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Association of socioeconomic status measured by education, and cardiovascular health: a population-based cross-sectional study.

ABSTRACT: Cardiovascular health (CVH) is a relatively new concept defined by the American Heart Association (AHA). The aim of the present study was to assess whether the indices of CVH were discriminators of socioeconomic status (SES) in the adult population of the Republic of Srpska (RS).Population-based cross-sectional study.RS, Bosnia and Herzegovina.The study involved 4165 adults aged ?18?years (mean age 50.2; 54% women) who participated in the National Health Survey performed from September to November 2010 in the RS.Participant's education was a proxy for SES. Potential discriminators of SES were indices of CVH presented according to AHA as: ideal health behaviours index (non-smoking, body mass index <25?kg/m(2), physical activity at goal level and healthy diet); ideal health factors index (untreated total cholesterol <200?mg/dL, untreated blood pressure <120/<80?mm?Hg, untreated fasting glucose <100?mg/dL and non-smoking); and ideal CVH status (defined as all seven ideal health metrics present) versus intermediate and poor CVH status.Participants with high educational levels had a significantly greater number of ideal CVH metrics, and ideal health factor metrics compared with those with low or medium educational level (OR 0.88 95% CI 0.77 to 0.99 and OR 0.88 95% CI 0.80 to 0.96; OR 0.81 95% CI 0.69 to 0.96 and OR 0.77 95% CI 0.68 to 0.87; respectively). The number of ideal behaviour metrics was not a discriminator of educational groups. Concerning the categories of CVH status the poor CVH was a discriminator for low and medium education compared with those with high education (OR 1.93 95% CI 1.24 to 3.01 and OR 1.54 95% CI 1.08 to 2.19, respectively).Our findings emphasise the large potential for preventing cardiovascular disease, showing a low proportion with a favourable CVH profile, especially among low-educated people. It is necessary to consider prevention strategies aimed at improving CVH in RS, targeting primarily low educational groups.

SUBMITTER: Jankovic S

PROVIDER: S-EPMC4120304 | biostudies-literature | 2014

REPOSITORIES: biostudies-literature

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Association of socioeconomic status measured by education, and cardiovascular health: a population-based cross-sectional study.

Janković Slavenka S Stojisavljević Dragana D Janković Janko J Erić Miloš M Marinković Jelena J

BMJ open 20140715 7

<h4>Objective</h4>Cardiovascular health (CVH) is a relatively new concept defined by the American Heart Association (AHA). The aim of the present study was to assess whether the indices of CVH were discriminators of socioeconomic status (SES) in the adult population of the Republic of Srpska (RS).<h4>Design</h4>Population-based cross-sectional study.<h4>Setting</h4>RS, Bosnia and Herzegovina.<h4>Participants</h4>The study involved 4165 adults aged ≥18 years (mean age 50.2; 54% women) who partici ...[more]

PMID: 25031193

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Project description:BackgroundSocioeconomic status is strongly associated with obesity. Current economic circumstances are also independently associated with self-reported weight status in Finnish civil servants. We aimed to examine three types of financial hardship in relation to measured general and central obesity in a general population of older adults, while considering conventional socioeconomic indicators.MethodsData from 10,137 participants (?50 years) in the EPIC-Norfolk cohort who responded to a postal Health and Life Experiences Questionnaire (1996-2000) and attended a clinical assessment (1998-2002). Multivariable logistic regression models assessed likelihood of general obesity (BMI ?30 kg/m²) and central obesity (women: ?88 cm; men: ?102 cm) calculated from measured anthropometrics.ResultsObesity prevalence was consistently patterned by standard socioeconomic indicators, with over-50s in the lowest social class being twice as likely to be obese than those in the highest class (women OR 2.10 [CI95: 1.41-3.13]; men OR 2.36 [1.44-3.87]). After adjustment for socioeconomic status, reporting having less than enough money for one's needs (compared to more than enough) was associated with obesity in women (OR 2.04 [1.54-2.69]) and men (OR 1.83 [1.34-2.49]). Similar associations were demonstrated between obesity and always or often not having enough money for food/clothing (women OR 1.40 [1.03-1.90]; men OR 1.81 [1.28-2.56]), compared to reporting this never occurred. The strongest independent associations were seen for obesity and reported greatest level of difficulty paying bills (women OR 2.20 [1.37-3.55]; men 2.40 [1.38-4.17]), compared to having no difficulties. Findings for central obesity were slightly higher in women and lower in men.ConclusionsObesity in British over-50s was more likely in study participants who reported greater financial hardship, even after education, social class and home ownership were taken into account. Public health policies need to consider the hitherto neglected role of financial hardship in older people, especially difficulty paying bills, as part of strategies to prevent or reduce obesity.

Dataset Information

Association of socioeconomic status measured by education, and cardiovascular health: a population-based cross-sectional study.

Publications

Association of socioeconomic status measured by education, and cardiovascular health: a population-based cross-sectional study.

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