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
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. Methods Participants were 2,270 AAs and Whites (57 % AA; 57 % female; ages 30–64...
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| Format: | Article |
| Language: | English |
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BMC
2016-03-01
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| Series: | BMC Public Health |
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| Online Access: | http://link.springer.com/article/10.1186/s12889-016-2945-9 |
| _version_ | 1819127272683077632 |
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| author | Shari R. Waldstein Danielle L. Beatty Moody Jessica M. McNeely Allyssa J. Allen Mollie R. Sprung Mauli T. Shah Elias Al’Najjar Michele K. Evans Alan B. Zonderman |
| author_facet | Shari R. Waldstein Danielle L. Beatty Moody Jessica M. McNeely Allyssa J. Allen Mollie R. Sprung Mauli T. Shah Elias Al’Najjar Michele K. Evans Alan B. Zonderman |
| author_sort | Shari R. Waldstein |
| collection | DOAJ |
| description | 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. 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. 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). 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. |
| first_indexed | 2024-12-22T08:09:18Z |
| format | Article |
| id | doaj.art-bddb26b590d2428289a4e77efb9fc950 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-22T08:09:18Z |
| publishDate | 2016-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-bddb26b590d2428289a4e77efb9fc9502022-12-21T18:33:04ZengBMCBMC Public Health1471-24582016-03-0116111110.1186/s12889-016-2945-9Cross-sectional relations of race and poverty status to cardiovascular risk factors in the Healthy Aging in Neighborhoods of Diversity across the Lifespan (HANDLS) studyShari R. Waldstein0Danielle L. Beatty Moody1Jessica M. McNeely2Allyssa J. Allen3Mollie R. Sprung4Mauli T. Shah5Elias Al’Najjar6Michele K. Evans7Alan B. Zonderman8Department of Psychology, University of Maryland, Baltimore CountyDepartment of Psychology, University of Maryland, Baltimore CountyDepartment of Psychology, University of Maryland, Baltimore CountyDepartment of Psychology, University of Maryland, Baltimore CountyDepartment of Psychology, University of Maryland, Baltimore CountyDepartment of Psychology, University of Maryland, Baltimore CountyDepartment of Mathematics and Statistics, University of Maryland, Baltimore CountyLaboratory of Epidemiology and Population Sciences, National Institute on AgingLaboratory of Epidemiology and Population Sciences, National Institute on AgingAbstract 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. 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. 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). 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.http://link.springer.com/article/10.1186/s12889-016-2945-9RaceSocioeconomic statusPovertyCardiovascular risk factorsBlood pressureLipids |
| spellingShingle | Shari R. Waldstein Danielle L. Beatty Moody Jessica M. McNeely Allyssa J. Allen Mollie R. Sprung Mauli T. Shah Elias Al’Najjar Michele K. Evans Alan B. Zonderman 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 BMC Public Health Race Socioeconomic status Poverty Cardiovascular risk factors Blood pressure Lipids |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| topic | Race Socioeconomic status Poverty Cardiovascular risk factors Blood pressure Lipids |
| url | http://link.springer.com/article/10.1186/s12889-016-2945-9 |
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