Cardiometabolic Dysfunction Among U.S. Adolescents and Area-Level Poverty: Race/Ethnicity-Specific Associations

Details

• Alternative Title:
  J Adolesc Health
• Personal Author:
  Williams, Andrew D. ; Shenassa, Edmond ; Slopen, Natalie ; Rossen, Lauren
• Description:
  Purpose:
  
  To examine race/ethnicity-specific associations between area-level poverty and cardiometabolic dysfunction among U.S. adolescents.
  
  Methods:
  
  Data were from 10,415 adolescents aged 12—19 in the National Health and Nutrition Examination Survey (1999—2012), linked with census tract data on area-level poverty (the percent population living in poverty, grouped into race/ethnicity-specific quartiles). Cardiometabolic dysfunction was parameterized by summing z-scores of six cardiometabolic biomarkers, grouped into quintiles. Hierarchical ordinal models estimated overall and race/ethnicity specific associations. Posthoc analysis explored associations between area-level poverty and family poverty-to-income ratio.
  
  Results:
  
  Overall, compared to adolescents residing in areas with the lowest area-level poverty (i.e., first quartile), residents in third (OR 1.32, 95% CI 1.13, 1.53) and fourth (OR 1.27, 95% CI 1.08, 1.50) quartiles of area-level poverty experienced elevated odds of cardiometabolic dysfunction. Area-level poverty predicted cardiometabolic dysfunction between non-Hispanic white and Mexican American adolescents, but not between non-Hispanic black adolescents.
  
  Conclusions:
  
  We found race/ethnicity-specific associations between area-level poverty and cardiometabolic dysfunction among U.S. adolescents, highlighting the moderating effect of race-ethnicity. Among non-Hispanic black adolescents, neither higher area-level nor family-level socioeconomic status is associated with cardiometabolic health, in contrast to non-Hispanic white adolescents. Similar associations among non-Hispanic white and Mexican American groups aligns with evidence of the Hispanic Paradox. Future studies of effect of area-level determinants of cardiometabolic dysfunction may consider race/ethnicity-specific associations.
  
  
• Subjects:
  Adolescent Adult Black Or African American Cardiovascular Diseases Child Cross-Sectional Studies Female Hispanic Or Latino Humans Male Mexican Americans Nutrition Surveys Racial Groups Young Adult

  More +
• Source:
  J Adolesc Health. 63(5):546-553
• Pubmed ID:
  30348278
• Pubmed Central ID:
  PMC6318802
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHS/United States ; P2C HD041041/HD/NICHD NIH HHS/United States
• Name as Subject:
  National Health and Nutrition Examination Survey (U.S.) ; National Health and Nutrition Examination Survey (U.S.)
• Volume:
  63
• Issue:
  5
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:1d6ab7685c867388e0c763df78781d6a38bd75084affa6bb3d0060becc3f7d08
• Download URL:
  https://stacks.cdc.gov/view/cdc/61815/cdc_61815_DS1.pdf
• File Type:
  [PDF - 355.87 KB ]