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

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  • Samuel L. K. Baxter

    (Department of Public Health Sciences, Clemson University, Clemson, SC 29634, USA)

  • Richard Chung

    (Department of Pediatrics, Duke University School of Medicine, Duke University, Durham, NC 27710, USA)

  • Leah Frerichs

    (Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, SC 27599, USA)

  • Roland J. Thorpe

    (Hopkins Center for Health Disparities Solutions, Program for Research on Men’s Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA)

  • Asheley C. Skinner

    (Department of Population Health Sciences, Duke University School of Medicine, Durham, NC 27710, USA)

  • Morris Weinberger

    (Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, SC 27599, USA)

Abstract

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.

Suggested Citation

  • Samuel L. K. Baxter & Richard Chung & Leah Frerichs & Roland J. Thorpe & Asheley C. Skinner & Morris Weinberger, 2021. "Racial Residential Segregation and Race Differences in Ideal Cardiovascular Health among Young Men," IJERPH, MDPI, vol. 18(15), pages 1-11, July.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:15:p:7755-:d:598910
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    References listed on IDEAS

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    1. Michael A McClurkin & Leah Rae Yingling & Colby Ayers & Rebecca Cooper-McCann & Visakha Suresh & Ann Nothwehr & Debbie S Barrington & Tiffany M Powell-Wiley, 2015. "Health Insurance Status as a Barrier to Ideal Cardiovascular Health for U.S. Adults: Data from the National Health and Nutrition Examination Survey (NHANES)," PLOS ONE, Public Library of Science, vol. 10(11), pages 1-14, November.
    2. Elizabeth Lawrence & Robert A. Hummer & Kathleen Mullan Harris, 2017. "The Cardiovascular Health of Young Adults: Disparities along the Urban-Rural Continuum," The ANNALS of the American Academy of Political and Social Science, , vol. 672(1), pages 257-281, July.
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