Racial, Ethnic, and Geographic Disparities in Cardiovascular Health Among Women of Childbearing Age in the United States
Background In the United States, large disparities in cardiovascular health (CVH) exist in the general population, but little is known about the CVH status and its disparities among women of childbearing age (ie, 18–49 years). Methods and Results In this cross‐sectional study, we examined racial, et...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2021-09-01
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| Series: | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
| Subjects: | |
| Online Access: | https://www.ahajournals.org/doi/10.1161/JAHA.120.020138 |
| _version_ | 1818738715961327616 |
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| author | Yi Zheng Xiaoxiao Wen Jiang Bian Jinying Zhao Heather S. Lipkind Hui Hu |
| author_facet | Yi Zheng Xiaoxiao Wen Jiang Bian Jinying Zhao Heather S. Lipkind Hui Hu |
| author_sort | Yi Zheng |
| collection | DOAJ |
| description | Background In the United States, large disparities in cardiovascular health (CVH) exist in the general population, but little is known about the CVH status and its disparities among women of childbearing age (ie, 18–49 years). Methods and Results In this cross‐sectional study, we examined racial, ethnic, and geographic disparities in CVH among all women of childbearing age in the United States, using the 2011 to 2019 Behavioral Risk Factor Surveillance System. Life's Simple 7 (ie, blood pressure, glucose, total cholesterol, smoking, body mass index, physical activity, and diet) was used to examine CVH. Women with 7 ideal CVH metrics were determined to have ideal CVH. Among the 269 564 women of childbearing age, 13 800 (4.84%) had ideal CVH. After adjusting for potential confounders, non‐Hispanic Black women were less likely to have ideal CVH (odds ratio, 0.54; 95% CI, 0.46–0.63) compared with non‐Hispanic White women, and with significantly lower odds of having ideal metrics of blood pressure, blood glucose, body mass index, and physical activity. No significant difference in CVH was found between non‐Hispanic White and Hispanic women. Large geographic disparities with temporal variations were observed, with the age‐ and race‐adjusted ideal CVH prevalence ranging from 4.05% in the District of Columbia (2011) to 5.55% in Maine and Montana (2019). States with low ideal CVH prevalence and average CVH score were mostly clustered in the southern United States. Conclusions Large racial, ethnic, and geographic disparities in CVH exist among women of childbearing age. More efforts are warranted to understand and address these disparities. |
| first_indexed | 2024-12-18T01:13:21Z |
| format | Article |
| id | doaj.art-2327edf6fd1e4c2693ff92fa67695610 |
| institution | Directory Open Access Journal |
| issn | 2047-9980 |
| language | English |
| last_indexed | 2024-12-18T01:13:21Z |
| publishDate | 2021-09-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
| spelling | doaj.art-2327edf6fd1e4c2693ff92fa676956102022-12-21T21:26:01ZengWileyJournal of the American Heart Association: Cardiovascular and Cerebrovascular Disease2047-99802021-09-01101710.1161/JAHA.120.020138Racial, Ethnic, and Geographic Disparities in Cardiovascular Health Among Women of Childbearing Age in the United StatesYi Zheng0Xiaoxiao Wen1Jiang Bian2Jinying Zhao3Heather S. Lipkind4Hui Hu5Department of Epidemiology College of Public Health and Health Professions and College of Medicine University of Florida Gainesville FLDepartment of Epidemiology College of Public Health and Health Professions and College of Medicine University of Florida Gainesville FLDepartment of Health Outcomes and Biomedical Informatics College of Medicine University of Florida Gainesville FLDepartment of Epidemiology College of Public Health and Health Professions and College of Medicine University of Florida Gainesville FLDepartment of Obstetrics, Gynecology, and Reproductive Sciences School of Medicine Yale University New Haven CTDepartment of Epidemiology College of Public Health and Health Professions and College of Medicine University of Florida Gainesville FLBackground In the United States, large disparities in cardiovascular health (CVH) exist in the general population, but little is known about the CVH status and its disparities among women of childbearing age (ie, 18–49 years). Methods and Results In this cross‐sectional study, we examined racial, ethnic, and geographic disparities in CVH among all women of childbearing age in the United States, using the 2011 to 2019 Behavioral Risk Factor Surveillance System. Life's Simple 7 (ie, blood pressure, glucose, total cholesterol, smoking, body mass index, physical activity, and diet) was used to examine CVH. Women with 7 ideal CVH metrics were determined to have ideal CVH. Among the 269 564 women of childbearing age, 13 800 (4.84%) had ideal CVH. After adjusting for potential confounders, non‐Hispanic Black women were less likely to have ideal CVH (odds ratio, 0.54; 95% CI, 0.46–0.63) compared with non‐Hispanic White women, and with significantly lower odds of having ideal metrics of blood pressure, blood glucose, body mass index, and physical activity. No significant difference in CVH was found between non‐Hispanic White and Hispanic women. Large geographic disparities with temporal variations were observed, with the age‐ and race‐adjusted ideal CVH prevalence ranging from 4.05% in the District of Columbia (2011) to 5.55% in Maine and Montana (2019). States with low ideal CVH prevalence and average CVH score were mostly clustered in the southern United States. Conclusions Large racial, ethnic, and geographic disparities in CVH exist among women of childbearing age. More efforts are warranted to understand and address these disparities.https://www.ahajournals.org/doi/10.1161/JAHA.120.020138cardiovascular healthgeographic disparitiesracial disparities |
| spellingShingle | Yi Zheng Xiaoxiao Wen Jiang Bian Jinying Zhao Heather S. Lipkind Hui Hu Racial, Ethnic, and Geographic Disparities in Cardiovascular Health Among Women of Childbearing Age in the United States Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease cardiovascular health geographic disparities racial disparities |
| title | Racial, Ethnic, and Geographic Disparities in Cardiovascular Health Among Women of Childbearing Age in the United States |
| title_full | Racial, Ethnic, and Geographic Disparities in Cardiovascular Health Among Women of Childbearing Age in the United States |
| title_fullStr | Racial, Ethnic, and Geographic Disparities in Cardiovascular Health Among Women of Childbearing Age in the United States |
| title_full_unstemmed | Racial, Ethnic, and Geographic Disparities in Cardiovascular Health Among Women of Childbearing Age in the United States |
| title_short | Racial, Ethnic, and Geographic Disparities in Cardiovascular Health Among Women of Childbearing Age in the United States |
| title_sort | racial ethnic and geographic disparities in cardiovascular health among women of childbearing age in the united states |
| topic | cardiovascular health geographic disparities racial disparities |
| url | https://www.ahajournals.org/doi/10.1161/JAHA.120.020138 |
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