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Influence of life-course socioeconomic position on incident heart failure in blacks and whites: the Atherosclerosis Risk in Communities Study.

Publication ,  Journal Article
Roberts, CB; Couper, DJ; Chang, PP; James, SA; Rosamond, WD; Heiss, G
Published in: American journal of epidemiology
September 2010

The influence of early-life socioeconomic position (SEP) on incident heart failure in blacks and whites is unknown. The authors examined the relation between early-life SEP and incident, hospitalized heart failure among middle-aged US participants (2,503 black and 8,519 white) in the Atherosclerosis Risk in Communities (ARIC) Study. Early-life SEP indicators assessed included parental education, occupation, and home ownership. From 1987 to 2004, 221 and 537 incident heart failure events were identified in blacks and whites, respectively. In Cox proportional hazards regression, early-life SEP was inversely related to incident heart failure after adjustment for age, gender, and study center (for blacks, hazard ratio (HR) = 1.39, 95% confidence interval (CI): 1.00, 1.95; for whites, HR = 1.32, 95% CI: 1.06, 1.64). Additional adjustment for young and mid-to-older adulthood SEP and established heart failure risk factors attenuated this association towards the null in both blacks and whites. Of the SEP measures, mid-to-older adulthood SEP showed the strongest association with incident heart failure in both blacks (HR = 1.32, 95% CI: 0.90, 1.96) and whites (HR = 1.39, 95% CI: 1.11, 1.75). SEP over the life course is related to the risk of incident heart failure, with SEP later in adulthood having a more prominent role than earlier SEP.

Duke Scholars

Published In

American journal of epidemiology

DOI

EISSN

1476-6256

ISSN

0002-9262

Publication Date

September 2010

Volume

172

Issue

6

Start / End Page

717 / 727

Related Subject Headings

  • White People
  • Socioeconomic Factors
  • Risk Factors
  • Middle Aged
  • Male
  • Incidence
  • Humans
  • Heart Failure
  • Health Behavior
  • Female
 

Citation

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ICMJE
MLA
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Roberts, C. B., Couper, D. J., Chang, P. P., James, S. A., Rosamond, W. D., & Heiss, G. (2010). Influence of life-course socioeconomic position on incident heart failure in blacks and whites: the Atherosclerosis Risk in Communities Study. American Journal of Epidemiology, 172(6), 717–727. https://doi.org/10.1093/aje/kwq193
Roberts, Calpurnyia B., David J. Couper, Patricia P. Chang, Sherman A. James, Wayne D. Rosamond, and Gerardo Heiss. “Influence of life-course socioeconomic position on incident heart failure in blacks and whites: the Atherosclerosis Risk in Communities Study.American Journal of Epidemiology 172, no. 6 (September 2010): 717–27. https://doi.org/10.1093/aje/kwq193.
Roberts CB, Couper DJ, Chang PP, James SA, Rosamond WD, Heiss G. Influence of life-course socioeconomic position on incident heart failure in blacks and whites: the Atherosclerosis Risk in Communities Study. American journal of epidemiology. 2010 Sep;172(6):717–27.
Roberts, Calpurnyia B., et al. “Influence of life-course socioeconomic position on incident heart failure in blacks and whites: the Atherosclerosis Risk in Communities Study.American Journal of Epidemiology, vol. 172, no. 6, Sept. 2010, pp. 717–27. Epmc, doi:10.1093/aje/kwq193.
Roberts CB, Couper DJ, Chang PP, James SA, Rosamond WD, Heiss G. Influence of life-course socioeconomic position on incident heart failure in blacks and whites: the Atherosclerosis Risk in Communities Study. American journal of epidemiology. 2010 Sep;172(6):717–727.
Journal cover image

Published In

American journal of epidemiology

DOI

EISSN

1476-6256

ISSN

0002-9262

Publication Date

September 2010

Volume

172

Issue

6

Start / End Page

717 / 727

Related Subject Headings

  • White People
  • Socioeconomic Factors
  • Risk Factors
  • Middle Aged
  • Male
  • Incidence
  • Humans
  • Heart Failure
  • Health Behavior
  • Female