All ETDs from UAB

Advisory Committee Chair

Larrell L Wilkinson

Advisory Committee Members

Monika M Safford

Suzanne E Judd

Angelia Paschal

Michelle Y Martin

Document Type

Dissertation

Date of Award

2016

Degree Name by School

Doctor of Philosophy (PhD) School of Education

Abstract

Coronary heart disease (CHD) disparities persist for low socioeconomic populations, in spite of declines globally. In order to reduce these disparities, it is critical that investigators better understand determinants of health that exacerbate these disparities. This study investigated the association between the combination of low income and low education on CHD incidence, and the mediating effects of access to care and social isolation on this association. Data was used from participants recruited between 2003-2007 free of CHD at baseline from the national biracial prospective Reasons for Geographic and Racial Differences in Stroke (REGARDS) cohort study of participants aged >45 years. Four exposure categories representing the combination of low income (<$35,000) and low education (

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