scholarly journals Heart Age, Cardiovascular Disease Risk, and Disparities by Sex and Race/Ethnicity Among New York City Adults

2019 ◽  
Vol 134 (4) ◽  
pp. 404-416 ◽  
Author(s):  
Bahman P. Tabaei ◽  
Shadi Chamany ◽  
Sharon Perlman ◽  
Lorna Thorpe ◽  
Katherine Bartley ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
New York ◽  
New York City ◽  
Risk Factor ◽  
York City ◽  
Chronological Age ◽  
Cvd Risk ◽  
Men And Women ◽  
Race Ethnicity ◽  
Heart Age

Objectives: Cardiovascular disease (CVD) is the leading cause of mortality in the United States. The risk for developing CVD is usually calculated and communicated to patients as a percentage. The calculation of heart age—defined as the predicted age of a person’s vascular system based on the person’s CVD risk factor profile—is an alternative method for expressing CVD risk. We estimated heart age among adults aged 30-74 in New York City and examined disparities in excess heart age by race/ethnicity and sex. Methods: We applied data from the 2011, 2013, and 2015 New York State Behavioral Risk Factor Surveillance System to the non–laboratory-based Framingham risk score functions to calculate 10-year CVD risk and heart age by sex, race/ethnicity, and selected sociodemographic groups and risk factors. Results: Of 6117 men and women in the study sample, the average heart age was 5.7 years higher than the chronological age, and 2631 (43%) adults had a predicted heart age ≥5 years older than their chronological age. Mean excess heart age increased with age (from 0.7 year among adults aged 30-39 to 11.2 years among adults aged 60-74) and body mass index (from 1.1 year among adults with normal weight to 11.8 years among adults with obesity). Non-Latino white women had the lowest mean excess heart age (2.3 years), and non-Latino black men and women had the highest excess heart age (8.4 years). Conclusions: Racial/ethnic and sex disparities in CVD risk persist among adults in New York City. Use of heart age at the population level can support public awareness and inform targeted programs and interventions for population subgroups most at risk for CVD.

scholarly journals Trends in Cardiovascular Disease Mortality Among Persons With HIV in New York City, 2001–2012

2016 ◽  
Vol 63 (8) ◽  
pp. 1122-1129 ◽  
Author(s):  
David B. Hanna ◽  
Chitra Ramaswamy ◽  
Robert C. Kaplan ◽  
Jorge R. Kizer ◽  
Kathryn Anastos ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
New York ◽  
New York City ◽  
York City ◽  
Cardiovascular Disease Mortality ◽  
Disease Mortality

Cardiovascular Disease Risk Factors Among Immigrant and US-Born Adults in New York City

2021 ◽  
pp. 003335492110075
Author(s):  
Claudia Chernov ◽  
Lisa Wang ◽  
Lorna E. Thorpe ◽  
Nadia Islam ◽  
Amy Freeman ◽  
...  
Keyword(s):  
United States ◽  
Risk Factors ◽  
Cardiovascular Disease ◽  
New York ◽  
New York City ◽  
Health Insurance ◽  
York City ◽  
The United States ◽  
Nutrition Examination Survey ◽  
Health And Nutrition

Objectives Immigrant adults tend to have better health than native-born adults despite lower incomes, but the health advantage decreases with length of residence. To determine whether immigrant adults have a health advantage over US-born adults in New York City, we compared cardiovascular disease (CVD) risk factors among both groups. Methods Using data from the New York City Health and Nutrition Examination Survey 2013-2014, we assessed health insurance coverage, health behaviors, and health conditions, comparing adults ages ≥20 born in the 50 states or the District of Columbia (US-born) with adults born in a US territory or outside the United States (immigrants, following the National Health and Nutrition Examination Survey) and comparing US-born adults with (1) adults who immigrated recently (≤10 years) and (2) adults who immigrated earlier (>10 years). Results For immigrant adults, the mean time since arrival in the United States was 21.8 years. Immigrant adults were significantly more likely than US-born adults to lack health insurance (22% vs 12%), report fair or poor health (26% vs 17%), have hypertension (30% vs 23%), and have diabetes (20% vs 11%) but significantly less likely to smoke (18% vs 27%) (all P < .05). Comparable proportions of immigrant adults and US-born adults were overweight or obese (67% vs 63%) and reported CVD (both 7%). Immigrant adults who arrived recently were less likely than immigrant adults who arrived earlier to have diabetes or high cholesterol but did not differ overall from US-born adults. Conclusions Our findings may help guide prevention programs and policy efforts to ensure that immigrant adults remain healthy.

Hispanic race is a risk factor for COVID-19 during pregnancy: data from an urban New York City hospital

2022 ◽  
pp. 1-4
Author(s):  
Deena Elkafrawi ◽  
Giovanni Sisti ◽  
Felipe Mercado ◽  
Brian Rodriguez ◽  
Julie Joseph ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Risk Factor ◽  
York City ◽  
City Hospital

scholarly journals Visualizing Police Exposure by Race, Gender, and Age in New York City

2019 ◽  
Vol 5 ◽  
pp. 237802311982891 ◽  
Author(s):  
Kalisha Dessources Figures ◽  
Joscha Legewie
Keyword(s):  
New York ◽  
New York City ◽  
Black Men ◽  
York City ◽  
Adult Life ◽  
Men And Women ◽  
Race And Gender ◽  
Gender And Age ◽  
Hispanic Men ◽  
And Gender

This figure depicts the disparities in average police stops in New York City from 2004 to 2012, disaggregated by race, gender, and age. Composed of six bar charts, each graph in the figure provides data for a particular population at the intersection of race and gender, focusing on black, white, and Hispanic men and women. Each graph also has a comparative backdrop of the data on police stops for black males. All graphs take a similar parabolic shape, showing that across each race-gender group, pedestrian stops increase in adolescence and peek in young adulthood, then taper off across the adult life course. However, the heights of these parabolic representations are vastly different. There are clear disparities in police exposure based on race and gender, with black men and women being more likely than their peers to be policed and with black men being policed significantly more than their female counterparts.

scholarly journals Coronavirus 2019 and People Living With Human Immunodeficiency Virus: Outcomes for Hospitalized Patients in New York City

2020 ◽  
Vol 71 (11) ◽  
pp. 2933-2938 ◽  
Author(s):  
Keith Sigel ◽  
Talia Swartz ◽  
Eddye Golden ◽  
Ishan Paranjpe ◽  
Sulaiman Somani ◽  
...  
Keyword(s):  
New York ◽  
Human Immunodeficiency Virus ◽  
Mechanical Ventilation ◽  
New York City ◽  
York City ◽  
Cumulative Incidence ◽  
Clinical Characteristics ◽  
Hiv Status ◽  
Immunodeficiency Virus ◽  
Race Ethnicity

Abstract Background There are limited data regarding the clinical impact of coronavirus disease 2019 (COVID-19) on people living with human immunodeficiency virus (PLWH). In this study, we compared outcomes for PLWH with COVID-19 to a matched comparison group. Methods We identified 88 PLWH hospitalized with laboratory-confirmed COVID-19 in our hospital system in New York City between 12 March and 23 April 2020. We collected data on baseline clinical characteristics, laboratory values, HIV status, treatment, and outcomes from this group and matched comparators (1 PLWH to up to 5 patients by age, sex, race/ethnicity, and calendar week of infection). We compared clinical characteristics and outcomes (death, mechanical ventilation, hospital discharge) for these groups, as well as cumulative incidence of death by HIV status. Results Patients did not differ significantly by HIV status by age, sex, or race/ethnicity due to the matching algorithm. PLWH hospitalized with COVID-19 had high proportions of HIV virologic control on antiretroviral therapy. PLWH had greater proportions of smoking (P &lt; .001) and comorbid illness than uninfected comparators. There was no difference in COVID-19 severity on admission by HIV status (P = .15). Poor outcomes for hospitalized PLWH were frequent but similar to proportions in comparators; 18% required mechanical ventilation and 21% died during follow-up (compared with 23% and 20%, respectively). There was similar cumulative incidence of death over time by HIV status (P = .94). Conclusions We found no differences in adverse outcomes associated with HIV infection for hospitalized COVID-19 patients compared with a demographically similar patient group.

Spatial social polarization and birth outcomes: preterm birth and infant mortality – New York City, 2010–14

2017 ◽  
Vol 46 (1) ◽  
pp. 157-166 ◽  
Author(s):  
M. Huynh ◽  
J. Spasojevic ◽  
W. Li ◽  
G. Maduro ◽  
G. Van Wye ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Preterm Birth ◽  
Infant Mortality ◽  
Birth Outcomes ◽  
York City ◽  
Infant Mortality Rate ◽  
Neighborhood Poverty ◽  
Social Polarization ◽  
Race Ethnicity

Aims: This study assessed the relationship between spatial social polarization measured by the index of the concentration of the extremes (ICE) and preterm birth (PTB) and infant mortality (IM) in New York City. A secondary aim was to examine the ICE measure in comparison to neighborhood poverty. Methods: The sample included singleton births to adult women in New York City, 2010–2014 ( n=532,806). Three ICE measures were employed at the census tract level: ICE − Income (persons in households in the bottom vs top 20th percentile of US annual household income), ICE −Race/Ethnicity (black non-Hispanic vs white non-Hispanic populations), and ICE – Income + Race/Ethnicity combined. Preterm birth was defined as birth before 37 weeks’ gestation. Infant mortality was defined as a death before one year of age. A two-level generalized linear model with random intercept was utilized adjusting for individual-level covariates. Results: Preterm birth prevalence was 7.1% and infant mortality rate was 3.4 per 1000 live births. Women who lived in areas with the least privilege were more likely to have a preterm birth or infant mortality as compared to women living in areas with the most privilege. After adjusting for covariates, this association remained for preterm birth (ICE – Income: Adjusted Odds Ratio (AOR) 1.16 (1.10–1.21); ICE – Race/Ethnicity: AOR 1.41 (1.34–1.49); ICE – Income + Race/Ethnicity: AOR 1.36 (1.29–1.43)) and IM (ICE – Race/Ethnicity (AOR 1.80 (1.43–2.28) and ICE – Income + Race/Ethnicity (AOR 1.54 (1.23–1.94)). High neighborhood poverty was associated with PTB only (AOR 1.09 (1.04–1.14). Conclusions: These results provide preliminary evidence for the use of the ICE measure in examining structural barriers to healthy birth outcomes.

scholarly journals Bisexual desire and familism: Latino/a bisexual young men and women in New York city

2009 ◽  
Vol 11 (3) ◽  
pp. 331-344 ◽  
Author(s):  
Miguel Muñoz‐Laboy ◽  
Carmen Juana Yon Leau ◽  
Veena Sriram ◽  
Hannah Jean Weinstein ◽  
Ernesto Vasquez del Aquila ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Young Men ◽  
Men And Women
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