PMID- 36798726
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230322
IS  - 2666-6677 (Electronic)
IS  - 2666-6677 (Linking)
VI  - 13
DP  - 2023 Mar
TI  - Association of socioeconomic status with arterial stiffness in older African 
      American and White adults: The ARIC study cohort.
PG  - 100469
LID - 10.1016/j.ajpc.2023.100469 [doi]
LID - 100469
AB  - OBJECTIVE: To examine the cross-sectional associations of individual measures of 
      SES-educational attainment and household income-and the joint effects of SES with 
      PWV, as well as the SES-race interaction, in a cohort of older African American 
      and White adults. METHODS: Data from the Atherosclerosis Risk in Communities 
      (ARIC) Study were used to evaluate the cross-sectional associations of individual 
      and joint SES [education and income] and carotid femoral pulse wave velocity 
      (cfPWV), a subclinical marker of arterial stiffness, and the interaction of SES 
      and race using adjusted multivariable linear regression models in a cohort of 
      3342 men and women aged 67-89 years free of CVD in 2011-2013. RESULTS: 
      Participants were 64% female, 23% African American, mean cfPWV (12.3+/-3.5-African 
      American and 11.6+/-3.9-White participants). Post-graduate education compared to 
      less than high school was significantly associated with lower cfPWV (less 
      stiffness) in African American (beta = -1.28 m/s; 95% CI, -1.97, -0.59) but not in 
      White (beta = -0.69 m/s; 95% CI, -1.39, 0.01) participants. Income >/=$50K as compared 
      to <$25K, was associated with lower cfPWV both in African American 
      (beta = -0.82 m/s; 95% CI, -1.42, -0.22) and White (beta = -0.76 m/s; 95% CI, -1.19, 
      -0.32) participants. The interaction of race and individual measures of SES on 
      cfPWV in African American and White adults were not statistically significant 
      (p-value >0.10). CONCLUSIONS: Higher SES was cross-sectionally associated with 
      lower arterial stiffness in this cohort; the data did not support differences by 
      race. Prospective studies of SES and cfPWV are needed to efficiently compare 
      larger racially and regionally diverse populations with a wider range of 
      socioeconomic profiles to better identify subgroup CVD risk.
CI  - (c) 2023 The Author(s).
FAU - Spikes, Telisa A
AU  - Spikes TA
AD  - Nell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Rd. 
      Office# 428, Atlanta, GA 30322, United States.
FAU - Alam, Aniqa B
AU  - Alam AB
AD  - Department of Epidemiology, Rollins School of Public Health, Emory University, 
      Atlanta, GA, United States.
FAU - Lewis, Tene T
AU  - Lewis TT
AD  - Department of Epidemiology, Rollins School of Public Health, Emory University, 
      Atlanta, GA, United States.
FAU - Gwen Windham, B
AU  - Gwen Windham B
AD  - Department of Medicine, University of Mississippi, United States.
FAU - Kucharska-Newton, Anna
AU  - Kucharska-Newton A
AD  - Gillings School of Global Health, University of North Carolina at Chapel Hill, 
      Chapel Hill, NC, United States.
AD  - College of Public Health, University of Kentucky, Lexington, KY, United States.
FAU - Alonso, Alvaro
AU  - Alonso A
AD  - Department of Epidemiology, Rollins School of Public Health, Emory University, 
      Atlanta, GA, United States.
LA  - eng
GR  - K24 HL148521/HL/NHLBI NIH HHS/United States
PT  - Journal Article
DEP - 20230126
PL  - Netherlands
TA  - Am J Prev Cardiol
JT  - American journal of preventive cardiology
JID - 101769122
PMC - PMC9926086
OTO - NOTNLM
OT  - CVD risk
OT  - Disparities
OT  - SES
OT  - Social determinants of health
COIS- The authors declare that they have no known competing financial interests or 
      personal relationships that could have appeared to influence the work reported in 
      this paper.
EDAT- 2023/02/18 06:00
MHDA- 2023/02/18 06:01
PMCR- 2023/01/26
CRDT- 2023/02/17 02:13
PHST- 2022/07/08 00:00 [received]
PHST- 2023/01/10 00:00 [revised]
PHST- 2023/01/21 00:00 [accepted]
PHST- 2023/02/17 02:13 [entrez]
PHST- 2023/02/18 06:00 [pubmed]
PHST- 2023/02/18 06:01 [medline]
PHST- 2023/01/26 00:00 [pmc-release]
AID - S2666-6677(23)00011-9 [pii]
AID - 100469 [pii]
AID - 10.1016/j.ajpc.2023.100469 [doi]
PST - epublish
SO  - Am J Prev Cardiol. 2023 Jan 26;13:100469. doi: 10.1016/j.ajpc.2023.100469. 
      eCollection 2023 Mar.