Does education modify the effect of ethnicity in the expression of ideal cardiovascular health? The Baptist Health South Florida Employee Study

Oluseye Ogunmoroti, Ovie A. Utuama, Erin Donnelly Michos, Javier Valero-Elizondo, Victor Okunrintemi, Ziyad Ben Taleb, Raed Bahelah, Sankalp Das, Maribeth Rouseff, Don Parris, Arthur Agatston, Theodore Feldman, Emir Veledar, Wasim Maziak, Khurram Nasir

Research output: Contribution to journalArticle

Abstract

Background: Despite the progress made to decrease risk factors for cardiovascular diseases, disparities still exist. We examined how education and ethnicity interact to determine disparities in cardiovascular health (CVH) as defined by the American Heart Association. Hypothesis: Education modifies the effect of ethnicity on CVH. Methods: Individual CVH metrics (smoking, physical activity, body mass index, diet, total cholesterol, blood pressure, and blood glucose) were defined as ideal, intermediate, or poor. Combined scores were categorized as inadequate, average, or optimal CVH. Education was categorized as postgraduate, college, some college, and high school or less; ethnicity was categorized as white, Hispanic, black, and other. Main and interactive associations between education, ethnicity, and the measures of CVH were calculated with multinomial logistic regression. Results: Of 9056 study participants, 74% were women, and mean age was 43 (±12) years. Over half were Hispanic, and two-thirds had at least a college education. With postgraduate education category as the reference, participants with less than a college education were less likely to achieve ideal status for most of the individual CVH metrics, and also less likely to achieve 6 to 7 ideal metrics, and optimal CVH scores. In most of the educational categories, Hispanic participants had the highest proportion with optimal CVH scores and 6 to 7 ideal metrics, whereas black participants had the lowest proportion. However, there were no statistically significant interactions of education and ethnicity for ideal CVH measures. Conclusions: Higher educational attainment had variable associations with achieved levels of ideal CVH across race/ethnic groups. Interventions to improve CVH should be tailored to meet the needs of target communities.

Original languageEnglish (US)
JournalClinical Cardiology
DOIs
StateAccepted/In press - 2017

Fingerprint

Education
Health
Hispanic Americans
Ethnic Groups
Blood Glucose
Body Mass Index
Cardiovascular Diseases
Logistic Models
Smoking
Cholesterol
Exercise
Diet
Blood Pressure

Keywords

  • Cardiovascular
  • Epidemiology
  • Ideal Cardiovascular Health Metrics
  • Life's Simple 7
  • Preventive Cardiology
  • Socioeconomic Aspects

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Does education modify the effect of ethnicity in the expression of ideal cardiovascular health? The Baptist Health South Florida Employee Study. / Ogunmoroti, Oluseye; Utuama, Ovie A.; Michos, Erin Donnelly; Valero-Elizondo, Javier; Okunrintemi, Victor; Taleb, Ziyad Ben; Bahelah, Raed; Das, Sankalp; Rouseff, Maribeth; Parris, Don; Agatston, Arthur; Feldman, Theodore; Veledar, Emir; Maziak, Wasim; Nasir, Khurram.

In: Clinical Cardiology, 2017.

Research output: Contribution to journalArticle

Ogunmoroti, O, Utuama, OA, Michos, ED, Valero-Elizondo, J, Okunrintemi, V, Taleb, ZB, Bahelah, R, Das, S, Rouseff, M, Parris, D, Agatston, A, Feldman, T, Veledar, E, Maziak, W & Nasir, K 2017, 'Does education modify the effect of ethnicity in the expression of ideal cardiovascular health? The Baptist Health South Florida Employee Study', Clinical Cardiology. https://doi.org/10.1002/clc.22757
Ogunmoroti, Oluseye ; Utuama, Ovie A. ; Michos, Erin Donnelly ; Valero-Elizondo, Javier ; Okunrintemi, Victor ; Taleb, Ziyad Ben ; Bahelah, Raed ; Das, Sankalp ; Rouseff, Maribeth ; Parris, Don ; Agatston, Arthur ; Feldman, Theodore ; Veledar, Emir ; Maziak, Wasim ; Nasir, Khurram. / Does education modify the effect of ethnicity in the expression of ideal cardiovascular health? The Baptist Health South Florida Employee Study. In: Clinical Cardiology. 2017.
@article{0f620ce7b8b14a58ad4b11c64df41671,
title = "Does education modify the effect of ethnicity in the expression of ideal cardiovascular health? The Baptist Health South Florida Employee Study",
abstract = "Background: Despite the progress made to decrease risk factors for cardiovascular diseases, disparities still exist. We examined how education and ethnicity interact to determine disparities in cardiovascular health (CVH) as defined by the American Heart Association. Hypothesis: Education modifies the effect of ethnicity on CVH. Methods: Individual CVH metrics (smoking, physical activity, body mass index, diet, total cholesterol, blood pressure, and blood glucose) were defined as ideal, intermediate, or poor. Combined scores were categorized as inadequate, average, or optimal CVH. Education was categorized as postgraduate, college, some college, and high school or less; ethnicity was categorized as white, Hispanic, black, and other. Main and interactive associations between education, ethnicity, and the measures of CVH were calculated with multinomial logistic regression. Results: Of 9056 study participants, 74{\%} were women, and mean age was 43 (±12) years. Over half were Hispanic, and two-thirds had at least a college education. With postgraduate education category as the reference, participants with less than a college education were less likely to achieve ideal status for most of the individual CVH metrics, and also less likely to achieve 6 to 7 ideal metrics, and optimal CVH scores. In most of the educational categories, Hispanic participants had the highest proportion with optimal CVH scores and 6 to 7 ideal metrics, whereas black participants had the lowest proportion. However, there were no statistically significant interactions of education and ethnicity for ideal CVH measures. Conclusions: Higher educational attainment had variable associations with achieved levels of ideal CVH across race/ethnic groups. Interventions to improve CVH should be tailored to meet the needs of target communities.",
keywords = "Cardiovascular, Epidemiology, Ideal Cardiovascular Health Metrics, Life's Simple 7, Preventive Cardiology, Socioeconomic Aspects",
author = "Oluseye Ogunmoroti and Utuama, {Ovie A.} and Michos, {Erin Donnelly} and Javier Valero-Elizondo and Victor Okunrintemi and Taleb, {Ziyad Ben} and Raed Bahelah and Sankalp Das and Maribeth Rouseff and Don Parris and Arthur Agatston and Theodore Feldman and Emir Veledar and Wasim Maziak and Khurram Nasir",
year = "2017",
doi = "10.1002/clc.22757",
language = "English (US)",
journal = "Clinical Cardiology",
issn = "0160-9289",
publisher = "John Wiley and Sons Inc.",

}

TY - JOUR

T1 - Does education modify the effect of ethnicity in the expression of ideal cardiovascular health? The Baptist Health South Florida Employee Study

AU - Ogunmoroti, Oluseye

AU - Utuama, Ovie A.

AU - Michos, Erin Donnelly

AU - Valero-Elizondo, Javier

AU - Okunrintemi, Victor

AU - Taleb, Ziyad Ben

AU - Bahelah, Raed

AU - Das, Sankalp

AU - Rouseff, Maribeth

AU - Parris, Don

AU - Agatston, Arthur

AU - Feldman, Theodore

AU - Veledar, Emir

AU - Maziak, Wasim

AU - Nasir, Khurram

PY - 2017

Y1 - 2017

N2 - Background: Despite the progress made to decrease risk factors for cardiovascular diseases, disparities still exist. We examined how education and ethnicity interact to determine disparities in cardiovascular health (CVH) as defined by the American Heart Association. Hypothesis: Education modifies the effect of ethnicity on CVH. Methods: Individual CVH metrics (smoking, physical activity, body mass index, diet, total cholesterol, blood pressure, and blood glucose) were defined as ideal, intermediate, or poor. Combined scores were categorized as inadequate, average, or optimal CVH. Education was categorized as postgraduate, college, some college, and high school or less; ethnicity was categorized as white, Hispanic, black, and other. Main and interactive associations between education, ethnicity, and the measures of CVH were calculated with multinomial logistic regression. Results: Of 9056 study participants, 74% were women, and mean age was 43 (±12) years. Over half were Hispanic, and two-thirds had at least a college education. With postgraduate education category as the reference, participants with less than a college education were less likely to achieve ideal status for most of the individual CVH metrics, and also less likely to achieve 6 to 7 ideal metrics, and optimal CVH scores. In most of the educational categories, Hispanic participants had the highest proportion with optimal CVH scores and 6 to 7 ideal metrics, whereas black participants had the lowest proportion. However, there were no statistically significant interactions of education and ethnicity for ideal CVH measures. Conclusions: Higher educational attainment had variable associations with achieved levels of ideal CVH across race/ethnic groups. Interventions to improve CVH should be tailored to meet the needs of target communities.

AB - Background: Despite the progress made to decrease risk factors for cardiovascular diseases, disparities still exist. We examined how education and ethnicity interact to determine disparities in cardiovascular health (CVH) as defined by the American Heart Association. Hypothesis: Education modifies the effect of ethnicity on CVH. Methods: Individual CVH metrics (smoking, physical activity, body mass index, diet, total cholesterol, blood pressure, and blood glucose) were defined as ideal, intermediate, or poor. Combined scores were categorized as inadequate, average, or optimal CVH. Education was categorized as postgraduate, college, some college, and high school or less; ethnicity was categorized as white, Hispanic, black, and other. Main and interactive associations between education, ethnicity, and the measures of CVH were calculated with multinomial logistic regression. Results: Of 9056 study participants, 74% were women, and mean age was 43 (±12) years. Over half were Hispanic, and two-thirds had at least a college education. With postgraduate education category as the reference, participants with less than a college education were less likely to achieve ideal status for most of the individual CVH metrics, and also less likely to achieve 6 to 7 ideal metrics, and optimal CVH scores. In most of the educational categories, Hispanic participants had the highest proportion with optimal CVH scores and 6 to 7 ideal metrics, whereas black participants had the lowest proportion. However, there were no statistically significant interactions of education and ethnicity for ideal CVH measures. Conclusions: Higher educational attainment had variable associations with achieved levels of ideal CVH across race/ethnic groups. Interventions to improve CVH should be tailored to meet the needs of target communities.

KW - Cardiovascular

KW - Epidemiology

KW - Ideal Cardiovascular Health Metrics

KW - Life's Simple 7

KW - Preventive Cardiology

KW - Socioeconomic Aspects

UR - http://www.scopus.com/inward/record.url?scp=85026405242&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85026405242&partnerID=8YFLogxK

U2 - 10.1002/clc.22757

DO - 10.1002/clc.22757

M3 - Article

C2 - 28696578

AN - SCOPUS:85026405242

JO - Clinical Cardiology

JF - Clinical Cardiology

SN - 0160-9289

ER -