Non-Hispanic Blacks are the least likely to achieve optimal Life's Simple 7 scores despite socioeconomic advantages over Hispanics, highlighting the impact of structural racism and the need for early lifestyle interventions.
May support race-conscious prevention; leaves open causal roles of structural factors beyond SES in observational data.
NHBs were the least likely to have optimal scores, despite higher incomes and more education than Hispanics, consistent with structural racism and Hispanic paradox. Programs to optimize lifestyle should begin in childhood to mitigate precipitous age-related declines in LS7 scores, especially in at-risk groups. Promoting higher education and reducing poverty are also important.
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Egan et al. (2020) studied this question.
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