Cross-sectional relations of race and poverty status to cardiovascular risk factors in the Healthy Aging in Neighborhoods of Diversity across the Lifespan (HANDLS) study

BMC Public Health

Research Article

Elias Al’Najjar¹  Danielle L. Beatty Moody²  Mollie R. Sprung²  Shari R. Waldstein²  Allyssa J. Allen²  Jessica M. McNeely³  Mauli T. Shah³  Michele K. Evans⁴  Alan B. Zonderman⁴ 

[1] Department of Mathematics and Statistics, University of Maryland, Baltimore County, Baltimore, MD, USA;Department of Psychology, University of Maryland, Baltimore County, 1000 Hilltop Circle, 21250, Baltimore, MD, USA;Department of Psychology, University of Maryland, Baltimore County, 1000 Hilltop Circle, 21250, Baltimore, MD, USA;Laboratory of Epidemiology and Population Sciences, National Institute on Aging, Baltimore, MD, USA;Laboratory of Epidemiology and Population Sciences, National Institute on Aging, Baltimore, MD, USA;

关键词: Race;    Socioeconomic status;    Poverty;    Cardiovascular risk factors;    Blood pressure;    Lipids;    Body composition;    Glucose;    C-reactive protein;   

DOI  :  10.1186/s12889-016-2945-9

 received in 2015-06-02, accepted in 2016-03-09,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundExamine interactive relations of race and poverty status with cardiovascular disease (CVD) risk factors in a socioeconomically diverse sample of urban-dwelling African American (AA) and White adults.MethodsParticipants were 2,270 AAs and Whites (57 % AA; 57 % female; ages 30–64 years) who completed the first wave of the Healthy Aging in Neighborhoods of Diversity across the Life Span (HANDLS) study. CVD risk factors assessed included body mass index (BMI), waist circumference (WC), total cholesterol (TC), high- and low-density lipoprotein cholesterol (HDL-C, LDL-C), triglycerides (TG), glycated hemoglobin (HbA1c), high-sensitivity C-reactive protein (CRP), and systolic, diastolic, and pulse pressure (SBP, DBP, PP). Interactive and independent relations of race, poverty status, and sex were examined for each outcome via ordinary least squares regression adjusted for age, education, literacy, substance use, depressive symptoms, perceived health care barriers, medical co-morbidities, and medications.ResultsSignificant interactions of race and poverty status (p’s < .05) indicated that AAs living in poverty had lower BMI and WC and higher HDL-C than non-poverty AAs, whereas Whites living in poverty had higher BMI and WC and lower HDL-C than non-poverty Whites. Main effects of race revealed that AAs had higher levels of HbA1c, SBP, and PP, and Whites had higher levels of TC, LDL-C and TG (p’s < .05).ConclusionPoverty status moderated race differences for BMI, WC, and HDL-C, conveying increased risk among Whites living in poverty, but reduced risk in their AA counterparts. Race differences for six additional risk factors withstood extensive statistical adjustments including SES indicators.

【 授权许可】

CC BY   
© Waldstein et al. 2016