Neighborhoods and Cumulative Biological Risk Profiles by Race/Ethnicity in a National Sample of U.S. Adults: NHANES III
Purpose To examine race/ethnic-specific patterns of association between neighborhood socioeconomic status (NSES) and a cumulative biological risk index in a nationally representative population. Methods The study sample included 13,199 white, black, and Mexican-American men and women, ages 20 and ol...
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| Veröffentlicht in: | Annals of epidemiology 2009-03, Vol.19 (3), p.194-201 |
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| creator | Merkin, Sharon Stein, PhD Basurto-Dávila, Ricardo, PhD Karlamangla, Arun, PhD, MD Bird, Chloe E., PhD Lurie, Nicole, MD Escarce, Jose, MD, PhD Seeman, Teresa, PhD |
| description | Purpose To examine race/ethnic-specific patterns of association between neighborhood socioeconomic status (NSES) and a cumulative biological risk index in a nationally representative population. Methods The study sample included 13,199 white, black, and Mexican-American men and women, ages 20 and older, who attended the National Health and Examination Survey examination (1988–1994). Neighborhoods were defined as census tracts and linked to U.S. Census measures from 1990 and 2000, interpolated to the survey year; the NSES score included measures of income, education, poverty, and unemployment and was categorized into quintiles, with the highest indicating greater NSES. A summary biological risk score, allostatic load (AL; range 0–9), was created from 9 biological indicators of elevated risk: serum levels of C-reactive protein, albumin, glycated hemoglobin, total and high-density lipoprotein cholesterol, waist-to-hip ratio, systolic and diastolic blood pressure, and resting heart rate. Regression models stratified by race/ethnicity examined AL as a continuous and dichotomous (≥3 vs. |
| doi_str_mv | 10.1016/j.annepidem.2008.12.006 |
| format | Article |
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Methods The study sample included 13,199 white, black, and Mexican-American men and women, ages 20 and older, who attended the National Health and Examination Survey examination (1988–1994). Neighborhoods were defined as census tracts and linked to U.S. Census measures from 1990 and 2000, interpolated to the survey year; the NSES score included measures of income, education, poverty, and unemployment and was categorized into quintiles, with the highest indicating greater NSES. A summary biological risk score, allostatic load (AL; range 0–9), was created from 9 biological indicators of elevated risk: serum levels of C-reactive protein, albumin, glycated hemoglobin, total and high-density lipoprotein cholesterol, waist-to-hip ratio, systolic and diastolic blood pressure, and resting heart rate. Regression models stratified by race/ethnicity examined AL as a continuous and dichotomous (≥3 vs. <3) outcome. Results We found strong inverse associations between NSES and AL for black subjects, after adjusting for age, sex, U.S. birth, urban location, and individual SES. These associations were weaker and less consistent for Mexican Americans and whites. Conclusions Our results indicate that living in low NSES neighborhoods is most strongly associated with greater cumulative biological risk profiles in the black U.S. population.</description><identifier>ISSN: 1047-2797</identifier><identifier>EISSN: 1873-2585</identifier><identifier>DOI: 10.1016/j.annepidem.2008.12.006</identifier><identifier>PMID: 19217002</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Biomarkers - blood ; Blood Pressure - physiology ; Ethnicity ; Female ; Health Status Disparities ; Humans ; Internal Medicine ; Male ; Nutrition Surveys ; Physical Examination ; Race ; Regression Analysis ; Residence Characteristics ; Risk Factors ; Social Class ; Socioeconomic status ; United States ; Young Adult</subject><ispartof>Annals of epidemiology, 2009-03, Vol.19 (3), p.194-201</ispartof><rights>Elsevier Inc.</rights><rights>2009 Elsevier Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c559t-7793dd07571235da9afbde3a8bd2e13094a76fddf709793796a1e06e5c7b0f373</citedby><cites>FETCH-LOGICAL-c559t-7793dd07571235da9afbde3a8bd2e13094a76fddf709793796a1e06e5c7b0f373</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.annepidem.2008.12.006$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,780,784,885,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19217002$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Merkin, Sharon Stein, PhD</creatorcontrib><creatorcontrib>Basurto-Dávila, Ricardo, PhD</creatorcontrib><creatorcontrib>Karlamangla, Arun, PhD, MD</creatorcontrib><creatorcontrib>Bird, Chloe E., PhD</creatorcontrib><creatorcontrib>Lurie, Nicole, MD</creatorcontrib><creatorcontrib>Escarce, Jose, MD, PhD</creatorcontrib><creatorcontrib>Seeman, Teresa, PhD</creatorcontrib><title>Neighborhoods and Cumulative Biological Risk Profiles by Race/Ethnicity in a National Sample of U.S. Adults: NHANES III</title><title>Annals of epidemiology</title><addtitle>Ann Epidemiol</addtitle><description>Purpose To examine race/ethnic-specific patterns of association between neighborhood socioeconomic status (NSES) and a cumulative biological risk index in a nationally representative population. Methods The study sample included 13,199 white, black, and Mexican-American men and women, ages 20 and older, who attended the National Health and Examination Survey examination (1988–1994). Neighborhoods were defined as census tracts and linked to U.S. Census measures from 1990 and 2000, interpolated to the survey year; the NSES score included measures of income, education, poverty, and unemployment and was categorized into quintiles, with the highest indicating greater NSES. A summary biological risk score, allostatic load (AL; range 0–9), was created from 9 biological indicators of elevated risk: serum levels of C-reactive protein, albumin, glycated hemoglobin, total and high-density lipoprotein cholesterol, waist-to-hip ratio, systolic and diastolic blood pressure, and resting heart rate. Regression models stratified by race/ethnicity examined AL as a continuous and dichotomous (≥3 vs. <3) outcome. Results We found strong inverse associations between NSES and AL for black subjects, after adjusting for age, sex, U.S. birth, urban location, and individual SES. These associations were weaker and less consistent for Mexican Americans and whites. Conclusions Our results indicate that living in low NSES neighborhoods is most strongly associated with greater cumulative biological risk profiles in the black U.S. population.</description><subject>Adult</subject><subject>Biomarkers - blood</subject><subject>Blood Pressure - physiology</subject><subject>Ethnicity</subject><subject>Female</subject><subject>Health Status Disparities</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Nutrition Surveys</subject><subject>Physical Examination</subject><subject>Race</subject><subject>Regression Analysis</subject><subject>Residence Characteristics</subject><subject>Risk Factors</subject><subject>Social Class</subject><subject>Socioeconomic status</subject><subject>United States</subject><subject>Young Adult</subject><issn>1047-2797</issn><issn>1873-2585</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkl9v0zAUxSMEYmPwFcBPvDW7tps44WFSqQqrNBW0smfLsW9ad45d4qSo355ErcafF3iyJZ9zfO3fSZJ3FFIKNL_epcp73FuDTcoAipSyFCB_llzSQvAJy4rs-bCHqZgwUYqL5FWMOwAQhWAvkwtaMioA2GXyY4V2s61Cuw3BRKK8IfO-6Z3q7AHJRxtc2FitHLm38ZF8bUNtHUZSHcm90ni96LbeatsdifVEkdVgC35Qr1Wzd0hCTR7SdUpmpndd_EBWt7PVYk2Wy-Xr5EWtXMQ35_Uqefi0-Da_ndx9-bycz-4mOsvKbiJEyY0BkQnKeGZUqerKIFdFZRhSDuVUibw2phZQDlJR5ooi5JhpUUHNBb9Kbk65-75q0Gj0Xauc3Le2Ue1RBmXlnyfebuUmHCSfsoKxMeD9OaAN33uMnWxs1Oic8hj6KPO8ZFBk5T-FDLKcUzomipNQtyHGFuunaSjIka7cySe6cqQrKZMD3cH59vfH_PKdcQ6C2UmAw5ceLLYyaoteo7Et6k6aYP_jkpu_MrSzfuzAIx4x7kLfDoSjpDIOBrkeSzZ2DAoAnmeC_wRpOs-L</recordid><startdate>20090301</startdate><enddate>20090301</enddate><creator>Merkin, Sharon Stein, PhD</creator><creator>Basurto-Dávila, Ricardo, PhD</creator><creator>Karlamangla, Arun, PhD, MD</creator><creator>Bird, Chloe E., PhD</creator><creator>Lurie, Nicole, MD</creator><creator>Escarce, Jose, MD, PhD</creator><creator>Seeman, Teresa, PhD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U1</scope><scope>7U2</scope><scope>C1K</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20090301</creationdate><title>Neighborhoods and Cumulative Biological Risk Profiles by Race/Ethnicity in a National Sample of U.S. Adults: NHANES III</title><author>Merkin, Sharon Stein, PhD ; Basurto-Dávila, Ricardo, PhD ; Karlamangla, Arun, PhD, MD ; Bird, Chloe E., PhD ; Lurie, Nicole, MD ; Escarce, Jose, MD, PhD ; Seeman, Teresa, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c559t-7793dd07571235da9afbde3a8bd2e13094a76fddf709793796a1e06e5c7b0f373</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>Biomarkers - blood</topic><topic>Blood Pressure - physiology</topic><topic>Ethnicity</topic><topic>Female</topic><topic>Health Status Disparities</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Nutrition Surveys</topic><topic>Physical Examination</topic><topic>Race</topic><topic>Regression Analysis</topic><topic>Residence Characteristics</topic><topic>Risk Factors</topic><topic>Social Class</topic><topic>Socioeconomic status</topic><topic>United States</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Merkin, Sharon Stein, PhD</creatorcontrib><creatorcontrib>Basurto-Dávila, Ricardo, PhD</creatorcontrib><creatorcontrib>Karlamangla, Arun, PhD, MD</creatorcontrib><creatorcontrib>Bird, Chloe E., PhD</creatorcontrib><creatorcontrib>Lurie, Nicole, MD</creatorcontrib><creatorcontrib>Escarce, Jose, MD, PhD</creatorcontrib><creatorcontrib>Seeman, Teresa, PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Annals of epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Merkin, Sharon Stein, PhD</au><au>Basurto-Dávila, Ricardo, PhD</au><au>Karlamangla, Arun, PhD, MD</au><au>Bird, Chloe E., PhD</au><au>Lurie, Nicole, MD</au><au>Escarce, Jose, MD, PhD</au><au>Seeman, Teresa, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Neighborhoods and Cumulative Biological Risk Profiles by Race/Ethnicity in a National Sample of U.S. Adults: NHANES III</atitle><jtitle>Annals of epidemiology</jtitle><addtitle>Ann Epidemiol</addtitle><date>2009-03-01</date><risdate>2009</risdate><volume>19</volume><issue>3</issue><spage>194</spage><epage>201</epage><pages>194-201</pages><issn>1047-2797</issn><eissn>1873-2585</eissn><abstract>Purpose To examine race/ethnic-specific patterns of association between neighborhood socioeconomic status (NSES) and a cumulative biological risk index in a nationally representative population. Methods The study sample included 13,199 white, black, and Mexican-American men and women, ages 20 and older, who attended the National Health and Examination Survey examination (1988–1994). Neighborhoods were defined as census tracts and linked to U.S. Census measures from 1990 and 2000, interpolated to the survey year; the NSES score included measures of income, education, poverty, and unemployment and was categorized into quintiles, with the highest indicating greater NSES. A summary biological risk score, allostatic load (AL; range 0–9), was created from 9 biological indicators of elevated risk: serum levels of C-reactive protein, albumin, glycated hemoglobin, total and high-density lipoprotein cholesterol, waist-to-hip ratio, systolic and diastolic blood pressure, and resting heart rate. Regression models stratified by race/ethnicity examined AL as a continuous and dichotomous (≥3 vs. <3) outcome. Results We found strong inverse associations between NSES and AL for black subjects, after adjusting for age, sex, U.S. birth, urban location, and individual SES. These associations were weaker and less consistent for Mexican Americans and whites. Conclusions Our results indicate that living in low NSES neighborhoods is most strongly associated with greater cumulative biological risk profiles in the black U.S. population.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>19217002</pmid><doi>10.1016/j.annepidem.2008.12.006</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Biomarkers - blood Blood Pressure - physiology Ethnicity Female Health Status Disparities Humans Internal Medicine Male Nutrition Surveys Physical Examination Race Regression Analysis Residence Characteristics Risk Factors Social Class Socioeconomic status United States Young Adult |
| title | Neighborhoods and Cumulative Biological Risk Profiles by Race/Ethnicity in a National Sample of U.S. Adults: NHANES III |
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