University of Maryland School of Medicine, Baltimore, MD, USA.
Department of Emergency Medicine, College of Medicine, University of Florida, Gainesville, FL, USA.
J Hum Hypertens. 2023 Jun;37(6):480-490. doi: 10.1038/s41371-021-00513-8. Epub 2021 Mar 5.
This cross-sectional study determined income disparities in age-adjusted prevalence and trends of 10-year high absolute cardiovascular disease (CVD) risk, metabolic syndrome, hypertension, diabetes, obesity, chronic kidney disease (CKD), leisure-time physical activity (LTPA), and current tobacco smoking within racial/ethnic groups in the US. National Health and Nutrition Examination Survey 2001-2016 data of 40-79-year-old people were analyzed. Survey periods were grouped as 2001-2006, 2007-2012, and 2013-2016. Race/ethnicity was grouped as non-Hispanic whites, non-Hispanic blacks, and other races/ethnicities. Three equal-sized strata (low-, middle-, and high income) were made from the family income-to-poverty ratio. Of the 25,777 participants (mean age: 55.6 years, 48% males), a majority of the studied prevalence was higher in most survey years among non-Hispanic blacks compared to non-Hispanic whites. Most studied prevalence was also higher among low-income people than middle-/high-income people. Within racial/ethnic groups, the prevalence also differed by income for high CVD risk, metabolic syndrome, hypertension, diabetes, obesity, CKD, LTPA, and tobacco smoking (P < 0.05) in most survey periods. After stratifying by race/ethnicity, the prevalence of many conditions remained disproportionately higher among low- and middle-income people, compared to those with high income during most survey periods in all racial/ethnic groups. These results reveal income in addition to race/ethnicity to be an important correlate of cardiovascular health and underscore the need to consider each when controlling for risk factors.
这项横断面研究旨在确定美国不同种族/族裔群体中,年龄调整后的十年高绝对心血管疾病(CVD)风险、代谢综合征、高血压、糖尿病、肥胖症、慢性肾脏病(CKD)、休闲时间体力活动(LTPA)和当前吸烟的流行率和趋势存在收入差距。分析了 2001 年至 2016 年期间 40-79 岁人群的国家健康和营养调查数据。调查期分为 2001-2006 年、2007-2012 年和 2013-2016 年。种族/族裔分为非西班牙裔白人、非西班牙裔黑人以及其他种族/族裔。家庭收入与贫困比率将人群分为三个均等大小的阶层(低收入、中收入和高收入)。在 25777 名参与者(平均年龄:55.6 岁,48%为男性)中,在大多数调查年份中,非西班牙裔黑人群体的大多数研究患病率高于非西班牙裔白人群体。在大多数调查年份中,低收入人群的大多数研究患病率也高于中高收入人群。在不同种族/族裔群体中,在大多数调查期间,高 CVD 风险、代谢综合征、高血压、糖尿病、肥胖症、CKD、LTPA 和吸烟的患病率也因收入而异(P<0.05)。在按种族/族裔分层后,在大多数调查期间,与高收入人群相比,低收入和中等收入人群的许多疾病的患病率仍然不成比例地更高。这些结果表明,收入除了种族/族裔之外,还是心血管健康的一个重要相关因素,并强调在控制危险因素时需要考虑这两个因素。