Abstract:
INTRODUCTION:There are known racial differences in cardiovascular health behaviors, including smoking, physical activity, and diet quality. A better understanding of these differences may help identify intervention targets for reducing cardiovascular disease disparities. This study examined whether socioeconomic, psychosocial, and neighborhood environmental factors, in isolation or together, mediate racial differences in health behaviors. METHODS:Participants were 3,081 men and women from the Coronary Artery Risk Development in Young Adults study who were enrolled in 1985-1986 (Year 0) and completed a follow-up examination in 2015-2016 (Year 30). A health behavior score was created at Years 0, 7, 20, and 30 using smoking, physical activity, and diet assessed that year. The race difference in health behavior score was estimated using linear regression in serial cross-sectional analyses. Mediation analyses computed the proportion of the race and health behavior score association attributable to socioeconomic, psychosocial, and neighborhood factors. RESULTS:Data analysis conducted in 2016-2017 found that blacks had significantly lower health behavior scores than whites across 30 years of follow-up. Individual socioeconomic factors mediated 48.9%-70.1% of the association between race and health behavior score, psychosocial factors 20.3%-30.0%, and neighborhood factors 22.1%-41.4% (p<0.01 for all). CONCLUSIONS:Racial differences in health behavior scores appear to be mediated predominately by correspondingly large differences in socioeconomic factors. This study highlights the profound impact of socioeconomic factors, which are mostly not under an individual's control, on health behaviors. Policy action targeting socioeconomic factors may help reduce disparities in health behaviors.
journal_name
Am J Prev Medjournal_title
American journal of preventive medicineauthors
Whitaker KM,Jacobs DR Jr,Kershaw KN,Demmer RT,Booth JN 3rd,Carson AP,Lewis CE,Goff DC Jr,Lloyd-Jones DM,Gordon-Larsen P,Kiefe CIdoi
10.1016/j.amepre.2018.03.017subject
Has Abstractpub_date
2018-07-01 00:00:00pages
63-71issue
1eissn
0749-3797issn
1873-2607pii
S0749-3797(18)31674-Xjournal_volume
55pub_type
杂志文章abstract:OBJECTIVE:To examine the relationship between intimate partner violence (IPV) victimization and patient satisfaction with medical encounters among an African-American population. DESIGN:Cross-sectional, self-administered, anonymous survey. SETTING:Community-based, primary care center. PATIENTS:Consecutive African-Am...
journal_title:American journal of preventive medicine
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journal_title:American journal of preventive medicine
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journal_title:American journal of preventive medicine
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journal_title:American journal of preventive medicine
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journal_title:American journal of preventive medicine
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journal_title:American journal of preventive medicine
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journal_title:American journal of preventive medicine
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journal_title:American journal of preventive medicine
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pub_type: 杂志文章
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更新日期:2010-09-01 00:00:00
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journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2003.09.002
更新日期:2004-01-01 00:00:00
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pub_type: 杂志文章
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更新日期:2017-10-01 00:00:00
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journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2012.10.010
更新日期:2013-02-01 00:00:00
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journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
更新日期:1997-09-01 00:00:00
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journal_title:American journal of preventive medicine
pub_type: 杂志文章
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更新日期:1999-11-01 00:00:00
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journal_title:American journal of preventive medicine
pub_type: 杂志文章,评审
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更新日期:2013-09-01 00:00:00
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pub_type: 杂志文章
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更新日期:2020-11-01 00:00:00
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pub_type: 杂志文章
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更新日期:2016-03-01 00:00:00
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journal_title:American journal of preventive medicine
pub_type: 杂志文章,多中心研究
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journal_title:American journal of preventive medicine
pub_type: 杂志文章
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更新日期:2016-08-01 00:00:00
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journal_title:American journal of preventive medicine
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更新日期:1998-05-01 00:00:00
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journal_title:American journal of preventive medicine
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更新日期:1996-09-01 00:00:00
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journal_title:American journal of preventive medicine
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更新日期:1994-07-01 00:00:00
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