Race/ethnicity, neighborhood socioeconomic status and cardio-metabolic risk
Objective: To determine the association between neighborhood socioeconomic status (NSES) and cardio-metabolic risk and whether this relationship differs by race/ethnicity. Methods: Participants in the Multi-Ethnic Study of Atherosclerosis (n = 5750), ages 45–84 years, from 6 US counties, including 5...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2020-08-01
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| Series: | SSM: Population Health |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352827320302718 |
| _version_ | 1818213960979054592 |
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| author | Sharon Stein Merkin Arun Karlamangla Ana Diez Roux Sandi Shrager Karol Watson Teresa Seeman |
| author_facet | Sharon Stein Merkin Arun Karlamangla Ana Diez Roux Sandi Shrager Karol Watson Teresa Seeman |
| author_sort | Sharon Stein Merkin |
| collection | DOAJ |
| description | Objective: To determine the association between neighborhood socioeconomic status (NSES) and cardio-metabolic risk and whether this relationship differs by race/ethnicity. Methods: Participants in the Multi-Ethnic Study of Atherosclerosis (n = 5750), ages 45–84 years, from 6 US counties, including 5 examinations from 2000 to 2012. We calculated a modified allostatic load (AL) index, indicating cardio-metabolic risk. NSES score included census-derived measures at census tract of residence. Mixed effects growth curve models were used to assess linear and non-linear associations between NSES and AL at baseline and over time. Results: Higher NSES was associated with lower AL across race/ethnic groups; considering NSES quintiles, significant associations were found only for the highest NSES quintiles (difference of -0.86 and -1.15 for white and Hispanic participants) vs. the lowest. We found no significant association between NSES and change in AL over time. Discussion: Our findings suggest that the relationship between NSES and AL reflects the health benefits of living in the most advantaged neighborhoods. Public health implications: Understanding the impact of higher NSES on health effects may help identify interventions to effectively target high risk neighborhoods. |
| first_indexed | 2024-12-12T06:12:36Z |
| format | Article |
| id | doaj.art-2f4167d4c614413baae7e35c3dfff654 |
| institution | Directory Open Access Journal |
| issn | 2352-8273 |
| language | English |
| last_indexed | 2024-12-12T06:12:36Z |
| publishDate | 2020-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | SSM: Population Health |
| spelling | doaj.art-2f4167d4c614413baae7e35c3dfff6542022-12-22T00:35:08ZengElsevierSSM: Population Health2352-82732020-08-0111100634Race/ethnicity, neighborhood socioeconomic status and cardio-metabolic riskSharon Stein Merkin0Arun Karlamangla1Ana Diez Roux2Sandi Shrager3Karol Watson4Teresa Seeman5Division of Geriatrics, Geffen School of Medicine at UCLA, 10945 Le Conte Avenue, Suite 2339, Los Angeles, CA, 90095-1687, USA; Corresponding author.Division of Geriatrics, Geffen School of Medicine at UCLA, 10945 Le Conte Avenue, Suite 2339, Los Angeles, CA, 90095-1687, USADrexel University Dornsife School of Public Health, 3215 Market Street, Nesbitt Hall 2nd Floor, Room 255, Philadelphia, PA, 19104, USAUniversity of Washington School of Public Health, Department of Biostatistics, F-600, Health Sciences Building, 1705 NE Pacific Street, Seattle, WA, 98195-7232, USAUCLA Geffen School of Medicine, Departments of Medicine and Cardiology, A7-118B CHS, Los Angeles, CA, 90095, USADivision of Geriatrics, Geffen School of Medicine at UCLA, 10945 Le Conte Avenue, Suite 2339, Los Angeles, CA, 90095-1687, USAObjective: To determine the association between neighborhood socioeconomic status (NSES) and cardio-metabolic risk and whether this relationship differs by race/ethnicity. Methods: Participants in the Multi-Ethnic Study of Atherosclerosis (n = 5750), ages 45–84 years, from 6 US counties, including 5 examinations from 2000 to 2012. We calculated a modified allostatic load (AL) index, indicating cardio-metabolic risk. NSES score included census-derived measures at census tract of residence. Mixed effects growth curve models were used to assess linear and non-linear associations between NSES and AL at baseline and over time. Results: Higher NSES was associated with lower AL across race/ethnic groups; considering NSES quintiles, significant associations were found only for the highest NSES quintiles (difference of -0.86 and -1.15 for white and Hispanic participants) vs. the lowest. We found no significant association between NSES and change in AL over time. Discussion: Our findings suggest that the relationship between NSES and AL reflects the health benefits of living in the most advantaged neighborhoods. Public health implications: Understanding the impact of higher NSES on health effects may help identify interventions to effectively target high risk neighborhoods.http://www.sciencedirect.com/science/article/pii/S2352827320302718Race/ethnic disparitiesNeighborhood socioeconomic statusAllostatic loadCardio-metabolic |
| spellingShingle | Sharon Stein Merkin Arun Karlamangla Ana Diez Roux Sandi Shrager Karol Watson Teresa Seeman Race/ethnicity, neighborhood socioeconomic status and cardio-metabolic risk SSM: Population Health Race/ethnic disparities Neighborhood socioeconomic status Allostatic load Cardio-metabolic |
| title | Race/ethnicity, neighborhood socioeconomic status and cardio-metabolic risk |
| title_full | Race/ethnicity, neighborhood socioeconomic status and cardio-metabolic risk |
| title_fullStr | Race/ethnicity, neighborhood socioeconomic status and cardio-metabolic risk |
| title_full_unstemmed | Race/ethnicity, neighborhood socioeconomic status and cardio-metabolic risk |
| title_short | Race/ethnicity, neighborhood socioeconomic status and cardio-metabolic risk |
| title_sort | race ethnicity neighborhood socioeconomic status and cardio metabolic risk |
| topic | Race/ethnic disparities Neighborhood socioeconomic status Allostatic load Cardio-metabolic |
| url | http://www.sciencedirect.com/science/article/pii/S2352827320302718 |
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