BACKGROUND: It is unclear whether a linear relationship is an appropriate description of the association between income and biologic markers of coronary heart disease risk. Stronger associations at certain levels of income would have implications for underlying mechanisms. METHODS: The study is based on a healthy sample of 25-64 year olds (n = 14,022) from a nationally representative cross-sectional study (the 1988-1994 United States Third National Health and Nutrition Examination Survey). We use regression splines to model the shape of the association between income and 8 biologic markers for coronary heart disease risk, controlling for age, race/ethnicity, marital status, and education. RESULTS: Substantial income-biomarker associations were found for 5 outcomes among women (HDL cholesterol, triglycerides, C-reactive protein, systolic blood pressure, and venous blood lead) and for 3 outcomes among men (HDL cholesterol, triglycerides, and venous blood lead). The most common shapes of association were a stronger association at lower income levels and a greater risk level of biomarker near median income. CONCLUSIONS: We find that the associations of income with biologic risk markers are often nonlinear. The differences in the shape of association suggest there are multiple pathways through which income is associated with coronary heart disease risk.
BACKGROUND: It is unclear whether a linear relationship is an appropriate description of the association between income and biologic markers of coronary heart disease risk. Stronger associations at certain levels of income would have implications for underlying mechanisms. METHODS: The study is based on a healthy sample of 25-64 year olds (n = 14,022) from a nationally representative cross-sectional study (the 1988-1994 United States Third National Health and Nutrition Examination Survey). We use regression splines to model the shape of the association between income and 8 biologic markers for coronary heart disease risk, controlling for age, race/ethnicity, marital status, and education. RESULTS: Substantial income-biomarker associations were found for 5 outcomes among women (HDL cholesterol, triglycerides, C-reactive protein, systolic blood pressure, and venous blood lead) and for 3 outcomes among men (HDL cholesterol, triglycerides, and venous blood lead). The most common shapes of association were a stronger association at lower income levels and a greater risk level of biomarker near median income. CONCLUSIONS: We find that the associations of income with biologic risk markers are often nonlinear. The differences in the shape of association suggest there are multiple pathways through which income is associated with coronary heart disease risk.
Authors: Irene Headen; Mahasin Mujahid; Julianna Deardorff; David H Rehkopf; Barbara Abrams Journal: Health Place Date: 2018-06-05 Impact factor: 4.078
Authors: Mark J Ommerborn; Chad T Blackshear; DeMarc A Hickson; Michael E Griswold; Japneet Kwatra; Luc Djoussé; Cheryl R Clark Journal: Am J Prev Med Date: 2016-08-15 Impact factor: 5.043
Authors: David H Rehkopf; William H Dow; Luis Rosero-Bixby; Jue Lin; Elissa S Epel; Elizabeth H Blackburn Journal: Exp Gerontol Date: 2013-08-27 Impact factor: 4.032
Authors: Camille A Robinson; Alison K Cohen; David H Rehkopf; Julianna Deardorff; Lorrene Ritchie; Ruvani T Jayaweera; Jeremy R Coyle; Barbara Abrams Journal: Prev Med Date: 2013-12-24 Impact factor: 4.018