ArticleJournal of the American Heart Association2025
Race and Ethnicity Disparities in Life's Essential 8 Among Ever-Pregnant Adults in the United States: The National Health and Nutrition Examination Survey 2011 to 2020.
Article in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Racial/ethnic differences in Life's Essential 8 and polysocial risk as an effect modifier among women of reproductive age.American journal of preventive cardiology · 2026Article
- Associations of Sociodemographic and Neighborhood Vulnerability With Cardiovascular Health in Midlife Women in the United States.Circulation. Population health and outcomes · 2026Article
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9 authors.
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Abstract
backgroundCardiometabolic conditions are among the leading causes of maternal mortality in the United States. The American Heart Association's Life's Essential 8 provides an actionable summary measure for assessing cardiovascular health.
methodsWe conducted a cross-sectional analysis using data from the 2011 to March 2020 National Health and Nutrition Examination Survey on ever-pregnant adults. The exposure was race and ethnicity; outcomes included total Life's Essential 8 scores and individual metrics. We used survey-weighted linear and multinomial logistic regression, adjusting for confounders.
resultsAmong 2208 ever-pregnant adults (mean age, 52.0±19.6 years), non-Hispanic (NH) Black adults had the lowest Life's Essential 8 scores (57.20 [95% CI, 55.96-58.44]), compared with NH White (62.85 [95% CI, 61.39-64.30]), Mexican and Hispanic (62.26 [95% CI, 60.86-63.66]), and NH Asian adults (65.83 [95% CI, 63.47-68.19]). After adjustment, NH Black adults had lower overall scores than NH White adults (β=-5.27 [95% CI, -6.81 to -3.74]), particularly for Life's Essential 8 components: blood pressure (β=-16.40 [95% CI, -20.17 to -12.63]) and body mass index (β=-9.36 [95% CI, -13.46 to -5.26]). Mexican and Hispanic adults had lower physical activity scores (β=-13.13 [95% CI, -19.41 to -6.86]) and were less likely to be in the high Life's Essential 8 quartile (relative risk ratio=1.32 [95% CI, 0.92-1.91]). NH Asian adults had lower physical activity (β=-20.29 [95% CI, -28.74 to -11.84]) but higher body mass index scores (β=22.98 [95% CI, 16.61-29.35]).
conclusionsSignificant racial and ethnic disparities in cardiovascular health exist among ever-pregnant US adults, with NH Black women exhibiting the poorest profiles. Educational attainment was highly correlated with ideal cardiovascular health.
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