Cross-sectional relations of race and poverty status to cardiovascular risk factors in the Healthy Aging in Neighborhoods of Diversity across the Lifespan (HANDLS) study.

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  • Additional Information
    • Author-Supplied Keywords:
      Blood pressure
      Body composition
      Cardiovascular risk factors
      Glucose
      Lipids
      Poverty
      Race
      Socioeconomic status
    • Abstract:
      Background: Examine interactive relations of race and poverty status with cardiovascular disease (CVD) risk factors in a socioeconomically diverse sample of urban-dwelling African American (AA) and White adults.Methods: Participants were 2,270 AAs and Whites (57% AA; 57% female; ages 30-64 years) who completed the first wave of the Healthy Aging in Neighborhoods of Diversity across the Life Span (HANDLS) study. CVD risk factors assessed included body mass index (BMI), waist circumference (WC), total cholesterol (TC), high- and low-density lipoprotein cholesterol (HDL-C, LDL-C), triglycerides (TG), glycated hemoglobin (HbA1c), high-sensitivity C-reactive protein (CRP), and systolic, diastolic, and pulse pressure (SBP, DBP, PP). Interactive and independent relations of race, poverty status, and sex were examined for each outcome via ordinary least squares regression adjusted for age, education, literacy, substance use, depressive symptoms, perceived health care barriers, medical co-morbidities, and medications.Results: Significant interactions of race and poverty status (p's < .05) indicated that AAs living in poverty had lower BMI and WC and higher HDL-C than non-poverty AAs, whereas Whites living in poverty had higher BMI and WC and lower HDL-C than non-poverty Whites. Main effects of race revealed that AAs had higher levels of HbA1c, SBP, and PP, and Whites had higher levels of TC, LDL-C and TG (p's < .05).Conclusion: Poverty status moderated race differences for BMI, WC, and HDL-C, conveying increased risk among Whites living in poverty, but reduced risk in their AA counterparts. Race differences for six additional risk factors withstood extensive statistical adjustments including SES indicators. [ABSTRACT FROM AUTHOR]
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    • Author Affiliations:
      1Department of Psychology, University of Maryland, Baltimore County, 1000 Hilltop Circle, Baltimore, MD 21250, USA
      2Laboratory of Epidemiology and Population Sciences, National Institute on Aging, Baltimore, MD, USA
      3Department of Mathematics and Statistics, University of Maryland, Baltimore County, Baltimore, MD, USA
      4Department of Psychology, University of Maryland, Baltimore County, 1000 Hilltop Circle, Baltimore, MD, 21250, USA
    • ISSN:
      1471-2458
    • Accession Number:
      10.1186/s12889-016-2945-9
    • Accession Number:
      113791363
  • Citations
    • ABNT:
      WALDSTEIN, S. R. et al. Cross-sectional relations of race and poverty status to cardiovascular risk factors in the Healthy Aging in Neighborhoods of Diversity across the Lifespan (HANDLS) study. BMC Public Health, [s. l.], v. 16, n. 1, p. 1–11, 2016. DOI 10.1186/s12889-016-2945-9. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asr&AN=113791363. Acesso em: 15 ago. 2020.
    • AMA:
      Waldstein SR, Beatty Moody DL, McNeely JM, et al. Cross-sectional relations of race and poverty status to cardiovascular risk factors in the Healthy Aging in Neighborhoods of Diversity across the Lifespan (HANDLS) study. BMC Public Health. 2016;16(1):1-11. doi:10.1186/s12889-016-2945-9
    • APA:
      Waldstein, S. R., Beatty Moody, D. L., McNeely, J. M., Allen, A. J., Sprung, M. R., Shah, M. T., Al’Najjar, E., Evans, M. K., Zonderman, A. B., & Moody, D. L. B. (2016). Cross-sectional relations of race and poverty status to cardiovascular risk factors in the Healthy Aging in Neighborhoods of Diversity across the Lifespan (HANDLS) study. BMC Public Health, 16(1), 1–11. https://doi.org/10.1186/s12889-016-2945-9
    • Chicago/Turabian: Author-Date:
      Waldstein, Shari R., Danielle L. Beatty Moody, Jessica M. McNeely, Allyssa J. Allen, Mollie R. Sprung, Mauli T. Shah, Elias Al’Najjar, Michele K. Evans, Alan B. Zonderman, and Danielle L Beatty Moody. 2016. “Cross-Sectional Relations of Race and Poverty Status to Cardiovascular Risk Factors in the Healthy Aging in Neighborhoods of Diversity across the Lifespan (HANDLS) Study.” BMC Public Health 16 (1): 1–11. doi:10.1186/s12889-016-2945-9.
    • Harvard:
      Waldstein, S. R. et al. (2016) ‘Cross-sectional relations of race and poverty status to cardiovascular risk factors in the Healthy Aging in Neighborhoods of Diversity across the Lifespan (HANDLS) study’, BMC Public Health, 16(1), pp. 1–11. doi: 10.1186/s12889-016-2945-9.
    • Harvard: Australian:
      Waldstein, SR, Beatty Moody, DL, McNeely, JM, Allen, AJ, Sprung, MR, Shah, MT, Al’Najjar, E, Evans, MK, Zonderman, AB & Moody, DLB 2016, ‘Cross-sectional relations of race and poverty status to cardiovascular risk factors in the Healthy Aging in Neighborhoods of Diversity across the Lifespan (HANDLS) study’, BMC Public Health, vol. 16, no. 1, pp. 1–11, viewed 15 August 2020, .
    • MLA:
      Waldstein, Shari R., et al. “Cross-Sectional Relations of Race and Poverty Status to Cardiovascular Risk Factors in the Healthy Aging in Neighborhoods of Diversity across the Lifespan (HANDLS) Study.” BMC Public Health, vol. 16, no. 1, Mar. 2016, pp. 1–11. EBSCOhost, doi:10.1186/s12889-016-2945-9.
    • Chicago/Turabian: Humanities:
      Waldstein, Shari R., Danielle L. Beatty Moody, Jessica M. McNeely, Allyssa J. Allen, Mollie R. Sprung, Mauli T. Shah, Elias Al’Najjar, Michele K. Evans, Alan B. Zonderman, and Danielle L Beatty Moody. “Cross-Sectional Relations of Race and Poverty Status to Cardiovascular Risk Factors in the Healthy Aging in Neighborhoods of Diversity across the Lifespan (HANDLS) Study.” BMC Public Health 16, no. 1 (March 14, 2016): 1–11. doi:10.1186/s12889-016-2945-9.
    • Vancouver/ICMJE:
      Waldstein SR, Beatty Moody DL, McNeely JM, Allen AJ, Sprung MR, Shah MT, et al. Cross-sectional relations of race and poverty status to cardiovascular risk factors in the Healthy Aging in Neighborhoods of Diversity across the Lifespan (HANDLS) study. BMC Public Health [Internet]. 2016 Mar 14 [cited 2020 Aug 15];16(1):1–11. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asr&AN=113791363