Cardiovascular health: associations with race-ethnicity, nativity, and education in a diverse, population-based sample of Californians.

Abstract:

PURPOSE:This study examined how race-ethnicity, nativity, and education interact to influence disparities in cardiovascular (CV) health, a new concept defined by the American Heart Association. We assessed whether race-ethnicity and nativity disparities in CV health vary by education and whether the foreign-born differ in CV health from their U.S.-born race-ethnic counterparts with comparable education. METHODS:We used data from the 2009 California Health Interview Survey to determine the prevalence of optimal CV health metrics (based on selected American Heart Association guidelines) among adults ages 25 and older (n = 42,014). We examined the interaction between education and ethnicity-nativity, comparing predicted probabilities of each CV health measure between U.S.-born and foreign-born White, Asian, and Latino respondents. RESULTS:All groups were at high risk of suboptimal physical activity levels, fruit and vegetable and fast food consumption, and overweight/obesity. Those with greater education were generally better off except among Asian respondents. Ethnicity-nativity differences were more pronounced among those with less than a college degree. The foreign-born respondents exhibited both advantages and disadvantages in CV health compared with their U.S.-born counterparts that varied by ethnicity-nativity. CONCLUSIONS:Education influences ethnicity-nativity disparities in CV health, with most race-ethnic and nativity differences occurring among the less educated. Studies of nativity differences in CV health should stratify by education in order to adequately address SES differences.

journal_name

Ann Epidemiol

journal_title

Annals of epidemiology

authors

Bostean G,Roberts CK,Crespi CM,Prelip M,Peters A,Belin TR,McCarthy WJ

doi

10.1016/j.annepidem.2013.04.012

subject

Has Abstract

pub_date

2013-07-01 00:00:00

pages

388-94

issue

7

eissn

1047-2797

issn

1873-2585

pii

S1047-2797(13)00122-1

journal_volume

23

pub_type

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