Social and psychosocial determinants of racial and ethnic differences in cardiovascular health: The MASALA and MESA studies
Background: Social and psychosocial determinants are associated with cardiovascular health (CVH). Objectives: To quantify the contributions of social and psychosocial factors to racial/ethnic differences in CVH. Methods: In the Multi-Ethnic Study of Atherosclerosis and Mediators of Atherosclerosis i...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-03-01
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| Series: | American Journal of Preventive Cardiology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666667724000047 |
| _version_ | 1827304247069245440 |
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| author | Nilay S. Shah Xiaoning Huang Lucia C. Petito Michael P. Bancks Alka M. Kanaya Sameera Talegawkar Saaniya Farhan Mercedes R. Carnethon Donald M. Lloyd-Jones Norrina B. Allen Namratha R. Kandula Sadiya S. Khan |
| author_facet | Nilay S. Shah Xiaoning Huang Lucia C. Petito Michael P. Bancks Alka M. Kanaya Sameera Talegawkar Saaniya Farhan Mercedes R. Carnethon Donald M. Lloyd-Jones Norrina B. Allen Namratha R. Kandula Sadiya S. Khan |
| author_sort | Nilay S. Shah |
| collection | DOAJ |
| description | Background: Social and psychosocial determinants are associated with cardiovascular health (CVH). Objectives: To quantify the contributions of social and psychosocial factors to racial/ethnic differences in CVH. Methods: In the Multi-Ethnic Study of Atherosclerosis and Mediators of Atherosclerosis in South Asians Living in America cohorts, Kitagawa-Blinder-Oaxaca decomposition quantified the contributions of social and psychosocial factors to differences in mean CVH score (range 0–14) in Black, Chinese, Hispanic, or South Asian compared with White participants. Results: Among 7,978 adults (mean age 61 [SD 10] years, 52 % female), there were 1,892 Black (mean CVH score for decomposition analysis 7.96 [SD 2.1]), 804 Chinese (CVH 9.69 [1.8]), 1,496 Hispanic (CVH 8.00 [2.1]), 1,164 South Asian (CVH 9.16 [2.0]), and 2,622 White (CVH 8.91 [2.1]) participants. The factors that were associated with the largest magnitude of explained differences in mean CVH score were income for Black participants (if mean income in Black participants were equal to White participants, Black participants’ mean CVH score would be 0.14 [SE 0.05] points higher); place of birth for Chinese participants (if proportion of US-born and foreign-born individuals among Chinese adults were equivalent to White participants, Chinese participants’ mean CVH score would be 0.22 [0.10] points lower); and education for Hispanic and South Asian participants (if educational attainment were equivalent to White participants, Hispanic and South Asian participants’ mean CVH score would be 0.55 [0.11] points higher and 0.37 [0.11] points lower, respectively). Conclusions: In these multiethnic US cohorts, social and psychosocial factors were associated with racial/ethnic differences in CVH. |
| first_indexed | 2024-03-08T09:27:33Z |
| format | Article |
| id | doaj.art-14d240bd5d8947508532a32119abd4d3 |
| institution | Directory Open Access Journal |
| issn | 2666-6677 |
| language | English |
| last_indexed | 2024-04-24T17:26:36Z |
| publishDate | 2024-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Preventive Cardiology |
| spelling | doaj.art-14d240bd5d8947508532a32119abd4d32024-03-28T06:39:12ZengElsevierAmerican Journal of Preventive Cardiology2666-66772024-03-0117100636Social and psychosocial determinants of racial and ethnic differences in cardiovascular health: The MASALA and MESA studiesNilay S. Shah0Xiaoning Huang1Lucia C. Petito2Michael P. Bancks3Alka M. Kanaya4Sameera Talegawkar5Saaniya Farhan6Mercedes R. Carnethon7Donald M. Lloyd-Jones8Norrina B. Allen9Namratha R. Kandula10Sadiya S. Khan11Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United States; Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United States; Corresponding author at: Department of Preventive Medicine; 680 N. Lake Shore Drive, Suite 1400 Chicago, IL 60611, United States.Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesDepartment of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesDepartment of Epidemiology and Prevention, Wake Forest University School of Medicine, Winston-Salem, NC, United StatesDepartment of Medicine, University of California San Francisco, San Francisco, CA, United StatesGeorge Washington University School of Public Health, Washington, DC, United StatesDepartment of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United States; Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, United StatesDepartment of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesDepartment of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United States; Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesDepartment of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesDepartment of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United States; Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesDepartment of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United States; Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesBackground: Social and psychosocial determinants are associated with cardiovascular health (CVH). Objectives: To quantify the contributions of social and psychosocial factors to racial/ethnic differences in CVH. Methods: In the Multi-Ethnic Study of Atherosclerosis and Mediators of Atherosclerosis in South Asians Living in America cohorts, Kitagawa-Blinder-Oaxaca decomposition quantified the contributions of social and psychosocial factors to differences in mean CVH score (range 0–14) in Black, Chinese, Hispanic, or South Asian compared with White participants. Results: Among 7,978 adults (mean age 61 [SD 10] years, 52 % female), there were 1,892 Black (mean CVH score for decomposition analysis 7.96 [SD 2.1]), 804 Chinese (CVH 9.69 [1.8]), 1,496 Hispanic (CVH 8.00 [2.1]), 1,164 South Asian (CVH 9.16 [2.0]), and 2,622 White (CVH 8.91 [2.1]) participants. The factors that were associated with the largest magnitude of explained differences in mean CVH score were income for Black participants (if mean income in Black participants were equal to White participants, Black participants’ mean CVH score would be 0.14 [SE 0.05] points higher); place of birth for Chinese participants (if proportion of US-born and foreign-born individuals among Chinese adults were equivalent to White participants, Chinese participants’ mean CVH score would be 0.22 [0.10] points lower); and education for Hispanic and South Asian participants (if educational attainment were equivalent to White participants, Hispanic and South Asian participants’ mean CVH score would be 0.55 [0.11] points higher and 0.37 [0.11] points lower, respectively). Conclusions: In these multiethnic US cohorts, social and psychosocial factors were associated with racial/ethnic differences in CVH.http://www.sciencedirect.com/science/article/pii/S2666667724000047Racial disparitiesCardiovascular healthSocial determinants of healthPsychosocial healthEpidemiology |
| spellingShingle | Nilay S. Shah Xiaoning Huang Lucia C. Petito Michael P. Bancks Alka M. Kanaya Sameera Talegawkar Saaniya Farhan Mercedes R. Carnethon Donald M. Lloyd-Jones Norrina B. Allen Namratha R. Kandula Sadiya S. Khan Social and psychosocial determinants of racial and ethnic differences in cardiovascular health: The MASALA and MESA studies American Journal of Preventive Cardiology Racial disparities Cardiovascular health Social determinants of health Psychosocial health Epidemiology |
| title | Social and psychosocial determinants of racial and ethnic differences in cardiovascular health: The MASALA and MESA studies |
| title_full | Social and psychosocial determinants of racial and ethnic differences in cardiovascular health: The MASALA and MESA studies |
| title_fullStr | Social and psychosocial determinants of racial and ethnic differences in cardiovascular health: The MASALA and MESA studies |
| title_full_unstemmed | Social and psychosocial determinants of racial and ethnic differences in cardiovascular health: The MASALA and MESA studies |
| title_short | Social and psychosocial determinants of racial and ethnic differences in cardiovascular health: The MASALA and MESA studies |
| title_sort | social and psychosocial determinants of racial and ethnic differences in cardiovascular health the masala and mesa studies |
| topic | Racial disparities Cardiovascular health Social determinants of health Psychosocial health Epidemiology |
| url | http://www.sciencedirect.com/science/article/pii/S2666667724000047 |
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