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

Journal Article (Journal Article)

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.

Full Text

Duke Authors

Cited Authors

  • Baxter, SLK; Chung, R; Frerichs, L; Thorpe, RJ; Skinner, AC; Weinberger, M

Published Date

  • July 22, 2021

Published In

Volume / Issue

  • 18 / 15

PubMed ID

  • 34360047

Pubmed Central ID

  • PMC8345482

Electronic International Standard Serial Number (EISSN)

  • 1660-4601

Digital Object Identifier (DOI)

  • 10.3390/ijerph18157755


  • eng

Conference Location

  • Switzerland