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Do Police Encounters Increase the Risk for Cardiovascular Disease? Police Encounters and Framingham 30-Year Cardiovascular Risk Score

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Journal of Racial and Ethnic Health Disparities Aims and scope Submit manuscript

Abstract

Introduction

Despite increased attention to the societal consequences of aggressive policing, the focus on rarer instances of deaths/severe injuries fails to fully capture the day-to-day experiences that racially minoritized groups face during police encounters (PEs). We explored differential vulnerability by race/ethnicity in the relationship between PEs and cardiovascular disease (CVD) risk.

Methods

Using data from the National Longitudinal Study of Adolescent to Adult Health, we regressed the Framingham 30-Year CVD risk score on a high number of lifetime PEs (6 + among men and 2 + among women). To explore differential vulnerability by race, we added an interaction between PEs and race/ethnicity. We also examined sex- and race and sex-stratified models.

Results

We observed no association between PEs and CVD risk in the sample overall, but the interaction between PEs and race/ethnicity was statistically significant. In race stratified models, we found that higher PEs were associated with a lower CVD risk among Black respondents, whereas among White respondents there was no relationship. In the sex-stratified analysis, reporting higher PEs was associated with lower CVD risk among men, while among women there was no relationship. In sex- and race-stratified models, higher PEs was associated with lower CVD risk among Black men and higher CVD risk among White women, while there was no association among Black women and White men.

Conclusion

The association between PEs and CVD risk depends on race/ethnicity and sex. More work is needed to understand the counterintuitive finding that high PEs are associated with lower CVD risk among Black men.

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Data Availability

Data is publicly available through the Carolina Population Center at the University of North Carolina at Chapel Hill.

Code Availability

Code is available upon request and was provided by Dr. Pencina at Duke University and Ken Williams at KenAnCo Biostatistics.

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Acknowledgements

This research uses data from Add Health, funded by grant P01 HD31921 (Harris) from the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), with cooperative funding from 23 other federal agencies and foundations. Add Health is currently directed by Robert A. Hummer and funded by the National Institute on Aging cooperative agreements U01 AG071448 (Hummer) and U01AG071450 (Aiello and Hummer) at the University of North Carolina at Chapel Hill. Add Health was designed by J. Richard Udry, Peter S. Bearman, and Kathleen Mullan Harris at the University of North Carolina at Chapel Hill.

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Manuscript preparation, study conceptualization, data management and analysis were performed by Kristi L Allgood. Additionally, all aspects of the study and review and revision of manuscript were performed by Belinda L Needham. Advice on data analysis, presentation of findings, and manuscript revisions were performed by Nancy L Fleischer. Manuscript revisions and reviews were performed by Jeffrey Morenoff and Shervin Assari.

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Correspondence to Kristi L. Allgood.

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Allgood, K.L., Fleischer, N.L., Morenoff, J. et al. Do Police Encounters Increase the Risk for Cardiovascular Disease? Police Encounters and Framingham 30-Year Cardiovascular Risk Score. J. Racial and Ethnic Health Disparities 11, 348–363 (2024). https://doi.org/10.1007/s40615-023-01523-7

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