Income inequality and high blood pressure in Colombia: a multilevel analysis
The objective of this research was to examine the association between income inequality and high blood pressure in Colombia. Using a nationally representative Colombian sample of adults, and data from departments and municipalities, we fit sex-stratified linear and logistic multilevel models with bl...
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| Format: | Article |
| Language: | English |
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Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz
2017-11-01
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| Series: | Cadernos de Saúde Pública |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2017001105011&lng=en&tlng=en |
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| author | Diego I. Lucumi Amy J. Schulz Ana V. Diez Roux Andrew Grogan-Kaylor |
| author_facet | Diego I. Lucumi Amy J. Schulz Ana V. Diez Roux Andrew Grogan-Kaylor |
| author_sort | Diego I. Lucumi |
| collection | DOAJ |
| description | The objective of this research was to examine the association between income inequality and high blood pressure in Colombia. Using a nationally representative Colombian sample of adults, and data from departments and municipalities, we fit sex-stratified linear and logistic multilevel models with blood pressure as a continuous and binary variable, respectively. In adjusted models, women living in departments with the highest quintile of income inequality in 1997 had higher systolic blood pressure than their counterparts living in the lowest quintile of income inequality (mean difference 4.42mmHg; 95%CI: 1.46, 7.39). Women living in departments that were at the fourth and fifth quintile of income inequality in 1994 were more likely to have hypertension than those living in departments at the first quintile in the same year (OR: 1.56 and 1.48, respectively). For men, no associations of income inequality with either systolic blood pressure or hypertension were observed. Our findings are consistent with the hypothesis that income inequality is associated with increased risk of high blood pressure for women. Future studies to analyze pathways linking income inequality to high blood pressure in Colombia are needed. |
| first_indexed | 2024-12-14T13:22:52Z |
| format | Article |
| id | doaj.art-822691e5f92d4b41bbd350082d07792d |
| institution | Directory Open Access Journal |
| issn | 1678-4464 |
| language | English |
| last_indexed | 2024-12-14T13:22:52Z |
| publishDate | 2017-11-01 |
| publisher | Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz |
| record_format | Article |
| series | Cadernos de Saúde Pública |
| spelling | doaj.art-822691e5f92d4b41bbd350082d07792d2022-12-21T22:59:54ZengEscola Nacional de Saúde Pública, Fundação Oswaldo CruzCadernos de Saúde Pública1678-44642017-11-01331110.1590/0102-311x00172316S0102-311X2017001105011Income inequality and high blood pressure in Colombia: a multilevel analysisDiego I. LucumiAmy J. SchulzAna V. Diez RouxAndrew Grogan-KaylorThe objective of this research was to examine the association between income inequality and high blood pressure in Colombia. Using a nationally representative Colombian sample of adults, and data from departments and municipalities, we fit sex-stratified linear and logistic multilevel models with blood pressure as a continuous and binary variable, respectively. In adjusted models, women living in departments with the highest quintile of income inequality in 1997 had higher systolic blood pressure than their counterparts living in the lowest quintile of income inequality (mean difference 4.42mmHg; 95%CI: 1.46, 7.39). Women living in departments that were at the fourth and fifth quintile of income inequality in 1994 were more likely to have hypertension than those living in departments at the first quintile in the same year (OR: 1.56 and 1.48, respectively). For men, no associations of income inequality with either systolic blood pressure or hypertension were observed. Our findings are consistent with the hypothesis that income inequality is associated with increased risk of high blood pressure for women. Future studies to analyze pathways linking income inequality to high blood pressure in Colombia are needed.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2017001105011&lng=en&tlng=enHypertensionSocial InequityMultilevel Analysis |
| spellingShingle | Diego I. Lucumi Amy J. Schulz Ana V. Diez Roux Andrew Grogan-Kaylor Income inequality and high blood pressure in Colombia: a multilevel analysis Cadernos de Saúde Pública Hypertension Social Inequity Multilevel Analysis |
| title | Income inequality and high blood pressure in Colombia: a multilevel analysis |
| title_full | Income inequality and high blood pressure in Colombia: a multilevel analysis |
| title_fullStr | Income inequality and high blood pressure in Colombia: a multilevel analysis |
| title_full_unstemmed | Income inequality and high blood pressure in Colombia: a multilevel analysis |
| title_short | Income inequality and high blood pressure in Colombia: a multilevel analysis |
| title_sort | income inequality and high blood pressure in colombia a multilevel analysis |
| topic | Hypertension Social Inequity Multilevel Analysis |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2017001105011&lng=en&tlng=en |
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