Racial, ethnic and socioeconomic disparities in the clustering of cardiovascular disease risk factors.

摘要: Objective To evaluate racial and ethnic differences in the clustering of cardiovascular disease (CVD) risk factors United States to determine whether these vary by socioeconomic status (SES). Methods Data from Third National Health Nutrition Examination Survey (1988-1994), a cross-sectional survey US population, were used examine relationships among 486 non-Hispanic Blacks, 409 Mexican Americans, 772 Whites, aged 25 99 years. Risk included hypertension, abnormal cholesterol, diabetes mellitus, overweight, cigarette smoking. Educational level was as proxy for SES. Results Twenty percent Whites had zero CVD vs 18% Americans 13% Blacks. Non-Hispanic Blacks twice likely other groups have 4 or 5 factors. Across all groups, prevalence having increased with education (from 6%-14% those 12 years). After adjustment age gender, years education, 50%-60% less than Whites. Conclusions Increased factor exists low SES, particularly Among persons high higher These disparities may be reduced through policy changes that promote heart-healthy environments throughout society.