YCARE (Youth/Child cArdiovascular Risk and Environmental) Research Group Faculdade de Medicina, Universidade de Sao Paulo, São Paulo, Brazil.
Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
J Public Health (Oxf). 2019 Sep 30;41(3):e237-e244. doi: 10.1093/pubmed/fdy145.
Low socioeconomic status (SES) is associated with cardiovascular disease (CVD) risk, but its association with different markers of SES may be heterogeneous by sex and race/ethnicity.
We have examined the relationships of four SES markers (education, family income, occupation and neighborhood SES) to ideal cardiovascular health (ICH), an index formed by seven variables. A total of 6792 cohort participants from six regions in the USA: Baltimore City and Baltimore County, MD; Chicago, IL; Forsyth County, NC; Los Angeles County, CA; New York, NY; and St. Paul, MN of the Multi-Ethnic Study of Atherosclerosis (MESA) (52.8% women) were recruited at baseline (2000-2) and included in the present analysis.
ICH was classified as poor, intermediate or ideal. Level of education was significantly and inversely associated with ICH in non-Hispanic White men and women, in Chinese-American and Hispanic American men and African-American women. Family income was inversely and significantly associated with poor ICH in African-American men only.
We conclude that the strength of the associations between some SES markers and ICH differ between sexes and race/ethnic groups.
低社会经济地位（SES）与心血管疾病（CVD）风险相关，但 SES 的不同标志物与 CVD 风险的相关性可能因性别和种族/民族而异。
我们研究了四个 SES 标志物（教育、家庭收入、职业和社区 SES）与理想心血管健康（ICH）的关系，ICH 是由七个变量组成的指数。共有来自美国六个地区的 6792 名队列参与者：马里兰州巴尔的摩市和巴尔的摩县、伊利诺伊州芝加哥、北卡罗来纳州福赛斯县、加利福尼亚州洛杉矶县、纽约州和明尼苏达州圣保罗市，参与了动脉粥样硬化多民族研究（MESA）（52.8%为女性），并在基线（2000-2 年）时招募，纳入了本分析。
ICH 分为差、中或优。非西班牙裔白种男性和女性、华裔美国男性和西班牙裔美国男性以及非裔美国女性的受教育程度与 ICH 呈显著负相关。只有非裔美国男性的家庭收入与 ICH 差呈显著负相关。
我们得出结论，一些 SES 标志物与 ICH 之间的关联强度在性别和种族/民族之间存在差异。
