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The Contribution of Material, Behavioral, Psychological, and Social-Relational Factors to Income-Related Disparities in Cardiovascular Risk Among Older Adults.

Publication ,  Journal Article
Lee, C; Yang, Q; Im, E-O; McConnell, ES; Jung, S-H; Kim, H
Published in: J Cardiovasc Nurs
July 2021

BACKGROUND: Understanding the factors underlying health disparities is vital to developing strategies to improve health equity in old age. Such efforts should be encouraged in Korea. OBJECTIVE: This study explored how material, behavioral, psychological, and social-relational factors contribute to income-related disparities in cardiovascular risk among Korean adults 65 years and older. METHODS: This was a secondary analysis of Korean National Health and Nutrition Examination Survey data (2013-2017), targeting 7347 older adults (≥65 years). Socioeconomic position, defined as income, was the primary indicator. The outcome was binary for predicted cardiovascular risk (<90 vs ≥90 percentile). Disparities were measured using relative index of inequality (RII). The contributions of material, behavioral, psychological, and social-relational factors were estimated by calculating percentage reduction in RII when adjusted for these factors. RESULTS: Among men aged 65 to 74 years and women 75 years or older, the largest reductions in RII were achieved after adjusting for social-relational factors. Among men 75 years or older and women aged 65 to 74 years, adjusting for material factors resulted in the largest reductions in RII. Adjustments for behavioral factors also reduced RII for both genders aged 65 to 74 years. CONCLUSIONS: Improving the social, material, and behavioral circumstances of lower-income older adults may help address income-related disparities in cardiovascular risk in old age.

Duke Scholars

Published In

J Cardiovasc Nurs

DOI

EISSN

1550-5049

Publication Date

July 2021

Volume

36

Issue

4

Start / End Page

E38 / E50

Location

United States

Related Subject Headings

  • Socioeconomic Factors
  • Social Class
  • Risk Factors
  • Nutrition Surveys
  • Nursing
  • Male
  • Humans
  • Heart Disease Risk Factors
  • Health Status Disparities
  • Female
 

Citation

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ICMJE
MLA
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Lee, C., Yang, Q., Im, E.-O., McConnell, E. S., Jung, S.-H., & Kim, H. (2021). The Contribution of Material, Behavioral, Psychological, and Social-Relational Factors to Income-Related Disparities in Cardiovascular Risk Among Older Adults. J Cardiovasc Nurs, 36(4), E38–E50. https://doi.org/10.1097/JCN.0000000000000808
Lee, Chiyoung, Qing Yang, Eun-Ok Im, Eleanor Schildwachter McConnell, Sin-Ho Jung, and Hyeoneui Kim. “The Contribution of Material, Behavioral, Psychological, and Social-Relational Factors to Income-Related Disparities in Cardiovascular Risk Among Older Adults.J Cardiovasc Nurs 36, no. 4 (July 2021): E38–50. https://doi.org/10.1097/JCN.0000000000000808.
Lee, Chiyoung, et al. “The Contribution of Material, Behavioral, Psychological, and Social-Relational Factors to Income-Related Disparities in Cardiovascular Risk Among Older Adults.J Cardiovasc Nurs, vol. 36, no. 4, July 2021, pp. E38–50. Pubmed, doi:10.1097/JCN.0000000000000808.

Published In

J Cardiovasc Nurs

DOI

EISSN

1550-5049

Publication Date

July 2021

Volume

36

Issue

4

Start / End Page

E38 / E50

Location

United States

Related Subject Headings

  • Socioeconomic Factors
  • Social Class
  • Risk Factors
  • Nutrition Surveys
  • Nursing
  • Male
  • Humans
  • Heart Disease Risk Factors
  • Health Status Disparities
  • Female