Effect of community affluence on the association between individual socioeconomic status and cardiovascular disease risk factors, Colorado, 2007-2008

Prev Chronic Dis. 2012:9:E115. doi: 10.5888/pcd9.110305. Epub 2012 Jun 21.

Abstract

We assessed the hypothesis that community affluence modifies the association between individual socioeconomic status (SES) and 6 cardiovascular disease (CVD) risk factors: diabetes, hypertension, physical inactivity, obesity, smoking, and poor nutrition. We stratified data from the Colorado Behavioral Risk Factor Surveillance System for 2007 and 2008 by individual SES and 3 categories of community affluence (median household income of county). People who had a low SES seemed to benefit from residing in high-affluence communities. Living in high-affluence communities may mitigate the effect of poverty on CVD risk factors; our findings support the value of interventions that address social determinants of health.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Behavioral Risk Factor Surveillance System
  • Body Mass Index
  • Cardiovascular Diseases / epidemiology*
  • Colorado / epidemiology
  • Diabetes Mellitus / epidemiology
  • Exercise / physiology
  • Food Preferences / psychology
  • Health Knowledge, Attitudes, Practice*
  • Health Status Disparities*
  • Health Surveys
  • Humans
  • Hypertension / epidemiology
  • Income / statistics & numerical data
  • Income / trends
  • Nutritional Status
  • Obesity / epidemiology
  • Residence Characteristics*
  • Risk Factors
  • Smoking / epidemiology
  • Social Class*
  • Surveys and Questionnaires