Bayesian network model of ethno-racial disparities in cardiometabolic-based chronic disease using NHANES 1999-2018
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00159816%3A_____%2F24%3A00081795" target="_blank" >RIV/00159816:_____/24:00081795 - isvavai.cz</a>
Result on the web
<a href="https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2024.1409731" target="_blank" >https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2024.1409731</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.3389/fpubh.2024.1409731" target="_blank" >10.3389/fpubh.2024.1409731</a>
Alternative languages
Result language
angličtina
Original language name
Bayesian network model of ethno-racial disparities in cardiometabolic-based chronic disease using NHANES 1999-2018
Original language description
Background Ethno-racial disparities in cardiometabolic diseases are driven by socioeconomic, behavioral, and environmental factors. Bayesian networks offer an approach to analyze the complex interaction of the multi-tiered modifiable factors and non-modifiable demographics that influence the incidence and progression of cardiometabolic disease.Methods In this study, we learn the structure and parameters of a Bayesian network based on 20 years of data from the US National Health and Nutrition Examination Survey to explore the pathways mediating associations between ethno-racial group and cardiometabolic outcomes. The impact of different factors on cardiometabolic outcomes by ethno-racial group is analyzed using conditional probability queries.Results Multiple pathways mediate the indirect association from ethno-racial group to cardiometabolic outcomes: (1) ethno-racial group to education and to behavioral factors (diet); (2) education to behavioral factors (smoking, physical activity, and-via income-to alcohol); (3) and behavioral factors to adiposity-based chronic disease (ABCD) and then other cardiometabolic drivers. Improved diet and physical activity are associated with a larger decrease in probability of ABCD stage 4 among non-Hispanic White (NHW) individuals compared to non-Hispanic Black (NHB) and Hispanic (HI) individuals.Conclusion Education, income, and behavioral factors mediate ethno-racial disparities in cardiometabolic outcomes, but traditional behavioral factors (diet and physical activity) are less influential among NHB or HI individuals compared to NHW individuals. This suggests the greater contribution of unmeasured individual- and/or neighborhood-level structural determinants of health that impact cardiometabolic drivers among NHB and HI individuals. Further study is needed to discover the nature of these unmeasured determinants to guide cardiometabolic care in diverse populations.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30300 - Health sciences
Result continuities
Project
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Continuities
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Others
Publication year
2024
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
Frontiers in Public Health
ISSN
2296-2565
e-ISSN
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Volume of the periodical
12
Issue of the periodical within the volume
OCT 2024
Country of publishing house
CH - SWITZERLAND
Number of pages
11
Pages from-to
1409731
UT code for WoS article
001344230000001
EID of the result in the Scopus database
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