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• W2896578024 abstract "PurposeTo examine race/ethnicity-specific associations between area-level poverty and cardiometabolic dysfunction among U.S. adolescents.MethodsData were from 10,415 adolescents aged 12–19 in the National Health and Nutrition Examination Survey (1999–2012), linked with census tract data on area-level poverty (the percent population living in poverty, grouped into race/ethnicity-specific quartiles). Cardiometabolic dysfunction was parameterized by summing z-scores of six cardiometabolic biomarkers, grouped into quintiles. Hierarchical ordinal models estimated overall and race/ethnicity specific associations. Posthoc analysis explored associations between area-level poverty and family poverty-to-income ratio.ResultsOverall, compared to adolescents residing in areas with the lowest area-level poverty (i.e., first quartile), residents in third (OR 1.32, 95% CI 1.13, 1.53) and fourth (OR 1.27, 95% CI 1.08, 1.50) quartiles of area-level poverty experienced elevated odds of cardiometabolic dysfunction. Area-level poverty predicted cardiometabolic dysfunction between non-Hispanic white and Mexican American adolescents, but not between non-Hispanic black adolescents.ConclusionsWe found race/ethnicity-specific associations between area-level poverty and cardiometabolic dysfunction among U.S. adolescents, highlighting the moderating effect of race-ethnicity. Among non-Hispanic black adolescents, neither higher area-level nor family-level socioeconomic status is associated with cardiometabolic health, in contrast to non-Hispanic white adolescents. Similar associations among non-Hispanic white and Mexican American groups aligns with evidence of the Hispanic Paradox. Future studies of effect of area-level determinants of cardiometabolic dysfunction may consider race/ethnicity-specific associations." @default.
• W2896578024 created "2018-10-26" @default.
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• W2896578024 date "2018-11-01" @default.
• W2896578024 modified "2023-10-03" @default.
• W2896578024 title "Cardiometabolic Dysfunction Among U.S. Adolescents and Area-Level Poverty: Race/Ethnicity-Specific Associations" @default.
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• W2896578024 doi "https://doi.org/10.1016/j.jadohealth.2018.07.003" @default.
• W2896578024 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/6318802" @default.
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