When it comes to health care disparities and cardiovascular disease (CVD), the divide widens early. A spate of studies published recently illustrates how social factors influence CVD outcomes from our earliest years.
For example, a report published in Pediatrics found that the increased obesity prevalence among U.S. adolescents is happening almost entirely among those in low- and middle-income families. Smoking, diet quality, and physical activity levels also tracked with household socioeconomic status for these children, based on the NHANES data used in the study. The only equal-opportunity metabolic derailment among teens in the United States appears to be prediabetes and diabetes. Risk factors for CVD overall declined for adolescents from 1999 to 2014, but significantly so only for those from high-income households. Continue reading