Work

Race/ethnicity, neighborhood socioeconomic status and cardio-metabolic risk

Year: 2020

Type: article

Abstract: OBJECTIVE: To determine the association between neighborhood socioeconomic status (NSES) and cardio-metabolic risk and whether this relationship differs by race/ethnicity. METHODS: Participants in the Multi-Ethnic Study of Atherosclerosis (n = 5750), ages 45-84 years, from 6 US counties, including 5 examinations from 2000 to 2012. We calculated a modified allostatic load (AL) index, indicating cardio-metabolic risk. NSES score included census-derived measures at census tract of residence. Mixed effects growth curve models were used to assess linear and non-linear associations between NSES and AL at baseline and over time. RESULTS: Higher NSES was associated with lower AL across race/ethnic groups; considering NSES quintiles, significant associations were found only for the highest NSES quintiles (difference of -0.86 and -1.15 for white and Hispanic participants) vs. the lowest. We found no significant association between NSES and change in AL over time. DISCUSSION: Our findings suggest that the relationship between NSES and AL reflects the health benefits of living in the most advantaged neighborhoods. PUBLIC HEALTH IMPLICATIONS: Understanding the impact of higher NSES on health effects may help identify interventions to effectively target high risk neighborhoods.

Source: SSM - Population Health

DOI: 10.1016/j.ssmph.2020.100634

Authors: Sharon Stein Merkin, Arun Karlamangla, Ana Diez Roux, Sandi Shrager, Karol Watson, Teresa Seeman

Institutions: University of California, Los Angeles, Drexel University, University of Washington

Language: English

Topic: Health disparities and outcomes

Subfield: Health

Field: Social Sciences

Domain: Social Sciences

SDGs: Good health and well-being, Reduced inequalities, Sustainable cities and communities

Open Access status: gold

Estimated APC paid: $1,450