1. Cardiovascular risk factors and socioeconomic status in African American and Caucasian women.
- Author
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Harrell JS and Gore SV
- Abstract
OBJECTIVE: The purpose of this study was to determine whether there is a significant difference between African American and Caucasian women in the self-reported cardiovascular risk factors of obesity, physical inactivity, and smoking, and whether those risk factors vary by the socioeconomic variables of income and education and the demographic factors of age, rural versus urban locale, and geographic region. DESIGN: Descriptive, correlational. SETTING: Mailed survey. POPULATION: Participants were all African American and Caucasian women who returned the initial CHIC (Cardiovascular Health in Children Study) questionnaire. Ages ranged from 23 to 53 years; 20.1% of the participants were African American and 79.9% were Caucasian. The participants lived in 18 areas across North Carolina. INTERVENTIONS: The Parental Questionnaire included 10 questions on selected cardiovascular risk factors. Socioeconomic status (SES) was determined by the participants' education and total annual family income. MAIN OUTCOME MEASURE(S): Overall, 24.5% of the women had BMIs of 27.3 or greater and, therefore, were considered obese. The mean BMI of African American women was considerably more than the BMI of Caucasian women. Using self-reported physical activity, 52.7% of African American were classified as inactive. Of the Caucasians, 36.6% were inactive. Current smoking rate was 30.7% for African Americans and 33.9% for Caucasians, not significantly different by race. When income was used as the measure of SES, there were no significant differences in obesity by income in African Americans. However, differences between high and low income African Americans were significant for physical inactivity and for smoking; smoking was three times as common in those with low income. Among Caucasians, women with low education were significantly more likely to be physically inactive, to be obese, and to smoke. RESULTS/CONCLUSIONS: Several interpretative issues should be considered when reviewing the self-reported cardiovascular risk factors of this large sample of women. Self-reports of obesity, smoking, and physical activity have limitations, including selective memory and a tendency to supply socially acceptable information. It is well established that the social context in which individuals live has an impact on their health behavior and on their health. In this study, low SES was directly related to higher rates for all of the risk factors examined in both African American and Caucasian women in North Carolina. Efforts to change health behaviors should involve strategies that are tailored to the target populations. These strategies must consider culture, SES, value systems, and demographics, and at least some programs should include children and adolescents. [CINAHL abstract] [ABSTRACT FROM AUTHOR]
- Published
- 1998
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