BackgroundBlack men are burdened by high cardiovascular risk and the highest all‐cause mortality rate in the United States. Socioeconomic status (SES) is associated with improved cardiovascular risk factors in majority populations, but there is a paucity of data in Black men.Methods and ResultsWe examined the association of SES measures including educational attainment, annual income, employment status, and health insurance status with an ideal cardiovascular health (ICH) score, which included blood pressure, glucose, cholesterol, body mass index, physical activity, and smoking in African American Male Wellness Walks. Six metrics of ICH were categorized into a 3‐tiered ICH score 0 to 2, 3 to 4, and 5 to 6. Multinomial logistic regression modeling was performed to examine the association of SES measures with ICH scores adjusted for age. Among 1444 men, 7% attained 5 to 6 ICH metrics. Annual income <$20 000 was associated with a 56% lower odds of attaining 3 to 4 versus 0 to 2 ICH components compared with ≥$75 000 (P=0.016). Medicare and no insurance were associated with a 39% and 35% lower odds of 3 to 4 versus 0 to 2 ICH components, respectively, compared with private insurance (all P<0.05). Education and employment status were not associated with higher attainment of ICH in Black men.ConclusionsAmong community‐dwelling Black men, higher attainment of measures of SES showed mixed associations with greater attainment of ICH. The lack of association of higher levels of educational attainment and employment status with ICH suggests that in order to address the long–standing health inequities that affect Black men, strategies to increase attainment of cardiovascular health may need to address additional components beyond SES.

中文翻译：

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黑人男性社会经济地位与理想心血管健康的关系

背景黑人男性承受着高心血管风险和美国最高的全因死亡率。社会经济地位 (SES) 与大多数人群的心血管风险因素改善有关，但黑人男性的数据很少。方法和结果我们检查了 SES 指标之间的关联，包括教育程度、年收入、就业状况和健康保险状况具有理想的心血管健康 (ICH) 评分，其中包括非洲裔美国男性健康步行中的血压、血糖、胆固醇、体重指数、体力活动和吸烟。ICH 的六个指标分为 0 到 2、3 到 4 和 5 到 6 的 3 级 ICH 评分。进行多项逻辑回归模型以检查 SES 测量与根据年龄调整的 ICH 评分之间的关​​联。在 1444 名男性中，7% 达到了 5 到 6 项 ICH 指标。与 ≥ 75 000 美元相比，年收入 < 20 000 美元与获得 3 到 4 个 ICH 成分相比 0 到 2 个 ICH 成分的几率降低了 56%（P = 0.016）。与私人保险相比，Medicare 和无保险分别与 3 到 4 和 0 到 2 个 ICH 成分的几率降低 39% 和 35% 相关（所有P <0.05）。教育和就业状况与黑人男性 ICH 的较高程度无关。结论在社区居住的黑人男性中，较高的 SES 测量值与较高的 ICH 程度之间存在混合关联。较高的教育程度和就业状况与 ICH 缺乏关联表明，为了解决影响黑人男性的长期健康不平等，提高心血管健康水平的策略可能需要解决 SES 之外的其他组成部分。