Effect of community affluence on the association between individual socioeconomic status and cardiovascular disease risk factors, Colorado, 2007-2008.
We assessed the hypothesis that community affluence modifies the association between individual socioeconomic status (SES) and 6 cardiovascular disease (CVD) risk factors: diabetes, hypertension, physical inactivity, obesity, smoking, and poor nutrition. We stratified data from the Colorado Behavioral Risk Factor Surveillance System for 2007 and 2008 by individual SES and 3 categories of community affluence (median household income of county). People who had a low SES seemed to benefit from residing in high-affluence communities. Living in high-affluence communities may mitigate the effect of poverty on CVD risk factors; our findings support the value of interventions that address social determinants of health.
Colorado School of Public Health, University of Colorado Denver-UCD, Denver, Colorado, USA.
Ian Matthew
IM
Abeyta
Nicole R
NR
Tuitt
Tim E
TE
Byers
Angela
A
Sauaia
D000328:Adult; D040343:Behavioral Risk Factor Surveillance System; D015992:Body Mass Index; D002318:Cardiovascular Diseases / Q000453:epidemiology*; D003120:Colorado / Q000453:epidemiology; D003920:Diabetes Mellitus / Q000453:epidemiology; D015444:Exercise / Q000502:physiology; D005518:Food Preferences / Q000523:psychology; D007722:Health Knowledge, Attitudes, Practice; D054624:Health Status Disparities; D006306:Health Surveys; D006801:Humans; D006973:Hypertension / Q000453:epidemiology; D007182:Income / Q000706:statistics & numerical data / Q000639:trends; D009752:Nutritional Status; D009765:Obesity / Q000453:epidemiology; D012111:Residence Characteristics; D012307:Risk Factors; D012907:Smoking / Q000453:epidemiology; D012923:Social Class; D011795:Surveys and Questionnaires