Thread by @NonHumanMedia1

Educational Attainment, Race, and Ethnicity as Predictors for Ideal Cardiovascular Health: From the National Health and Nutrition Examination Survey 🧵 1/9
ahajournals.org/doi/10.1161/JA…

"The lifestyle and wellness goals that comprise ideal cardiovascular health may not be equitably obtained across sociodemographic groups, and we sought to determine the relation between race, ethnicity, and level of education with cardiovascular health."

"In some studies, education level has been shown to have a greater effect on life expectancy than does race. Past literature has advocated for education as a means to overcome race‐based differences."

Our results show that although educational attainment modifies the relationship between race and CVH, education does not overcome the effect of race. In particular, Black participants at both the highest and lowest education levels experienced some of the least ideal CVH indices.

"We also show that Asian and Hispanic participants did not obtain the same degree of CVH benefit as did their White counterparts, even at increasing levels of educational attainment."

"Our results differ from a South Florida survey analysis that found that Latinx..."

"...participants had the highest proportion with ideal CVH scores, and Black participants had the lowest proportion. In that study, there were no statistically significant interactions of education and ethnicity on CVH measures"

"Others have found that in addition to race, ethnicity and nativity may also factor into the association of education and cardiovascular outcomes among White, Latinx, and Asian Californians. In that study, race‐based differences in CVH were greatest among the least educated."

"In a study of pregnant women, it was found that physiologic markers of lifelong stress were correlated with race and level of educational attainment. Therefore, despite higher levels of education, college‐educated Black women have worse maternal outcomes than White women with..

...with less than a high school education."

"Our findings show that more work is needed to understand the societal barriers preventing individuals from racial and ethnic minority groups from achieving ideal CVH."
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