MSU Affiliation
College of Arts and Sciences; Department of Geosciences
Creation Date
2025-11-18
Abstract
Cardiometabolic diseases (CMDs), which affect both cardiovascular and metabolic health, remain a leading cause of morbidity and mortality worldwide. In Texas, cardiovascular diseases (CVDs) are the leading cause of death, and the prevalence of diabetes is significantly higher than the national average. This study investigates CMDs and general health risks both within and across racial/ethnic groups in Texas using survey-weighted linear and logistic regression models. We collected 76,456 individual-level observations of cardiometabolic measures and general health outcomes from the Texas Behavioral Risk Factor Surveillance System (BRFSS) from 2011 to 2021. To assess disparities in these health risks, we used stratified models with racial/ethnic groups as the primary grouping variable. Compared to White individuals, Black individuals had significantly higher BMI (β = 5.06, CI: 3.75–6.84), and greater odds of developing CVDs (OR: 1.44, CI: 1.15–1.80), diabetes (OR: 1.75, CI: 1.48–2.08), heart disease (OR: 1.35, CI: 1.08–1.69), and reporting poorer general health (OR: 1.33, CI: 1.16–1.53). Hispanic individuals also had higher BMI (β = 2.67, CI: 1.92–3.71), greater odds of diabetes (OR: 1.63, CI: 1.44–1.86), and poorer general health (OR: 1.38, CI: 1.23–1.54) compared to White individuals. Although older age, male, lower education and income, and smoking are risk factors for most CMDs and general health outcomes, disparities in these risks exist across racial/ethnic groups. These findings highlight the need for targeted public health interventions to address health disparities and the elevated risks faced by Black and Hispanic communities.
Publication Date
Winter 11-13-2025
Publication Title
Journal of Prevention & Intervention in the Community
Publisher
Taylor and Francis Group
Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
Recommended Citation
Yang, M., & Wang, T. (2025). Assessment of cardiometabolic and general health risks among racial and ethnic minority groups in Texas. Journal of Prevention & Intervention in the Community, 1–15. https://doi.org/10.1080/10852352.2025.2586383
Comments
This is an Accepted Manuscript version of the following article, accepted for publication in Journal of Prevention and Intervention in the Community. Yang, M., & Wang, T. (2025). Assessment of cardiometabolic and general health risks among racial and ethnic minority groups in Texas. Journal of Prevention & Intervention in the Community, 1–15. https://doi.org/10.1080/10852352.2025.2586383. It is deposited under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way.