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Educational Attainment and Prevalence of Cardiovascular Health (Life's Simple 7) in Asian Americans
Asian Americans have a high burden of cardiovascular disease, yet little is known about the social patterning of cardiovascular health (CVH) in this population. We examined if education (
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Published in: | International journal of environmental research and public health 2021-02, Vol.18 (4), p.1480 |
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creator | Alam, Md Towfiqul Echeverria, Sandra E DuPont-Reyes, Melissa J Vasquez, Elizabeth Murillo, Rosenda Gonzalez, Tailisha Rodriguez, Fatima |
description | Asian Americans have a high burden of cardiovascular disease, yet little is known about the social patterning of cardiovascular health (CVH) in this population. We examined if education ( |
doi_str_mv | 10.3390/ijerph18041480 |
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We examined if education (<high school diploma, high school diploma, some college, and college degree+) was associated with CVH and if this varied by time in the United States (U.S.). Our study population included Asian Americans 20+ years of age sampled in the 2011-16 National Health and Nutrition Examination Survey (n = 1634). Ideal cardiovascular health was based on a composite score of adiposity, total cholesterol, blood pressure, blood glucose, smoking, physical activity, and diet. We fit sequential weighted multivariate logistic regression models for all analyses. The prevalence of ideal cardiovascular (CV) health was 17.1% among those living in the U.S. <10 years, 7.1% for those living in the U.S. >10+ years, and 15.9% for the U.S.-born. All models showed that low education compared to high education was associated with lower odds of having ideal CVH. This pattern remained in adjusted models but became non-significant when controlling for nativity (odds ratio = 0.34, 95% confidence interval: 0.10, 1.13). Models stratified by time in the U.S. were less consistent but showed similar education gradients in CVH. Low education is a risk factor for attaining ideal cardiovascular health among Asian Americans, regardless of time in the U.S.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph18041480</identifier><identifier>PMID: 33557415</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Adipose tissue ; Asian Americans ; Blood Pressure ; Body mass index ; Cardiovascular disease ; Cardiovascular diseases ; Cardiovascular Diseases - epidemiology ; Cholesterol ; Confidence intervals ; Cross-Sectional Studies ; Diabetes ; Diet ; Education ; Educational attainment ; Educational Status ; Food ; Glucose ; Health disparities ; Health Status ; Humans ; Minority & ethnic groups ; Mortality ; Nutrition ; Nutrition research ; Nutrition Surveys ; Patterning ; Physical activity ; Population studies ; Prevalence ; Regression analysis ; Risk analysis ; Risk Factors ; Socioeconomic factors ; Statistical analysis ; United States - epidemiology</subject><ispartof>International journal of environmental research and public health, 2021-02, Vol.18 (4), p.1480</ispartof><rights>2021. 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We examined if education (<high school diploma, high school diploma, some college, and college degree+) was associated with CVH and if this varied by time in the United States (U.S.). Our study population included Asian Americans 20+ years of age sampled in the 2011-16 National Health and Nutrition Examination Survey (n = 1634). Ideal cardiovascular health was based on a composite score of adiposity, total cholesterol, blood pressure, blood glucose, smoking, physical activity, and diet. We fit sequential weighted multivariate logistic regression models for all analyses. The prevalence of ideal cardiovascular (CV) health was 17.1% among those living in the U.S. <10 years, 7.1% for those living in the U.S. >10+ years, and 15.9% for the U.S.-born. All models showed that low education compared to high education was associated with lower odds of having ideal CVH. This pattern remained in adjusted models but became non-significant when controlling for nativity (odds ratio = 0.34, 95% confidence interval: 0.10, 1.13). Models stratified by time in the U.S. were less consistent but showed similar education gradients in CVH. Low education is a risk factor for attaining ideal cardiovascular health among Asian Americans, regardless of time in the U.S.</description><subject>Adipose tissue</subject><subject>Asian Americans</subject><subject>Blood Pressure</subject><subject>Body mass index</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular diseases</subject><subject>Cardiovascular Diseases - epidemiology</subject><subject>Cholesterol</subject><subject>Confidence intervals</subject><subject>Cross-Sectional Studies</subject><subject>Diabetes</subject><subject>Diet</subject><subject>Education</subject><subject>Educational attainment</subject><subject>Educational Status</subject><subject>Food</subject><subject>Glucose</subject><subject>Health disparities</subject><subject>Health Status</subject><subject>Humans</subject><subject>Minority & ethnic groups</subject><subject>Mortality</subject><subject>Nutrition</subject><subject>Nutrition research</subject><subject>Nutrition Surveys</subject><subject>Patterning</subject><subject>Physical activity</subject><subject>Population studies</subject><subject>Prevalence</subject><subject>Regression analysis</subject><subject>Risk analysis</subject><subject>Risk Factors</subject><subject>Socioeconomic factors</subject><subject>Statistical analysis</subject><subject>United States - epidemiology</subject><issn>1660-4601</issn><issn>1661-7827</issn><issn>1660-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><recordid>eNpdkU1rGzEQhkVpaT7aa49F0EPTg1NppZW0l4IxSRMwNJDkLMba2VpGK7nSriH_PmuchiSXmYF55mVmXkK-cHYuRMN--g3m7ZobJrk07B055kqxmVSMv39RH5GTUjaMCSNV85EcCVHXWvL6mLiLdnQw-BQh0PkwgI89xoFCbOlNxh0EjA5p6ugCcuvTDoobA2R6hRCGNT1b-g6_F3rr-21Aqn9QH-m8eJhij9k7iOUT-dBBKPj5KZ-S-8uLu8XVbPnn9_Vivpw5yc0w442ptEPOOtFWTIpWrEyHjVBSQCU6ofSqqlsG0EiuHGjdiFpKVVddvWKmZeKU_DrobsdVj62b7sgQ7Db7HvKDTeDt6070a_s37axuuJTVXuDsSSCnfyOWwfa-OAwBIqax2EoaraUyvJrQb2_QTRrz9MQDJWtt1J46P1Aup1Iyds_LcGb3_tnX_k0DX1-e8Iz_N0w8Au5WllM</recordid><startdate>20210204</startdate><enddate>20210204</enddate><creator>Alam, Md Towfiqul</creator><creator>Echeverria, Sandra E</creator><creator>DuPont-Reyes, Melissa J</creator><creator>Vasquez, Elizabeth</creator><creator>Murillo, Rosenda</creator><creator>Gonzalez, Tailisha</creator><creator>Rodriguez, Fatima</creator><general>MDPI AG</general><general>MDPI</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>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20210204</creationdate><title>Educational Attainment and Prevalence of Cardiovascular Health (Life's Simple 7) in Asian Americans</title><author>Alam, Md Towfiqul ; 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We examined if education (<high school diploma, high school diploma, some college, and college degree+) was associated with CVH and if this varied by time in the United States (U.S.). Our study population included Asian Americans 20+ years of age sampled in the 2011-16 National Health and Nutrition Examination Survey (n = 1634). Ideal cardiovascular health was based on a composite score of adiposity, total cholesterol, blood pressure, blood glucose, smoking, physical activity, and diet. We fit sequential weighted multivariate logistic regression models for all analyses. The prevalence of ideal cardiovascular (CV) health was 17.1% among those living in the U.S. <10 years, 7.1% for those living in the U.S. >10+ years, and 15.9% for the U.S.-born. All models showed that low education compared to high education was associated with lower odds of having ideal CVH. This pattern remained in adjusted models but became non-significant when controlling for nativity (odds ratio = 0.34, 95% confidence interval: 0.10, 1.13). Models stratified by time in the U.S. were less consistent but showed similar education gradients in CVH. Low education is a risk factor for attaining ideal cardiovascular health among Asian Americans, regardless of time in the U.S.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>33557415</pmid><doi>10.3390/ijerph18041480</doi><oa>free_for_read</oa></addata></record> |
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subjects | Adipose tissue Asian Americans Blood Pressure Body mass index Cardiovascular disease Cardiovascular diseases Cardiovascular Diseases - epidemiology Cholesterol Confidence intervals Cross-Sectional Studies Diabetes Diet Education Educational attainment Educational Status Food Glucose Health disparities Health Status Humans Minority & ethnic groups Mortality Nutrition Nutrition research Nutrition Surveys Patterning Physical activity Population studies Prevalence Regression analysis Risk analysis Risk Factors Socioeconomic factors Statistical analysis United States - epidemiology |
title | Educational Attainment and Prevalence of Cardiovascular Health (Life's Simple 7) in Asian Americans |
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