Modifiable cardiovascular risk factors among individuals in low socioeconomic communities and homeless shelters

Fam Community Health. 2008 Oct-Dec;31(4):269-80. doi: 10.1097/01.FCH.0000336090.37280.2e.


To understand cardiovascular health in low socioeconomic populations, we analyzed the data from 426 low socioeconomic community-dwelling males and females and 287 homeless males in Philadelphia. Despite higher prevalence of smoking and hypertension, the proportion of homeless participants at increased risk for coronary heart disease was comparable with that of low socioeconomic community-dwelling participants. Among various characteristics, emotional stress was significantly associated with coronary heart disease risk in low socioeconomic community-dwelling participants only, suggestive of a differential psychosocial effect of stress. Our findings suggest that low socioeconomic populations are heterogeneous with respect to their risk factors and needs for interventions.

MeSH terms

  • Adult
  • Aged
  • Blood Glucose
  • Blood Pressure
  • Cardiovascular Diseases / epidemiology*
  • Cardiovascular Diseases / ethnology
  • Exercise
  • Female
  • Health Status Disparities
  • Humans
  • Ill-Housed Persons / statistics & numerical data*
  • Lipids / blood
  • Male
  • Middle Aged
  • Racial Groups
  • Risk Factors
  • Smoking
  • Socioeconomic Factors
  • Stress, Psychological / epidemiology


  • Blood Glucose
  • Lipids