Association of socioeconomic status with arterial stiffness in older African American and White adults: The ARIC study cohort
Objective: To examine the cross-sectional associations of individual measures of SES—educational attainment and household income—and the joint effects of SES with PWV, as well as the SES-race interaction, in a cohort of older African American and White adults. Methods: Data from the Atherosclerosis...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-03-01
|
| Series: | American Journal of Preventive Cardiology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666667723000119 |
| _version_ | 1797869665103380480 |
|---|---|
| author | Telisa A. Spikes Aniqa B. Alam Tené T. Lewis B. Gwen Windham Anna Kucharska-Newton Alvaro Alonso |
| author_facet | Telisa A. Spikes Aniqa B. Alam Tené T. Lewis B. Gwen Windham Anna Kucharska-Newton Alvaro Alonso |
| author_sort | Telisa A. Spikes |
| collection | DOAJ |
| description | Objective: To examine the cross-sectional associations of individual measures of SES—educational attainment and household income—and the joint effects of SES with PWV, as well as the SES-race interaction, in a cohort of older African American and White adults. Methods: Data from the Atherosclerosis Risk in Communities (ARIC) Study were used to evaluate the cross-sectional associations of individual and joint SES [education and income] and carotid femoral pulse wave velocity (cfPWV), a subclinical marker of arterial stiffness, and the interaction of SES and race using adjusted multivariable linear regression models in a cohort of 3342 men and women aged 67–89 years free of CVD in 2011–2013. Results: Participants were 64% female, 23% African American, mean cfPWV (12.3±3.5-African American and 11.6±3.9-White participants). Post-graduate education compared to less than high school was significantly associated with lower cfPWV (less stiffness) in African American (β = -1.28 m/s; 95% CI, -1.97, -0.59) but not in White (β = -0.69 m/s; 95% CI, -1.39, 0.01) participants. Income ≥$50K as compared to <$25K, was associated with lower cfPWV both in African American (β = -0.82 m/s; 95% CI, -1.42, -0.22) and White (β = -0.76 m/s; 95% CI, -1.19, -0.32) participants. The interaction of race and individual measures of SES on cfPWV in African American and White adults were not statistically significant (p-value >0.10). Conclusions: Higher SES was cross-sectionally associated with lower arterial stiffness in this cohort; the data did not support differences by race. Prospective studies of SES and cfPWV are needed to efficiently compare larger racially and regionally diverse populations with a wider range of socioeconomic profiles to better identify subgroup CVD risk. |
| first_indexed | 2024-04-10T00:15:06Z |
| format | Article |
| id | doaj.art-127a2b475d91494abf565826e5fe16b8 |
| institution | Directory Open Access Journal |
| issn | 2666-6677 |
| language | English |
| last_indexed | 2024-04-10T00:15:06Z |
| publishDate | 2023-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Preventive Cardiology |
| spelling | doaj.art-127a2b475d91494abf565826e5fe16b82023-03-16T05:06:38ZengElsevierAmerican Journal of Preventive Cardiology2666-66772023-03-0113100469Association of socioeconomic status with arterial stiffness in older African American and White adults: The ARIC study cohortTelisa A. Spikes0Aniqa B. Alam1Tené T. Lewis2B. Gwen Windham3Anna Kucharska-Newton4Alvaro Alonso5Nell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Rd. Office# 428, Atlanta, GA 30322, United States; Corresponding author.Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, United StatesDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, United StatesDepartment of Medicine, University of Mississippi, United StatesGillings School of Global Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States; College of Public Health, University of Kentucky, Lexington, KY, United StatesDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, United StatesObjective: To examine the cross-sectional associations of individual measures of SES—educational attainment and household income—and the joint effects of SES with PWV, as well as the SES-race interaction, in a cohort of older African American and White adults. Methods: Data from the Atherosclerosis Risk in Communities (ARIC) Study were used to evaluate the cross-sectional associations of individual and joint SES [education and income] and carotid femoral pulse wave velocity (cfPWV), a subclinical marker of arterial stiffness, and the interaction of SES and race using adjusted multivariable linear regression models in a cohort of 3342 men and women aged 67–89 years free of CVD in 2011–2013. Results: Participants were 64% female, 23% African American, mean cfPWV (12.3±3.5-African American and 11.6±3.9-White participants). Post-graduate education compared to less than high school was significantly associated with lower cfPWV (less stiffness) in African American (β = -1.28 m/s; 95% CI, -1.97, -0.59) but not in White (β = -0.69 m/s; 95% CI, -1.39, 0.01) participants. Income ≥$50K as compared to <$25K, was associated with lower cfPWV both in African American (β = -0.82 m/s; 95% CI, -1.42, -0.22) and White (β = -0.76 m/s; 95% CI, -1.19, -0.32) participants. The interaction of race and individual measures of SES on cfPWV in African American and White adults were not statistically significant (p-value >0.10). Conclusions: Higher SES was cross-sectionally associated with lower arterial stiffness in this cohort; the data did not support differences by race. Prospective studies of SES and cfPWV are needed to efficiently compare larger racially and regionally diverse populations with a wider range of socioeconomic profiles to better identify subgroup CVD risk.http://www.sciencedirect.com/science/article/pii/S2666667723000119Social determinants of healthDisparitiesSESCVD risk |
| spellingShingle | Telisa A. Spikes Aniqa B. Alam Tené T. Lewis B. Gwen Windham Anna Kucharska-Newton Alvaro Alonso Association of socioeconomic status with arterial stiffness in older African American and White adults: The ARIC study cohort American Journal of Preventive Cardiology Social determinants of health Disparities SES CVD risk |
| title | Association of socioeconomic status with arterial stiffness in older African American and White adults: The ARIC study cohort |
| title_full | Association of socioeconomic status with arterial stiffness in older African American and White adults: The ARIC study cohort |
| title_fullStr | Association of socioeconomic status with arterial stiffness in older African American and White adults: The ARIC study cohort |
| title_full_unstemmed | Association of socioeconomic status with arterial stiffness in older African American and White adults: The ARIC study cohort |
| title_short | Association of socioeconomic status with arterial stiffness in older African American and White adults: The ARIC study cohort |
| title_sort | association of socioeconomic status with arterial stiffness in older african american and white adults the aric study cohort |
| topic | Social determinants of health Disparities SES CVD risk |
| url | http://www.sciencedirect.com/science/article/pii/S2666667723000119 |
| work_keys_str_mv | AT telisaaspikes associationofsocioeconomicstatuswitharterialstiffnessinolderafricanamericanandwhiteadultsthearicstudycohort AT aniqabalam associationofsocioeconomicstatuswitharterialstiffnessinolderafricanamericanandwhiteadultsthearicstudycohort AT tenetlewis associationofsocioeconomicstatuswitharterialstiffnessinolderafricanamericanandwhiteadultsthearicstudycohort AT bgwenwindham associationofsocioeconomicstatuswitharterialstiffnessinolderafricanamericanandwhiteadultsthearicstudycohort AT annakucharskanewton associationofsocioeconomicstatuswitharterialstiffnessinolderafricanamericanandwhiteadultsthearicstudycohort AT alvaroalonso associationofsocioeconomicstatuswitharterialstiffnessinolderafricanamericanandwhiteadultsthearicstudycohort |