A Novel Look at Racial Health Disparities: The Interaction Between Social Disadvantage and Environmental Health

A Novel Look at Racial Health Disparities: The Interaction Between Social Disadvantage and Environmental Health
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DOI:
10.2105/ajph.2012.300774
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发表时间:
2012-12-01
影响因子:
12.7
通讯作者:
Hu, Howard
Hu, Howard
中科院分区:
医学2区
文献类型:
--
作者:
Hicken, Margaret T.;Gee, Gilbert C.;Hu, Howard

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目标。我们探讨了社会劣势会增加环境危害对健康影响的脆弱性这一概念。具体来说,我们研究了(1)种族是否会改变血铅和血压之间的关系;(2)社会经济地位(SES)是否在这种改变效应中起作用。利用2001-2008年国家健康与营养调查和线性回归,我们估计了血铅和血压之间的关系。利用种族、社会经济地位和领导地位之间的相互作用,我们通过社会劣势水平估计了这种关联。黑人男性和女性表现出2.8 (P
Objectives. We explored the notion that social disadvantage increases vulnerability to the health effects of environmental hazards. Specifically, we examined (1) whether race modifies the association between blood lead and blood pressure and (2) whether socioeconomic status (SES) plays a role in this modifying effect.Methods. Using the National Health and Nutrition Examination Survey (2001-2008) and linear regression, we estimated the association between blood lead and blood pressure. Using interactions among race, SES, and lead, we estimated this association by levels of social disadvantage.Results. Black men and women showed a 2.8 (P