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Journal article
Spatially varying racial inequities in cardiovascular health and the contribution of individual- and neighborhood-level characteristics across the United States: The REasons for geographic and racial differences in stroke (REGARDS) study
Spatial and spatio-temporal epidemiology, v 40, 100473
01 Feb 2022
PMID: 35120683
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
•Cardiovascular health (CVH), defined by the American Heart Association, is examined.•Spatial variation in CVH was explored using a large, national population-based cohort.•Black-White inequities in CVH vary at the state level in the US.•Individual- and neighborhood-level risk factors explained some of the spatial heterogeneity.
Black-White inequities in cardiovascular health (CVH) pose a significant public health challenge, with these disparities also varying geographically across the US. There remains limited evidence of the impact of social determinants of health on these inequities. Using a national population-based cohort from the REasons for Geographic and Racial Differences in Stroke study, we assessed the spatial heterogeneity in Black-White differences in CVH and determined the extent to which individual- and neighborhood-level characteristics explain these inequities. We utilized a Bayesian hierarchical statistical framework to fit spatially varying coefficient models. Results showed overall and spatially varying inequities, where Black participants had significantly poorer CVH. The maps of the state level random effects also highlighted how inequities vary. The evidence produced in this study further highlights the importance of multilevel approaches – at the individual- and neighborhood-levels – that need to be in place to address these geographic and racial differences in CVH.
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Details
- Title
- Spatially varying racial inequities in cardiovascular health and the contribution of individual- and neighborhood-level characteristics across the United States: The REasons for geographic and racial differences in stroke (REGARDS) study
- Creators
- Loni Philip Tabb - Drexel University, Urban Health CollaborativeAna V. Diez Roux - Drexel University, Epidemiology and BiostatisticsSharrelle Barber - Drexel University, Epidemiology and BiostatisticsSuzanne Judd - University of Alabama at BirminghamGina Lovasi - Drexel University, Epidemiology and BiostatisticsAndrew Lawson - Medical University of South CarolinaLeslie A. McClure - Drexel University, Epidemiology and Biostatistics
- Publication Details
- Spatial and spatio-temporal epidemiology, v 40, 100473
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Dana and David Dornsife School of Public Health; Epidemiology and Biostatistics
- Web of Science ID
- WOS:000788844100004
- Scopus ID
- 2-s2.0-85121102202
- Other Identifier
- 991019167842304721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health