PMID- 12084794
OWN - NLM
STAT- MEDLINE
DCOM- 20020729
LR  - 20221207
IS  - 1079-5014 (Print)
IS  - 1079-5014 (Linking)
VI  - 57
IP  - 4
DP  - 2002 Jul
TI  - The association of race and socioeconomic status with cardiovascular disease 
      indicators among older adults in the health, aging, and body composition study.
PG  - S247-56
AB  - OBJECTIVES: We hypothesized that older Black adults would have a higher 
      prevalence of cardiovascular disease (CVD) than White adults, as indicated by 
      elevated systolic blood pressure (SBP), low ankle-arm blood pressure index (AAI), 
      and left ventricular hypertrophy (LVH). But, accounting for a broad 
      interpretation of socioeconomic status (SES) (i.e., education, family income, 
      home ownership, and other assets) would reduce these differences. METHODS: Data 
      are from the Health, Aging, and Body Composition study, a longitudinal clinical 
      research study of 3,075 well-functioning adults aged 70-79, in which 46% of women 
      and 33% of men are Black. Logistic regression modeled racial and SES differences 
      in CVD indicators. RESULTS: Being Black was significantly associated with 
      elevated SBP (men only), low AAI, and LVH, and remained significant after 
      accounting for each SES measure. The racial association with CVD was reduced the 
      most by income for elevated SBP in men, other assets for low AAI in women and 
      men, and other assets for LVH in men. DISCUSSION: Contrary to the age-as-leveler 
      theory, being Black was strongly associated with CVD indicators, and accounting 
      for SES did not reduce this association. Whether other SES measures, such as 
      access to care, could explain the racial association remains to be explored.
FAU - Rooks, Ronica N
AU  - Rooks RN
AD  - Laboratory of Epidemiology, National Institute on Aging, Bethesda, Maryland, USA. 
      rrooks@umich.edu
FAU - Simonsick, Eleanor M
AU  - Simonsick EM
FAU - Miles, Toni
AU  - Miles T
FAU - Newman, Anne
AU  - Newman A
FAU - Kritchevsky, Stephen B
AU  - Kritchevsky SB
FAU - Schulz, Richard
AU  - Schulz R
FAU - Harris, Tamara
AU  - Harris T
LA  - eng
GR  - AG-98-002/AG/NIA NIH HHS/United States
GR  - N01-AG-2106/AG/NIA NIH HHS/United States
GR  - N01-AG-6-2102/AG/NIA NIH HHS/United States
GR  - N01-AG-6-2103/AG/NIA NIH HHS/United States
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, U.S. Gov't, P.H.S.
PL  - United States
TA  - J Gerontol B Psychol Sci Soc Sci
JT  - The journals of gerontology. Series B, Psychological sciences and social sciences
JID - 9508483
SB  - IM
MH  - Black or African American/*statistics & numerical data
MH  - Aged
MH  - *Body Composition
MH  - Cardiovascular Diseases/epidemiology/*ethnology
MH  - Cohort Studies
MH  - Cross-Cultural Comparison
MH  - Cross-Sectional Studies
MH  - Female
MH  - Humans
MH  - Hypertension/epidemiology/ethnology
MH  - Hypertrophy, Left Ventricular/epidemiology/ethnology
MH  - Male
MH  - Regression Analysis
MH  - Risk Factors
MH  - *Socioeconomic Factors
MH  - United States/epidemiology
MH  - White People/*statistics & numerical data
EDAT- 2002/06/27 10:00
MHDA- 2002/07/30 10:01
CRDT- 2002/06/27 10:00
PHST- 2002/06/27 10:00 [pubmed]
PHST- 2002/07/30 10:01 [medline]
PHST- 2002/06/27 10:00 [entrez]
AID - 10.1093/geronb/57.4.s247 [doi]
PST - ppublish
SO  - J Gerontol B Psychol Sci Soc Sci. 2002 Jul;57(4):S247-56. doi: 
      10.1093/geronb/57.4.s247.