Psychosocial Factors in the Relationship between Socioeconomic Status and Cardiometabolic Risk: the HCHS/SOL Sociocultural Ancillary Study

• DOI: 10.1007/s12160-016-9871-z
• Publication Date: 2017-01-27T17:28:40Z
• Authors: Jessica L. McCurley; Frank Penedo; Scott C. Roesch; Carmen R. Isasi; Mercedes Carnethon; Daniela Sotres-Al...; Neil Schneiderman; Patricia Gonzalez; Diana A. Chirinos; Alvaro Camacho; Yanping Teng; Linda C. Gallo
• Keywords: Abdominal obesity; Dyslipidemia

U.S. Hispanics/Latinos display a high prevalence of metabolic syndrome (MetSyn), group co-occurring cardiometabolic risk factors (abdominal obesity, impaired fasting glucose, dyslipidemia, elevated blood pressure) associated with higher cardiovascular disease and mortality risk. Low socioeconomic status (SES) is for MetSyn in Hispanics/Latinos, psychosocial may play role this relationship. This cross-sectional study examined the association SES components 4,996 Hispanic/Latino adults from Hispanic Community Health Study/Study Latinos (HCHS/SOL) Sociocultural Ancillary Study. were measured at baseline examination. Participants completed interviews to determine risks (e.g., depression) resources social support) within 9 months (< 4 72.6% participants). Confirmatory factor analysis (CFA) structural equation modeling (SEM) used identify latent constructs examine associations. Participant mean age was 41.7 years (SE = 0.4) 62.7% female. CFA identified single indicators, three [blood pressure, lipids, factors]. SEMs showed that lower related indirectly through risk/lower (Y-Bχ2 (df 420) 4412.90, p < .05, RMSEA .042, SRMR .051). A statistically significant effect consistent mediation found (glucose/waist circumference) via risk/resource variables (Mackinnon's 95% asymmetric CI −0.13 −0.02). diverse ancestries.