Elucidating the Multidimensionality of Socioeconomic Status in Relation to Metabolic Syndrome in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL)

被引:13
作者
Khambaty, Tasneem [1 ]
Schneiderman, Neil [2 ,3 ]
Llabre, Maria M. [2 ,3 ]
Elfassy, Tali [2 ,3 ]
Moncrieft, Ashley E. [2 ,3 ]
Daviglus, Martha [4 ]
Talavera, Gregory A. [5 ]
Isasi, Carmen R. [6 ]
Gallo, Linda C. [7 ]
Reina, Samantha A. [2 ,3 ]
Vidot, Denise [2 ,3 ]
Heiss, Gerardo [8 ]
机构
[1] Univ Maryland Baltimore Cty, Dept Psychol, 1000 Hilltop Circle,Math Psychol 326, Baltimore, MD 21250 USA
[2] Univ Miami, Dept Psychol, 5665 Ponce De Leon Blvd, Coral Gables, FL 33124 USA
[3] Univ Miami, Behav Med Res Ctr, 5665 Ponce De Leon Blvd, Coral Gables, FL 33124 USA
[4] Univ Illinois, Dept Med, Chicago, IL USA
[5] San Diego State Univ, Grad Sch Publ Hlth, San Diego, CA 92182 USA
[6] Albert Einstein Coll Med, Dept Epidemiol & Populat Hlth, Bronx, NY 10467 USA
[7] San Diego State Univ, Dept Psychol, San Diego, CA 92182 USA
[8] Univ N Carolina, Dept Epidemiol, Chapel Hill, NC 27515 USA
关键词
Health disparities; Hispanics; Latinos; Latent models; Metabolic syndrome; Socioeconomic status; Women's health; CARDIOVASCULAR-DISEASE; CARDIOMETABOLIC RISK; PREVALENCE; HISPANICS/LATINOS; DISPARITIES; BIOMARKERS; DESIGN; WOMEN; ASSOCIATION; AMERICANS;
D O I
10.1007/s12529-020-09847-y
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Background Socioeconomic (SES) factors underlying disparities in the prevalence of metabolic syndrome (MetSyn) and consequently, type 2 diabetes among Hispanics/Latino populations are of considerable clinical and public health interest. However, incomplete and/or imprecise measurement of the multidimensional SES construct has impeded a full understanding of how SES contributes to disparities in metabolic disease. Consequently, a latent-variable model of the SES-MetSyn association was investigated and compared with the more typical proxy-variable model. Methods A community-based cross-sectional probability sample (2008-2011) of 14,029 Hispanic/Latino individuals of Puerto Rican, Cuban, Dominican, Central American, South American, and Mexican ancestry living in the USA was used. SES proxy's education, income, and employment were examined as effect indicators of a latent variable, and as individual predictors. MetSyn was defined using 2009 harmonized guidelines, and MetSyn components were also examined individually. Results In multivariate regression analyses, the SES latent variable was associated with 9% decreased odds of MetSyn (95% confidence interval: 0.85, 0.96, P < .001) and was associated with all MetSyn components, except diastolic blood pressure. Additionally, greater income, education, and employment status were associated with 4%, 3%, and 24% decreased odds of having MetSyn, respectively (Ps < .001). The income-MetSyn association was only significant for women and those with current health insurance. Conclusions Hispanic/Latinos exhibit an inverse association between SES and MetSyn of varying magnitudes across SES variables. Public health research is needed to further probe these relationships, particularly among Hispanic/Latina women, to ultimately improve healthcare access to prevent diabetes in this underserved population.
引用
收藏
页码:188 / 199
页数:12
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