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Predicted long-term cardiovascular risk among young adults in the national longitudinal study of adolescent health.

Publication ,  Journal Article
Clark, CJ; Alonso, A; Spencer, RA; Pencina, M; Williams, K; Everson-Rose, SA
Published in: Am J Public Health
December 2014

OBJECTIVES: We estimated the distribution of predicted long-term cardiovascular disease (CVD) risk among young adults in the United States. METHODS: Our data were derived from National Longitudinal Study of Adolescent Health participants (n = 14 333; average age: 28.9 years). We used a Framingham-derived risk prediction function to calculate 30-year risks of "hard" and "general" CVD by gender and race/ethnicity. RESULTS: Average 30-year risks for hard and general CVD were 10.4% (95% confidence interval [CI] = 10.1%, 10.7%) and 17.3% (95% CI = 17.0%, 17.7%) among men and 4.4% (95% CI = 4.3%, 4.6%) and 9.2% (95% CI = 8.9%, 9.5%) among women. Average age-adjusted risks of hard and general CVD were higher among Blacks and American Indians than among Whites and lower among Asian/Pacific Islander women than White women. American Indian men continued to have a higher risk of general CVD after adjustment for socioeconomic status. Four percent of women (95% CI = 3.6%, 5.0%) and 26.2% of men (95% CI = 24.7%, 27.8%) had a 20% or higher risk of general CVD. Racial differences were detected but were not significant after adjustment for socioeconomic status. CONCLUSIONS: Average CVD risk among young adults is high. Population-based prevention strategies and improved detection and treatment of high-risk individuals are needed to reduce the future burden of CVD.

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Published In

Am J Public Health

DOI

EISSN

1541-0048

Publication Date

December 2014

Volume

104

Issue

12

Start / End Page

e108 / e115

Location

United States

Related Subject Headings

  • United States
  • Socioeconomic Factors
  • Smoking
  • Risk Factors
  • Public Health
  • Male
  • Longitudinal Studies
  • Hypertension
  • Humans
  • Forecasting
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Clark, C. J., Alonso, A., Spencer, R. A., Pencina, M., Williams, K., & Everson-Rose, S. A. (2014). Predicted long-term cardiovascular risk among young adults in the national longitudinal study of adolescent health. Am J Public Health, 104(12), e108–e115. https://doi.org/10.2105/AJPH.2014.302148
Clark, Cari Jo, Alvaro Alonso, Rachael A. Spencer, Michael Pencina, Ken Williams, and Susan A. Everson-Rose. “Predicted long-term cardiovascular risk among young adults in the national longitudinal study of adolescent health.Am J Public Health 104, no. 12 (December 2014): e108–15. https://doi.org/10.2105/AJPH.2014.302148.
Clark CJ, Alonso A, Spencer RA, Pencina M, Williams K, Everson-Rose SA. Predicted long-term cardiovascular risk among young adults in the national longitudinal study of adolescent health. Am J Public Health. 2014 Dec;104(12):e108–15.
Clark, Cari Jo, et al. “Predicted long-term cardiovascular risk among young adults in the national longitudinal study of adolescent health.Am J Public Health, vol. 104, no. 12, Dec. 2014, pp. e108–15. Pubmed, doi:10.2105/AJPH.2014.302148.
Clark CJ, Alonso A, Spencer RA, Pencina M, Williams K, Everson-Rose SA. Predicted long-term cardiovascular risk among young adults in the national longitudinal study of adolescent health. Am J Public Health. 2014 Dec;104(12):e108–e115.

Published In

Am J Public Health

DOI

EISSN

1541-0048

Publication Date

December 2014

Volume

104

Issue

12

Start / End Page

e108 / e115

Location

United States

Related Subject Headings

  • United States
  • Socioeconomic Factors
  • Smoking
  • Risk Factors
  • Public Health
  • Male
  • Longitudinal Studies
  • Hypertension
  • Humans
  • Forecasting