Dataset Information

Ideal cardiovascular health in urban Jamaica: prevalence estimates and relationship to community property value, household assets and educational attainment: a cross-sectional study.

ABSTRACT:

Objective

Ideal cardiovascular health (ICH) is associated with greater longevity and reduced morbidity, but no research on ICH has been conducted in Jamaica. We aimed to estimate the prevalence of ICH in urban Jamaica and to evaluate associations between ICH and community, household, and individual socioeconomic status (SES).

Design

Cross-sectional study.

Setting

Urban communities in Jamaica.

Participants

360 men and 665 women who were urban residents aged ?20 years from a national survey, the Jamaica Health and Lifestyle Survey 2016-2017.

Exposures

Community SES, using median land values (MLV); household SES, using number of household assets; and individual SES, using education level.

Primary outcome

The main outcome variable was ICH, defined as having five or more of seven ICH characteristics (ICH-5): current non-smoking, healthy diet, moderate physical activity, normal body mass index, normal blood pressure, normal glucose and normal cholesterol. Prevalence was estimated using weighted survey design and logistic regression models were used to evaluate associations.

Results

The prevalence of overall ICH (seven characteristics) was 0.51%, while the prevalence of ICH-5 was 22.9% (male 24.5%, female 21.5%, p=0.447). In sex-specific multivariable models adjusted for age, education, and household assets, men in the lower tertiles of community MLV had lower odds of ICH-5 compared with men in the upper tertile (lowest tertile: OR 0.33, 95%?CI 0.12 to 0.91, p=0.032; middle tertile: OR 0.46, 95% CI 0.20 to 1.04, p=0.062). Women from communities in the lower and middle tertiles of MLV also had lower odds of ICH-5, but the association was not statistically significant. Educational attainment was inversely associated with ICH-5 among men and positively associated among women.

Conclusion

Living in poorer communities was associated with lower odds of ICH-5 among men in Jamaica. The association between education level and ICH-5 differed in men and women.

SUBMITTER: McKenzie JA

PROVIDER: S-EPMC7745314 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Ideal cardiovascular health in urban Jamaica: prevalence estimates and relationship to community property value, household assets and educational attainment: a cross-sectional study.

McKenzie Joette A JA Younger Novie O NO Tulloch-Reid Marshall Kerr MK Govia Ishtar I Bennett Nadia R NR McFarlane Shelly S Walters Renee R Francis Damian K DK Webster-Kerr Karen K Grant Andriene A Davidson Tamu T Wilks Rainford R Williams David R DR Ferguson Trevor S TS

BMJ open 20201215 12

<h4>Objective</h4>Ideal cardiovascular health (ICH) is associated with greater longevity and reduced morbidity, but no research on ICH has been conducted in Jamaica. We aimed to estimate the prevalence of ICH in urban Jamaica and to evaluate associations between ICH and community, household, and individual socioeconomic status (SES).<h4>Design</h4>Cross-sectional study.<h4>Setting</h4>Urban communities in Jamaica.<h4>Participants</h4>360 men and 665 women who were urban residents aged ≥20 years ...[more]

PMID: 33323436

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Dataset Information

Ideal cardiovascular health in urban Jamaica: prevalence estimates and relationship to community property value, household assets and educational attainment: a cross-sectional study.

Objective

Design

Setting

Participants

Exposures

Primary outcome

Results

Conclusion

Publications

Ideal cardiovascular health in urban Jamaica: prevalence estimates and relationship to community property value, household assets and educational attainment: a cross-sectional study.

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