文献类型：
--
作者：
Bell, Caryn N.;Thorpe, Roland J., Jr.;LaVeist, Thomas A.
目的：社会经济地位(SES)的种族差异可以解释心血管疾病(CVD)风险的种族差异。为了解决这个问题，需要评估SES较高的个人之间的种族差异。这项研究的目的是评估心血管疾病危险因素的种族差异是否因社会经济状况而异。方法：使用2007-2014年的国家健康和营养检查调查数据来计算高血压、高胆固醇、糖尿病和肥胖症的种族差异。结果：非裔美国人患高血压(优势比[OR]1.90；95%可信区间[CI]1.72-2.09)、糖尿病(优势比1.66；95%可信区间1.33-2.07)和肥胖(优势比1.64；95%可信区间1.46-1.83)的风险高于白人。在肥胖方面，种族与收入大于或等于10万美元(OR，1.55；95%CI，1.24-1.94)以及种族与教育(大学毕业或以上；OR，1.58；95%CI，1.16-2.15)之间存在显著的交互作用。在最高SES组中观察到糖尿病的差异，但在最低SES组中观察到不同种族差异。结果表明，在收入高于或等于10万美元的大学毕业生中，肥胖方面的种族差异更大。与白人相比，非洲裔美国人可能会因为收入和教育水平的提高而享受到更少的与健康相关的好处。(C)2018 Elsevier Inc.保留所有权利。
Purpose: Racial differences in socioeconomic status (SES) explain some, but not all, of racial disparities in cardiovascular disease (CVD) risk. To address this, race disparities among higher SES individuals need to be assessed. The purpose of this study was to assess whether racial disparities in CVD risk factors differ by SES levels.Methods: Data from the National Health and Nutritional Examination Survey 2007-2014 were used to calculate racial differences in hypertension, high cholesterol, diabetes, and obesity. Interactions between race and SES were assessed.Results: African Americans had higher odds of hypertension (odds ratio [OR], 1.90; 95% confidence interval [CI], 1.72-2.09), diabetes (OR, 1.66; 95% Cl, 1.33-2.07), and obesity (OR, 1.64; 95% CI, 1.46-1.83) than whites. Significant interactions between race and income greater than or equal to $100,000 were observed for obesity (OR, 1.55; 95% CI, 1.24-1.94) and between race and education (college graduate or more; OR, 1.58; 95% CI, 1.16-2.15). Disparities in diabetes were observed in the highest SES groups, but not among those in the lowest SES groups.Conclusions: Race disparities in some CVD risk factors varied by SES levels. Results suggest that race disparities in obesity are larger among those with income greater than or equal to $100,000 and who are college graduates. It is possible that African Americans experience fewer health-related benefits of increased income and education levels compared with whites. (C) 2018 Elsevier Inc. All rights reserved.