Racial Residential Segregation and Race Differences in Ideal Cardiovascular Health among Young Men

Background: Race disparities in cardiovascular disease (CVD) related morbidity and mortality are evident among men. While previous studies show health in young adulthood and racial residential segregation (RRS) are important factors for CVD risk, these factors have not been widely studied in male po...

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Bibliographic Details
Published in:International journal of environmental research and public health 2021-07, Vol.18 (15), p.7755
Main Authors: Baxter, Samuel L. K., Chung, Richard, Frerichs, Leah, Thorpe, Roland J., Skinner, Asheley C., Weinberger, Morris
Format: Article
Language:English
Subjects:
Adolescents
Black people
Black white differences
Blood pressure
Cardiovascular diseases
Cholesterol
Data collection
Diabetes
Health
Health disparities
Health risks
Hypertension
Independent variables
Inequality
Morbidity
Neighborhoods
Obesity
Population
Population studies
Race
Racial differences
Racial segregation
Racism
Residential segregation
Risk factors
Schools
Segregation
Smoking
Teenagers
White people
Womens health
Young adults
Young men
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Summary:Background: Race disparities in cardiovascular disease (CVD) related morbidity and mortality are evident among men. While previous studies show health in young adulthood and racial residential segregation (RRS) are important factors for CVD risk, these factors have not been widely studied in male populations. We sought to examine race differences in ideal cardiovascular health (CVH) among young men (ages 24–34) and whether RRS influenced this association. Methods: We used cross-sectional data from young men who participated in Wave IV (2008) of the National Longitudinal Survey of Adolescent to Adult Health (N = 5080). The dichotomous outcome, achieving ideal CVH, was defined as having ≥4 of the American Heart Association’s Life’s Simple 7 targets. Race (Black/White) and RRS (proportion of White residents in census tract) were the independent variables. Descriptive and multivariate analyses were conducted. Results: Young Black men had lower odds of achieving ideal CVH (OR = 0.67, 95% CI = 0.49, 0.92) than young White men. However, RRS did not have a significant effect on race differences in ideal CVH until the proportion of White residents was ≥55%. Conclusions: Among young Black and White men, RRS is an important factor to consider when seeking to understand CVH and reduce future cardiovascular risk.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph18157755