Journal article
Racial/ethnic Heterogeneity in the Socioeconomic Patterning of CVD Risk Factors: in the United States: The Multi-Ethnic Study of Atherosclerosis
Journal of health care for the poor and underserved, v 22(1)
01 Feb 2011
PMID: 21317510
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Many studies document racial variation, gender differences, and socioeconomic status (SES) patterning in cardiovascular disease (CVD) risk factors but few studies have investigated heterogeneity in SES differences by race/ethnicity or gender. Using data from the Multi-Ethnic Study of Atherosclerosis (N = 6,814) and stratified regression models, we investigated race/ethnic differences in the SES patterning of diabetes, hypertension, smoking, and body mass index (BMI). Inverse socioeconomic gradients in hypertension, diabetes, smoking, and BMI were observed in White and Black women but associations were weaker or absent in Hispanic and Chinese women (except in the case of diabetes for Hispanic women). Even greater heterogeneity in social patterning of risk factors was observed in men. In White men all four risk factors were inversely associated with socioeconomic position, although often associations were only present or were stronger for education than for income. The inverse socioeconomic patterning was much less consistent in men of other races/ethnic groups, and higher SES was associated with higher BMI in non-White men. These findings have implications for understanding the causes of social patterning, for the analysis of SES adjusted race/ethnic differences, and for the targeting of interventions.
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Details
- Title
- Racial/ethnic Heterogeneity in the Socioeconomic Patterning of CVD Risk Factors: in the United States: The Multi-Ethnic Study of Atherosclerosis
- Creators
- Shawn Boykin - University of MichiganAna V. Diez-Roux - Centre de recherche en Epidémiologie et Santé des PopulationsMercedes Carnethon - Northwestern UniversitySandi Shrager - University of WashingtonHanyu Ni - National Institutes of HealthMelicia Whitt-Glover - Gramercy Research Group (United States)
- Publication Details
- Journal of health care for the poor and underserved, v 22(1)
- Grant note
- P60 MD002249-03 || MD / National Center on Minority Health and Health Disparities : NIMHD
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Community Health and Prevention; Drexel University
- Web of Science ID
- WOS:000287165100010
- Scopus ID
- 2-s2.0-79951635397
- Other Identifier
- 991020112253704721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Health Policy & Services
- Public, Environmental & Occupational Health