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Background  Black persons have an excess burden of cardiovascular disease ( CVD ) compared with white persons. This burden persists after adjustment for socioeconomic status and other known  CVD  risk factors. This study evaluated the  CVD  burden and the socioeconomic gradient of  CVD  among black participants in the JHS (Jackson Heart Study).    Methods and Results   CVD  burden was evaluated by comparing the observed prevalence of myocardial infarction, stroke, and hypertension in the  JHS  at baseline (2000–2004) with the expected prevalence according to US national surveys during a similar time period. The socioeconomic gradient of  CVD  was evaluated using logistic regression models. Compared with the national data, the  JHS  age‐ and sex‐standardized prevalence ratios for myocardial infarction, stroke, and hypertension were 1.07 (95%  CI , 0.90–1.27), 1.46 (95%  CI , 1.18–1.78), and 1.51 (95%  CI , 1.42–1.60), respectively, in men and 1.50 (95%  CI , 1.27–1.76), 1.33 (95%  CI , 1.12–1.57), and 1.43 (95%  CI , 1.37–1.50), respectively, in women. A significant and inverse relationship was observed between socioeconomic status and  CVD  within the  JHS  cohort. The strongest and most consistent socioeconomic correlate after adjusting for age and sex was income for myocardial infarction (odds ratio: 3.53; 95%  CI , 2.31–5.40) and stroke (odds ratio: 3.73; 95%  CI , 2.32–5.97), comparing the poor and affluent income categories.    Conclusions  Except for myocardial infarction in men,  CVD  burden in the  JHS  cohort was higher than expected. A strong inverse socioeconomic gradient of  CVD  was also observed within the  JHS  cohort.

Cardiovascular Disease Burden and Socioeconomic Correlates: Findings From the Jackson Heart Study