ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2018
Cardiometabolic Dysfunction Among U.S. Adolescents and Area-Level Poverty: Race/Ethnicity-Specific Associations.
Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Neighborhood disadvantage and cardiovascular health in early adolescents in the United States.American journal of preventive cardiology · 2026Article
- Long-term molecular embedding of early life adversity: leukocyte DNA methylation and gene expression associations from childhood to young adulthood.Epigenomics · 2026Article
- Unveiling the relationship between stress-hyperglycemia ratio and cardiometabolic multimorbidity risk using interpretable machine learning.European journal of medical research · 2026Article
- Global Trends in Adolescent Health Inequalities and Their Social Determinants: A Bibliometric and Scoping Review.Healthcare (Basel, Switzerland) · 2026Review
- Multilevel prenatal socioeconomic predictors of Mexican American children's cardiometabolic health in preschool and school age.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2023Article
- Intergenerational effects of maternal lifetime stressor exposure on offspring telomere length in Black and White women.Psychological medicine · 2023Article
- Neighborhood Opportunity and Mortality Among Children and Adults in Their Households.Pediatrics · 2023Article
- Parental Perceived Discrimination and Youth Participation in Out-Of-School Sports.Children (Basel, Switzerland) · 2022Article
- Trends in the Incidence of New-Onset Hypertensive Disorders of Pregnancy Among Rural and Urban Areas in the United States, 2007 to 2019.Journal of the American Heart Association · 2022Article
- Health disparities in cardiometabolic risk among Black and Hispanic youth in the United States.American journal of preventive cardiology · 2021Review
- The association of area deprivation and state child health with respiratory outcomes of pediatric patients with cystic fibrosis in the United States.Pediatric pulmonology · 2021Observational
- Sex-Specific Associations Between Area-Level Poverty and Cardiometabolic Dysfunction Among US Adolescents.Public health reports (Washington, D.C. : 1974) · 2020Article
- Locations! Location! Location? Elucidating the Social Determinants of Cardiometabolic Health Among United States Adolescents.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2018Article
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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.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.