Special Issue "Impacts of Socioeconomic Status on Inequities in Cardiovascular Disease and Risk Factors"

Special Issue Editors

Dr. Caryn Bell
E-Mail Website
Guest Editor
Department of African American Studies, University of Maryland, College Park, MD 20724, USA
Interests: race; African Americans; cardiovascular disease; socioeconomic status; inequities; place
Dr. Quenette L. Walton
E-Mail Website
Guest Editor
Graduate College of Social Work, University of Houston, Houston, USA
Interests: mental health disparities; social determinants of mental health; the Black middle class; wellness and well-being; intersectionality

Special Issue Information

Dear Colleagues,

Cardiovascular disease (CVD) is one of the leading causes of death globally and stark disparities in mortality rates and incidence are observed by particular demographic groups. For example, in the U.S., the CVD death rate among non-Hispanic blacks in the U.S. is 33% higher than the national average, and racial disparities in risk factors like diabetes, hypertension, and obesity have persisted over time. Gender differences in many societies exist, as do geographic differences in CVD mortality rates and the prevalence of risk factors.

Socioeconomic status (SES) is a major contributor to these disparities, which impacts CVD in complex ways across contexts. SES intersects with several risk factors and determinants of CVD to produce health disparities. SES is considered a fundamental cause of health, and, because of that, a variety of pathways link SES with CVD and CVD risk factors through myriad determinants like place, stressors psychosocial factors, and contextual factors to CVD and risk factors. Further exploration is needed to understand how SES shapes these related factors leading to inequities in CVD and risk factors like diabetes, high blood pressure, and obesity. Further, studies to develop a nuanced understanding of how CVD and SES intersect with comorbidities like mental health outcomes/mental illnesses like depression, ways in which CVD impacts communities that experience structural, socioeconomic (dis)advantages, or of CVD in understudied populations are of interest.

For this Special Issue, we invite the submission of papers on how SES can impact inequities in CVD and related risk factors. Inequities can be based on gender, race, ethnicity, geography, and other social vulnerabilities. We welcome studies that use a variety of analytical approaches ranging from spatial statistical methods to qualitative data analyses, and studies with social justice implications. We welcome contributions across fields including public health, social work, social science, medicine, and law.

Assistant Professor Caryn Bell
Assistant Professor Quenette L. Walton
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All papers will be peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2300 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.


  • Cardiovascular disease
  • Socioeconomic status
  • Inequities
  • Disparities
  • Public health

Published Papers (1 paper)

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Evaluation of the Role of Leisure Time Physical Activity and Sedentary Behavior Simultaneously on the Income-Overweight/Obesity Relationship
Int. J. Environ. Res. Public Health 2021, 18(6), 3127; https://doi.org/10.3390/ijerph18063127 - 18 Mar 2021
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In the United States, overweight/obesity is more prevalent among those with low-income; higher income is related to greater leisure time physical activity (LTPA) and sedentary behavior (SB), which are inversely related to overweight/obesity. This study aimed to evaluate the role of LTPA and [...] Read more.
In the United States, overweight/obesity is more prevalent among those with low-income; higher income is related to greater leisure time physical activity (LTPA) and sedentary behavior (SB), which are inversely related to overweight/obesity. This study aimed to evaluate the role of LTPA and SB simultaneously in the income-overweight/obesity relationship. Cross-sectional data from the National Health and Nutrition Examination Survey (2007–2014) were utilized (n = 10,348 non-older adults (aged 20–59 years)). A multiple mediator structural equation model was conducted to evaluate the indirect effects from income to overweight/obesity (Body Mass Index ≥25 kg/m2) through LTPA and SB simultaneously, controlling for confounding variables, including diet, smoking, and alcohol consumption. As expected, greater income was negatively associated with overweight/obesity. Income indirectly influenced overweight/obesity through LTPA (Indirect effect: B = −0.005; CI = −0.01, −0.003), and through SB (Indirect effect: B = 0.008; CI = 0.005, 0.01), in opposing directions. The direct effect from income to overweight/obesity remained statistically significant. LTPA partially accounted for the negative relationship between income and overweight/obesity; SB reduced the strength of the negative relationship between income and overweight/obesity. Targeted behavior approaches for weight management may be beneficial. Increasing LTPA among adults with lower income and decreasing SB among adults with higher income may provide some overweight/obesity protection. Full article
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