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首页> 外文期刊>Annals of epidemiology >Cardiovascular health: Associations with race-ethnicity, nativity, and education ina diverse, population-based sample of Californians
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Cardiovascular health: Associations with race-ethnicity, nativity, and education ina diverse, population-based sample of Californians

机译：心血管健康：与种族，民族和教育相关联的各种基于人口的加利福尼亚样本

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Purpose: This study examined how race-ethnicity, nativity, and education interact to influence disparities in cardiovascular (CV) health, a new concept defined by the American Heart Association. We assessed whether race-ethnicity and nativity disparities in CV health vary by education and whether theforeign-born differ in CV health from their U.S.-born race-ethnic counterparts with comparable education. Methods: We used data from the 2009 California Health Interview Survey to determine the prevalence of optimal CV health metrics (based on selected American Heart Association guidelines) among adults ages 25 and older (n=42,014). We examined the interaction between education and ethnicity-nativity, comparing predicted probabilities of each CV health measure between U.S.-born and foreign-born White, Asian, and Latino respondents. Results: All groups were at high risk of suboptimal physical activity levels, fruit and vegetable and fast food consumption, and overweight/obesity. Those with greater education were generally better off except among Asian respondents. Ethnicity-nativity differences were more pronounced among those with less than a college degree. The foreign-born respondents exhibited both advantages and disadvantages in CV health compared with their U.S.-born counterparts that varied by ethnicity-nativity. Conclusions: Education influences ethnicity-nativity disparities in CV health, with most race-ethnic and nativity differences occurring among the less educated. Studies of nativity differences in CV health should stratify by education in order to adequately address SES differences.
机译：目的：本研究探讨了种族，民族和教育如何相互作用以影响心血管（CV）健康方面的差异，这是美国心脏协会定义的新概念。我们评估了简历健康方面的种族民族和出生差异是否随教育程度而变化，以及外国出生的简历健康状况是否与接受过类似教育的美国出生的种族不同。方法：我们使用来自2009年加州健康访问调查的数据来确定25岁及以上（n = 42,014）的成年人中最佳CV健康指标（基于选定的美国心脏协会指南）的患病率。我们检查了教育与种族出生之间的相互作用，比较了美国出生和外国出生的白人，亚洲和拉丁裔受访者的每种简历健康指标的预测概率。结果：所有组均处于次优体育活动，水果和蔬菜，快餐消费以及超重/肥胖的高风险中。受过高等教育的人通常情况较好，亚洲受访者除外。在大学以下学历的人中，种族与民族之间的差异更为明显。与美国出生的受访者相比，外国出生的受访者在简历健康方面既有优势也有劣势，而美国出生的受访者因种族而异。结论：教育会影响简历健康中的种族-民族差异，大多数种族，民族和民族差异发生在受教育程度较低的人群中。为了充分解决SES差异，应通过教育对CV健康中的出生差异进行研究。

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