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Volume 2: No. 2, April 2005
Suggested citation for this article: Arroyo C, Jones D,
Liu Y, Din-Dzietham R, Davis S. Regional/racial prevalence of
metabolic syndrome: the MSM Regional Assessment Health Surveillance Study, 2003–2004 [abstract]. Prev Chronic Dis [serial
online] 2005 Apr
[date cited]. Available from: URL:
http://www.cdc.gov/pcd/issues/2005/
apr/04_0142l.htm.
PEER REVIEWED
Track: Evidence-based Programs: Research, Translation, and Evaluation
The objective of this study was to examine regional and racial variations in the prevalence of metabolic syndrome (MetS) in Fulton, Bulloch, Candler, Evans, and Jenkins counties of Georgia.
Random-digit–dialing data followed by examination data were obtained from 319 African American and white men and women aged 19 years and older from 2002 through 2003. MetS was defined by Adult Treatment Panel III criteria. Correlates included race (African American vs non-Hispanic white), sex, education level, age, and region (urban vs rural). Univariate and multiple regression models were used to assess the interaction between region and race, and the association with correlates setting nominal P value at .05 for main effect and .10 for interaction. SUDAAN (Research Triangle Institute, Triangle Park, NC) was used to account for the complex design and to obtain correct variance and county-representative estimates.
The MetS overall prevalence was 21.2%. Unadjusted prevalence of MetS was significantly higher (P < .001) in urban areas (21.4%) vs rural areas (19.6%) among African Americans (31.1%) vs non-Hispanic whites (9.6%) and among women (22.2%) vs men (19.9%). There was a significant interaction between region and race (P < .001), so separate models were estimated for African Americans and non-Hispanic whites. For African Americans, MetS was 2.47 (95% Confidence Interval [CI], 2.23–2.73) times more prevalent among those living in urban vs rural areas and 0.48 (CI, 0.46–0.50) times less prevalent among men vs women. Prevalence of MetS was also 1.48 (CI, 1.40–1.56) times higher among those with less than 12 years of education and 0.68 (CI, 0.65–0.72) times lower among those with 12 years of education vs those with more than 12 years. Among non-Hispanic whites, MetS was 0.34 (CI, 0.32–0.37) times less prevalent among those living in the urban area, 6.13 (CI, 5.60-6.71) times more prevalent among men, 7.9 (CI, 7.12–8.68) times more prevalent among those with 12 years of education, and 4.6 (CI, 3.82–5.66) times more prevalent among those with less than 12 years of education.
The study suggests that African Americans living in the urban area of Georgia have a higher prevalence of MetS than their white counterparts. National prevalence rate estimates for MetS suggest that whites in general have a higher prevalence of MetS. A more comprehensive database is needed to further explore this interaction between race and region to target more specific groups for intervention.
Corresponding Author: Cassandra Arroyo, MS, PhD, Research Instructor, Morehouse School of Medicine, Social Epidemiology Research Center, 720 Westview Dr SW, NCPC 315, Atlanta, GA 30310. Telephone: 404-756-8909. E-mail: carroyo@msm.edu.
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The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors’ affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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