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

Samuel L. K. Baxter, Richard Chung, Leah Frerichs, Roland J. Thorpe, Asheley C. Skinner and Morris Weinberger
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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

IJERPH, 2021, vol. 18, issue 15, 1-11

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.

Keywords: cardiovascular health; residential segregation; health disparities; young adulthood (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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