Life-Course Neighborhood Socioeconomic Status and Cardiovascular Events in Black and White Adults in the Atherosclerosis Risk in Communities Study.
Life-Course Neighborhood Socioeconomic Status and Cardiovascular Events in Black and White Adults in the Atherosclerosis Risk in Communities Study.
复制标题
社区动脉粥样硬化风险研究中黑人和白人成人的生命历程邻里社会经济状况和心血管事件。
DOI：
10.1093/aje/kwac070
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发表时间：
2022
影响因子：
5
通讯作者：
Whitsel,EricA
中科院分区：
文献类型：
--
作者：
Xiao,Qian;Heiss,Gerardo;Kucharska-Newton,Anna;Bey,Ganga;Love,Shelly-AnnM;Whitsel,EricA
据报道，低社会经济地位（SES）社区的居民患心血管疾病（CVD）的风险较高。然而，大多数以前的研究集中在1次测量的社区SES在中老年成年，缺乏人口统计学的多样性，允许不同种族/民族和性别群体之间的比较。我们在社区动脉粥样硬化风险研究（1996-2019）中检查了儿童期和青年期、中年期和老年期的社区SES与黑人和白色男性和女性的CVD风险的关系。我们发现，在年轻、中年和老年人中，社区SES较低，但在儿童时期则不然，与以后生活中CVD的风险较高相关。当与最高的四分位数相比时，年轻，中期和老年人社区SES的最低四分位数与18%的人相关。（风险比（HR）= 1.18，95%置信区间（CI）：1.02，1.36），21%总CVD风险分别增加12%（HR = 1.21，95% CI：1.04，1.39）和12%（HR = 1.12，95% CI：0.99，1.26）。在黑人女性中，成年后较低的社区社会经济地位与较高的心血管疾病风险之间的关联尤其强烈。我们的研究结果支持社区SES在黑人和白色成年人心血管健康中的作用。
It has been reported that residents of low–socioeconomic-status (SES) neighborhoods have a higher risk of developing cardiovascular disease (CVD). However, most of the previous studies focused on 1-time measurement of neighborhood SES in middle-to-older adulthood and lacked demographic diversity to allow for comparisons across different race/ethnicity and sex groups. We examined neighborhood SES in childhood and young, middle, and older adulthood in association with CVD risk among Black and White men and women in the Atherosclerosis Risk in Communities Study (1996–2019). We found that lower neighborhood SES in young, middle, and older adulthood, but not in childhood, was associated with a higher risk of CVD later in life. When compared with the highest quartile, the lowest quartile of neighborhood SES in young, middle, and older adulthood was associated with 18% (hazard ratio (HR) = 1.18, 95% confidence interval (CI): 1.02, 1.36), 21% (HR = 1.21, 95% CI: 1.04, 1.39), and 12% (HR = 1.12, 95% CI: 0.99, 1.26) increases in the hazard of total CVD, respectively. The association between lower neighborhood SES in older adulthood and higher CVD hazard was particularly strong among Black women. Our study findings support the role of neighborhood SES in cardiovascular health in both Black and White adults.