TY - JOUR
T1 - Decomposing Race and Ethnic Differences in CVD Risk Factors for Mid-life Women
AU - Gaskin, Darrell J.
AU - Zare, Hossein
AU - Jackson, John W.
AU - Ibe, Chidinma
AU - Slocum, Jamar
N1 - Funding Information:
This study has supported by the National Institute On Minority Health and Health Disparities of the National Institutes of Health under Award Number U54MD000214. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. Availability of Data and Material Code Availability
Publisher Copyright:
© 2020, W. Montague Cobb-NMA Health Institute.
PY - 2021/2
Y1 - 2021/2
N2 - Objective: This study decomposes race and ethnic differences in hypertension, waist circumference, obesity and allostatic load between black non-Hispanic (BNH), Mexican American (MA), and white non-Hispanic (WNH) women. Data: This study uses 10,109 observations from The National Health and Nutrition Examination Survey from years 1999–2014 for BNH, MA women, and WNH between 40 and 75 years old. Methodology: We used the Oaxaca-Blinder decomposition to explore how demographic, socioeconomic, healthcare access, and health behavior factors are associated with race and ethnic differences in blood pressure, waist circumference, body mass index (BMI), and allostatic load score (ALS). Results: We found that demographic factors, socioeconomic status, healthcare access, and health behaviors explained from 0 to 50% of the difference in CVD risk factors between BNH and WNH. However, these factors explain from 39 to 100% of the difference in CVD risk factors between MA and WNH. Differences in demographic, socioeconomic, access to care, and health behavior factor variables explained very little of the differences in CVD risk factors between NHB and MA women. Conclusion: The impact of the determinants on CVD risk factors varies by race and ethnicity. Efforts to address differences in CVD risk factors should promote health equity programs and acknowledge that even race and ethnic groups that have similar demographic, SES, access to care, and health behavior factors can have different outcomes.
AB - Objective: This study decomposes race and ethnic differences in hypertension, waist circumference, obesity and allostatic load between black non-Hispanic (BNH), Mexican American (MA), and white non-Hispanic (WNH) women. Data: This study uses 10,109 observations from The National Health and Nutrition Examination Survey from years 1999–2014 for BNH, MA women, and WNH between 40 and 75 years old. Methodology: We used the Oaxaca-Blinder decomposition to explore how demographic, socioeconomic, healthcare access, and health behavior factors are associated with race and ethnic differences in blood pressure, waist circumference, body mass index (BMI), and allostatic load score (ALS). Results: We found that demographic factors, socioeconomic status, healthcare access, and health behaviors explained from 0 to 50% of the difference in CVD risk factors between BNH and WNH. However, these factors explain from 39 to 100% of the difference in CVD risk factors between MA and WNH. Differences in demographic, socioeconomic, access to care, and health behavior factor variables explained very little of the differences in CVD risk factors between NHB and MA women. Conclusion: The impact of the determinants on CVD risk factors varies by race and ethnicity. Efforts to address differences in CVD risk factors should promote health equity programs and acknowledge that even race and ethnic groups that have similar demographic, SES, access to care, and health behavior factors can have different outcomes.
KW - Allostatic load score
KW - Blood pressure
KW - Body mass index
KW - Race and ethnic disparities
KW - Waist circumference
KW - Women’s health
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U2 - 10.1007/s40615-020-00769-9
DO - 10.1007/s40615-020-00769-9
M3 - Article
C2 - 32462612
AN - SCOPUS:85085558997
SN - 2197-3792
VL - 8
SP - 174
EP - 185
JO - Journal of Racial and Ethnic Health Disparities
JF - Journal of Racial and Ethnic Health Disparities
IS - 1
ER -