The association of race and socioeconomic status with cardiovascular disease indicators among older adults in the health, aging, and body composition study

被引:74
作者
Rooks, RN
Simonsick, EM
Miles, T
Newman, A
Kritchevsky, SB
Schulz, R
Harris, T
机构
[1] NIA, Lab Epidemiol Demog & Biometry, Bethesda, MD 20892 USA
[2] NIA, Clin Invest Lab, Bethesda, MD 20892 USA
[3] Univ Texas, Hlth Sci Ctr, Dept Family Practice, San Antonio, TX USA
[4] Univ Pittsburgh, Div Geriatr Med, Pittsburgh, PA 15260 USA
[5] Univ Tennessee, Ctr Hlth Sci, Dept Prevent Med, Memphis, TN 38163 USA
[6] Univ Pittsburgh, Dept Psychiat, Pittsburgh, PA USA
[7] Univ Pittsburgh, Ctr Social & Urban Res, Pittsburgh, PA USA
来源
JOURNALS OF GERONTOLOGY SERIES B-PSYCHOLOGICAL SCIENCES AND SOCIAL SCIENCES | 2002年 / 57卷 / 04期
关键词
D O I
10.1093/geronb/57.4.S247
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Objectives. We hypothesized that older Black adults would have a higher prevalence of cardiovascular disease (CVD) than White adults, as indicated by elevated systolic blood pressure (SBP), low ankle-arm blood pressure index (AAI), and left ventricular hypertrophy (LVH). But, accounting for a broad interpretation of socioeconomic status (SES) (i.e., education, family income, home ownership, and other assets) would reduce these differences. Methods. Data are from the Health, Aging, and Body Composition study, a longitudinal clinical research study of 3,075 well-functioning adults aged 70-79, in which 46% of women and 33% of men are Black. Logistic regression modeled racial and SES differences in CVD indicators. Results. Being Black was significantly associated with elevated SBP (men only), low AAI, and LVH, and remained significant after accounting for each SES measure. The racial association with CVD was reduced the most by income for elevated SBP in men, other assets for low AAI in women and men, and other assets for LVH in men. Discussion. Contrary to the age-as-leveler theory, being Black was strongly associated with CVD indicators, and accounting for SES did not reduce this association. Whether other SES measures, such as access to care, could explain the racial association remains to be explored.
引用
收藏
页码:S247 / S256
页数:10
相关论文
共 47 条
[1]   SOCIOECONOMIC-STATUS AND HEALTH - THE CHALLENGE OF THE GRADIENT [J].
ADLER, NE ;
BOYCE, T ;
CHESNEY, MA ;
COHEN, S ;
FOLKMAN, S ;
KAHN, RL ;
SYME, SL .
AMERICAN PSYCHOLOGIST, 1994, 49 (01) :15-24
[2]  
[Anonymous], 1998, AGING SOCIAL INEQUAL
[3]  
BECKETT JO, 1992, GERONTOLOGICAL SOCIA, P277
[4]   Why is left ventricular hypertrophy so predictive of morbidity and mortality? [J].
Benjamin, EJ ;
Levy, D .
AMERICAN JOURNAL OF THE MEDICAL SCIENCES, 1999, 317 (03) :168-175
[5]  
BROCK DB, 1990, NIH PUBLICATION, P8
[6]  
Dannefer D., 1999, HDB THEORIES AGING, P306
[7]  
Guralnik J. M., 1995, NIH PUBLICATION, V95-4009, P9
[8]   SOCIOECOLOGICAL STRESSOR AREAS AND BLACK-WHITE BLOOD-PRESSURE - DETROIT [J].
HARBURG, E ;
ERFURT, JC ;
CHAPE, C ;
HAUENSTEIN, LS ;
SCHULL, WJ ;
SCHORK, MA .
JOURNAL OF CHRONIC DISEASES, 1973, 26 (09) :595-611
[9]   THE ECONOMIC-STATUS OF THE ELDERLY [J].
HURD, MD .
SCIENCE, 1989, 244 (4905) :659-664
[10]   SOCIOECONOMIC-STATUS, JOHN HENRYISM, AND HYPERTENSION IN BLACKS AND WHITES [J].
JAMES, SA ;
STROGATZ, DS ;
WING, SB ;
RAMSEY, DL .
AMERICAN JOURNAL OF EPIDEMIOLOGY, 1987, 126 (04) :664-673