Socioeconomic status and cardiovascular risk factors in young adults: a cross-sectional analysis of a Brazilian birth cohort
ABSTRACT: Introduction: In high-income countries, persons of high socioeconomic status (SES) have a lower cardiovascular risk. However, in middle and low-income countries, the results are controversial. Objective: To evaluate the association between family income and cardiovascular risk factors...
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| Format: | Article |
| Language: | English |
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Associação Brasileira de Pós-Graduação em Saúde Coletiva
2020-02-01
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| Series: | Revista Brasileira de Epidemiologia |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2020000100409&tlng=en |
| _version_ | 1798014960516726784 |
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| author | Fernando Alberto Costa Cardoso da Silva Maylla Luanna Barbosa Martins Bragança Heloisa Bettiol Viviane Cunha Cardoso Marco Antonio Barbieri Antônio Augusto Moura da Silva |
| author_facet | Fernando Alberto Costa Cardoso da Silva Maylla Luanna Barbosa Martins Bragança Heloisa Bettiol Viviane Cunha Cardoso Marco Antonio Barbieri Antônio Augusto Moura da Silva |
| author_sort | Fernando Alberto Costa Cardoso da Silva |
| collection | DOAJ |
| description | ABSTRACT: Introduction: In high-income countries, persons of high socioeconomic status (SES) have a lower cardiovascular risk. However, in middle and low-income countries, the results are controversial. Objective: To evaluate the association between family income and cardiovascular risk factors in young adults. Methods: A total of 2,063 individuals of a birth cohort initiated in 1978/79 in the city of Ribeirão Preto, Brazil, were evaluated at age of 23/25 years. Cardiovascular risk factors (hypertension, sedentary lifestyle, smoking, low high-density lipoprotein (HDL)-cholesterol, high low-density lipoprotein (LDL)-cholesterol, high fibrinogen, insulin resistance, diabetes, abdominal and total obesity, and metabolic syndrome) were evaluated according to family income. Income was assessed in multiples of the minimum wage. Simple Poisson regression models were used to estimate the prevalence ratios (PR) with robust estimation of the variance. Results: High-income women showed lower prevalences of low HDL-cholesterol (PR = 0.47), total obesity (PR = 0.22), abdominal obesity (PR = 0.28), high blood pressure (PR = 0.28), insulin resistance (PR = 0.57), sedentary lifestyle (PR = 0.47), metabolic syndrome (PR = 0.24), and high caloric intake (PR = 0.71) (p < 0.05). High-income men showed lower prevalences of low HDL-cholesterol (PR = 0.73) and sedentarism (PR = 0.81) (p < 0.05). These results may be explained by the fact that high-income women pay more attention to healthy habits and those with the lowest family income are least likely to access health services resources and treatments. Conclusion: Women were in the final phase of the epidemiologic transition, whereas men were in the middle phase. |
| first_indexed | 2024-04-11T15:25:35Z |
| format | Article |
| id | doaj.art-37ce983ef8b641008380d1ecf86734b6 |
| institution | Directory Open Access Journal |
| issn | 1980-5497 |
| language | English |
| last_indexed | 2024-04-11T15:25:35Z |
| publishDate | 2020-02-01 |
| publisher | Associação Brasileira de Pós-Graduação em Saúde Coletiva |
| record_format | Article |
| series | Revista Brasileira de Epidemiologia |
| spelling | doaj.art-37ce983ef8b641008380d1ecf86734b62022-12-22T04:16:15ZengAssociação Brasileira de Pós-Graduação em Saúde ColetivaRevista Brasileira de Epidemiologia1980-54972020-02-012310.1590/1980-549720200001Socioeconomic status and cardiovascular risk factors in young adults: a cross-sectional analysis of a Brazilian birth cohortFernando Alberto Costa Cardoso da Silvahttps://orcid.org/0000-0002-9872-3359Maylla Luanna Barbosa Martins Bragançahttps://orcid.org/0000-0002-6402-3899Heloisa Bettiolhttps://orcid.org/0000-0001-8744-4373Viviane Cunha Cardosohttps://orcid.org/0000-0002-2677-5600Marco Antonio Barbierihttps://orcid.org/0000-0001-8060-1428Antônio Augusto Moura da Silvahttps://orcid.org/0000-0003-4968-5138ABSTRACT: Introduction: In high-income countries, persons of high socioeconomic status (SES) have a lower cardiovascular risk. However, in middle and low-income countries, the results are controversial. Objective: To evaluate the association between family income and cardiovascular risk factors in young adults. Methods: A total of 2,063 individuals of a birth cohort initiated in 1978/79 in the city of Ribeirão Preto, Brazil, were evaluated at age of 23/25 years. Cardiovascular risk factors (hypertension, sedentary lifestyle, smoking, low high-density lipoprotein (HDL)-cholesterol, high low-density lipoprotein (LDL)-cholesterol, high fibrinogen, insulin resistance, diabetes, abdominal and total obesity, and metabolic syndrome) were evaluated according to family income. Income was assessed in multiples of the minimum wage. Simple Poisson regression models were used to estimate the prevalence ratios (PR) with robust estimation of the variance. Results: High-income women showed lower prevalences of low HDL-cholesterol (PR = 0.47), total obesity (PR = 0.22), abdominal obesity (PR = 0.28), high blood pressure (PR = 0.28), insulin resistance (PR = 0.57), sedentary lifestyle (PR = 0.47), metabolic syndrome (PR = 0.24), and high caloric intake (PR = 0.71) (p < 0.05). High-income men showed lower prevalences of low HDL-cholesterol (PR = 0.73) and sedentarism (PR = 0.81) (p < 0.05). These results may be explained by the fact that high-income women pay more attention to healthy habits and those with the lowest family income are least likely to access health services resources and treatments. Conclusion: Women were in the final phase of the epidemiologic transition, whereas men were in the middle phase.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2020000100409&tlng=enRisk factorsCardiovascular diseasesYoung adultIncome |
| spellingShingle | Fernando Alberto Costa Cardoso da Silva Maylla Luanna Barbosa Martins Bragança Heloisa Bettiol Viviane Cunha Cardoso Marco Antonio Barbieri Antônio Augusto Moura da Silva Socioeconomic status and cardiovascular risk factors in young adults: a cross-sectional analysis of a Brazilian birth cohort Revista Brasileira de Epidemiologia Risk factors Cardiovascular diseases Young adult Income |
| title | Socioeconomic status and cardiovascular risk factors in young adults: a cross-sectional analysis of a Brazilian birth cohort |
| title_full | Socioeconomic status and cardiovascular risk factors in young adults: a cross-sectional analysis of a Brazilian birth cohort |
| title_fullStr | Socioeconomic status and cardiovascular risk factors in young adults: a cross-sectional analysis of a Brazilian birth cohort |
| title_full_unstemmed | Socioeconomic status and cardiovascular risk factors in young adults: a cross-sectional analysis of a Brazilian birth cohort |
| title_short | Socioeconomic status and cardiovascular risk factors in young adults: a cross-sectional analysis of a Brazilian birth cohort |
| title_sort | socioeconomic status and cardiovascular risk factors in young adults a cross sectional analysis of a brazilian birth cohort |
| topic | Risk factors Cardiovascular diseases Young adult Income |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2020000100409&tlng=en |
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