Résumé :
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[BDSP. Notice produite par INIST PODzR0xy. Diffusion soumise à autorisation]. Objectives. This Study examined the prevalence, social correlates, and clustering of cardiovascular disease risk factors in a predominantly Black, poor, urban community. Methods. Associations of risk factor prevalences with sociodemographic variables wre examined in a population-based sample of 696 men and women aged 18 to 65 years living in Central Harlem. Results. One third of the men and women were hypertensive, 48% of the men and 41% of the women were smokers, 25% of the men and 49% of the women were overweight, and 23% of the men and 35% of the women reported no leisure-time physical activity over the past month. More than 80% of the men and the women had at least 1 of these risk factors, and 9% of the men and 19% of the women had 3 or more risk factors. Income and education were inversely related to hypertension, smoking, and physical inactivity. Having 3 or more risk factors was associated with low income and low education (extremeodds ratio [OR]=10.2,95% confidence interval [CI]=3.0,34.5 for education ; OR=3.7, CI=1.6,8.9 for income) and with a history of unstable work or of homelessness Conclusions. Disadvantaged, urban communities are at high risk for cardiovascular disease. These results highlight the importance of socioenvironmental factors in shaping cardiovascular risk.
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