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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.
- Source :
-
BMC public health [BMC Public Health] 2016 Mar 14; Vol. 16, pp. 258. Date of Electronic Publication: 2016 Mar 14. - Publication Year :
- 2016
-
Abstract
- Background: Examine 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.<br />Methods: Participants 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.<br />Results: Significant 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).<br />Conclusion: Poverty 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.
- Subjects :
- Adult
Blood Pressure
Body Mass Index
C-Reactive Protein metabolism
Cardiovascular Diseases ethnology
Cross-Sectional Studies
Depression epidemiology
Female
Glycated Hemoglobin
Health Services Accessibility
Humans
Lipids blood
Male
Middle Aged
Risk Factors
Socioeconomic Factors
Substance-Related Disorders epidemiology
Waist Circumference
Black or African American statistics & numerical data
Aging
Cardiovascular Diseases epidemiology
Poverty statistics & numerical data
White People statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1471-2458
- Volume :
- 16
- Database :
- MEDLINE
- Journal :
- BMC public health
- Publication Type :
- Academic Journal
- Accession number :
- 26975845
- Full Text :
- https://doi.org/10.1186/s12889-016-2945-9