Modifiable cardiovascular risk factors among individuals in low socioeconomic communities and homeless shelters.
To understand cardiovascular health in low socioeconomic populations, we analyzed the data from 426 low socioeconomic community-dwelling males and females and 287 homeless males in Philadelphia. Despite higher prevalence of smoking and hypertension, the proportion of homeless participants at increased risk for coronary heart disease was comparable with that of low socioeconomic community-dwelling participants. Among various characteristics, emotional stress was significantly associated with coronary heart disease risk in low socioeconomic community-dwelling participants only, suggestive of a differential psychosocial effect of stress. Our findings suggest that low socioeconomic populations are heterogeneous with respect to their risk factors and needs for interventions.
Kim
Dae Hyun
DH
Department of Medicine, Massachusetts General Hospital, Boston, USA.
Daskalakis
Constantine
C
Plumb
James D
JD
Adams
Suzanne
S
Brawer
Rickie
R
Orr
Nicole
N
Hawthorne
Katie
K
Toto
Erin Cunningham
EC
Whellan
David J
DJ
D000328:Adult; D000368:Aged; D001786:Blood Glucose; D001794:Blood Pressure; D002318:Cardiovascular Diseases / Q000453:epidemiology* / Q000208:ethnology; D015444:Exercise; D005260:Female; D054624:Health Status Disparities; D006703:Ill-Housed Persons / Q000706:statistics & numerical data*; D006801:Humans; D008055:Lipids / Q000097:blood; D008297:Male; D008875:Middle Aged; D044469:Racial Groups; D012307:Risk Factors; D012907:Smoking; D012959:Socioeconomic Factors; D013315:Stress, Psychological / Q000453:epidemiology
D001786:Blood Glucose; D008055:Lipids