Sociodemographic Determinants of Life’s Simple 7: Implications for Achieving Cardiovascular Health and Health Equity Goals
| Autor: | Yuling Hong, Keith C. Ferdinand, Brent M Egan, Jiexiang Li, Eduardo Sanchez, Susan E Sutherland, Daniel W. Jones |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Blood Glucose Male Epidemiology Ethnic group Blood Pressure Disease White People Body Mass Index Cigarette Smoking Young Adult 03 medical and health sciences Risk Factors Humans Medicine Exercise Life Style Socioeconomic status Hispanic paradox 030505 public health Health Equity business.industry Confounding Age Factors Hispanic or Latino General Medicine Odds ratio Middle Aged Nutrition Surveys United States Health equity Black or African American Cholesterol Cardiovascular Diseases Income Educational Status Original Report: Cardivascular Disease and Risk Factors Female Diet Healthy 0305 other medical science business Goals Body mass index Demography |
| Zdroj: | Ethn Dis |
| ISSN: | 1945-0826 1049-510X |
| DOI: | 10.18865/ed.30.4.637 |
| Popis: | Background: Life’s Simple 7 (LS7; nutrition, physical activity, cigarette use, body mass index, blood pressure, cholesterol, glucose) predicts cardiovascular health. The principal objective of our study was to define demographic and socioeconomic factors associated with LS7 to better inform programs addressing cardiovascular health and health equity.Methods: National Health and Nutrition Examination Surveys 1999–2016 data were analyzed on non-Hispanic White [NHW], NH Black [NHB], and Hispanic adults aged ≥20 years without cardiovascular disease. Each LS7 variable was assigned 0, 1, or 2 points for poor, intermediate, and ideal levels, respectively. Composite LS7 scores were grouped as poor (0–4 points), intermediate (5–9), and ideal (10–14).Results: 32,803 adults were included. Mean composite LS7 scores were below ideal across race/ethnicity groups. After adjusting for confounders, NHBs were less likely to have optimal LS7 scores than NHW (multivariable odds ratios (OR .44; 95% CI .37–.53), whereas Hispanics tended to have better scores (1.18; .96–1.44). Hispanics had more ideal LS7 scores than NHBs, although Hispanics had lower incomes and less education, which were independently associated with fewer ideal LS7 scores. Adults aged ≥45 years were less likely to have ideal LS7 scores (.11; .09–.12) than adults aged |
| Databáze: | OpenAIRE |
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