主观社会经济地位预测弗拉明汉心血管疾病风险对于白人，而不是黑人。
Subjective socioeconomic status predicts Framingham cardiovascular disease risk for whites, not blacks.
出版信息
Ethn Dis. 2014 Spring;24(2):150-4.
BACKGROUND
Higher rates of cardiovascular disease (CVD) and its risk factors are well documented among those with objective indicators of lower socioeconomic status (SES), such as income, education, and occupation. However, relatively little is known about the relationship of subjective SES to CVD risk, particularly within different racial groups.
METHODS
Subjective SES and Framingham 10-year CVD risk profile were examined in 1,722 socioeconomically diverse Black and White adults enrolled in the Healthy Aging in Neighborhoods of Diversity across the Life Span (HANDLS) study. The sample had a mean age of 47.7 years, was 57% female, 56% African American, and 39% living in poverty.
RESULTS
Subjective SES was associated with greater CVD risk after adjustment for poverty status, substance use, BMI, depression, antihypertensives, and co-morbidities (B = -.059, t[1,1711] = -2.44, P = .015). However, when the analysis was race-stratified, subjective SES was associated with CVD risk in Whites (B = -.074, F[1,787] = -2.01, P = .045), but not Blacks.
CONCLUSIONS
These results suggest that subjective SES may aid in predicting CVD risk in Whites, but not Blacks. It is important to note that these analyses were adjusted for poverty status, a potent indicator of objective SES. Thus, these findings further suggest that for Whites, subjective SES may influence CVD risk beyond that associated with objective SES. These findings highlight the potential importance of patients' subjective SES in CVD risk detection.
背景
客观的社会经济地位（SES）指标（如收入、教育和职业）较低的人群中，心血管疾病（CVD）及其风险因素的发生率较高，这一点已有充分的记录。然而，对于主观 SES 与 CVD 风险之间的关系，尤其是在不同种族群体中，人们知之甚少。
方法
在参与多样性跨越生命期邻里健康老龄化研究（HANDLS）的 1722 名社会经济地位差异较大的黑人和白人成年人中，检查了主观 SES 和弗雷明汉 10 年 CVD 风险概况。该样本的平均年龄为 47.7 岁，女性占 57%，非裔美国人占 56%，39%生活在贫困中。
结果
调整贫困状况、物质使用、BMI、抑郁、抗高血压药物和合并症后，主观 SES 与 CVD 风险相关（B = -.059，t[1,1711] = -2.44，P =.015）。然而，当分析按种族分层时，主观 SES 与白人的 CVD 风险相关（B = -.074，F[1,787] = -2.01，P =.045），但与黑人无关。
结论
这些结果表明，主观 SES 可能有助于预测白人的 CVD 风险，但不能预测黑人。需要注意的是，这些分析是在调整贫困状况的基础上进行的，贫困状况是客观 SES 的一个有力指标。因此，这些发现进一步表明，对于白人来说，主观 SES 可能会影响 CVD 风险，而不仅仅是与客观 SES 相关的风险。这些发现强调了患者主观 SES 在 CVD 风险检测中的潜在重要性。
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