A prospective longitudinal approach to examine the association between social position in childhood, adolescence, and adulthood with the control of hypertension during adulthood

IntroductionHypertension is one of the main concerns in public health, since it is related with increased morbidity, and potential years of life lost in addition to loss of quality of life. This study aimed to assess: (1) the distribution of indicators of life course SEP in a cohort of Colombian pat...

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Main Authors: Susana Barradas, Diego I. Lucumi, Graciela Mentz, Diana Maria Agudelo
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-04-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2024.1296593/full
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author Susana Barradas
Diego I. Lucumi
Graciela Mentz
Diana Maria Agudelo
author_facet Susana Barradas
Diego I. Lucumi
Graciela Mentz
Diana Maria Agudelo
author_sort Susana Barradas
collection DOAJ
description IntroductionHypertension is one of the main concerns in public health, since it is related with increased morbidity, and potential years of life lost in addition to loss of quality of life. This study aimed to assess: (1) the distribution of indicators of life course SEP in a cohort of Colombian patients with hypertension and (2) to assess the association of life course SEP and control of hypertension among this cohort of patients.MethodsData were obtained using the baseline survey of 258 patients from the Social Determinants and Inequities in the Control of Blood Hypertension Program (ProDSICHA). Mother occupation and housing conditions were measured with the Event History Calendar. Mother educational level was measured with the questionnaire developed by the Project on Ethnicity and Race in Latin America (PERLA). Socioeconomic position during adulthood was measured using education, occupation, and income level based in the MacArthur Network.ResultsThe group with a higher lifelong social position and the group of lower lifelong social position showed better control of hypertension (OR = 1.21; p <0.05; OR = 1.33; p < .05, respectively) compared to those whose social position throughout life varied the most. No statistical differences were found in the relations between single lifetime social position variables, and hypertension control in the three time points analyzed.DiscussionThese findings warrant further research to deeper our understanding on the role of a multidimensional and cumulative approach of social position in hypertension control.
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spelling doaj.art-bfbc0b509abc40ce8a4905b6b27dbdd12024-04-12T04:22:52ZengFrontiers Media S.A.Frontiers in Public Health2296-25652024-04-011210.3389/fpubh.2024.12965931296593A prospective longitudinal approach to examine the association between social position in childhood, adolescence, and adulthood with the control of hypertension during adulthoodSusana Barradas0Diego I. Lucumi1Graciela Mentz2Diana Maria Agudelo3School of Social and Human Sciences, Universidad Externado de Colombia, Bogotá, ColombiaAlberto Lleras Camargo School of Government, Universidad de los Andes, Bogotá, ColombiaStatistician Lead, Anethesiology Department, Medical School, University of Michigan, Ann Arbor, MI, United StatesPsychology Department, School of Social Sciences, Universidad de los Andes, Bogotá, ColombiaIntroductionHypertension is one of the main concerns in public health, since it is related with increased morbidity, and potential years of life lost in addition to loss of quality of life. This study aimed to assess: (1) the distribution of indicators of life course SEP in a cohort of Colombian patients with hypertension and (2) to assess the association of life course SEP and control of hypertension among this cohort of patients.MethodsData were obtained using the baseline survey of 258 patients from the Social Determinants and Inequities in the Control of Blood Hypertension Program (ProDSICHA). Mother occupation and housing conditions were measured with the Event History Calendar. Mother educational level was measured with the questionnaire developed by the Project on Ethnicity and Race in Latin America (PERLA). Socioeconomic position during adulthood was measured using education, occupation, and income level based in the MacArthur Network.ResultsThe group with a higher lifelong social position and the group of lower lifelong social position showed better control of hypertension (OR = 1.21; p <0.05; OR = 1.33; p < .05, respectively) compared to those whose social position throughout life varied the most. No statistical differences were found in the relations between single lifetime social position variables, and hypertension control in the three time points analyzed.DiscussionThese findings warrant further research to deeper our understanding on the role of a multidimensional and cumulative approach of social position in hypertension control.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1296593/fulllife course social positionhypertension controlsocioeconomic positionsocial determinants of healthhypertension
spellingShingle Susana Barradas
Diego I. Lucumi
Graciela Mentz
Diana Maria Agudelo
A prospective longitudinal approach to examine the association between social position in childhood, adolescence, and adulthood with the control of hypertension during adulthood
Frontiers in Public Health
life course social position
hypertension control
socioeconomic position
social determinants of health
hypertension
title A prospective longitudinal approach to examine the association between social position in childhood, adolescence, and adulthood with the control of hypertension during adulthood
title_full A prospective longitudinal approach to examine the association between social position in childhood, adolescence, and adulthood with the control of hypertension during adulthood
title_fullStr A prospective longitudinal approach to examine the association between social position in childhood, adolescence, and adulthood with the control of hypertension during adulthood
title_full_unstemmed A prospective longitudinal approach to examine the association between social position in childhood, adolescence, and adulthood with the control of hypertension during adulthood
title_short A prospective longitudinal approach to examine the association between social position in childhood, adolescence, and adulthood with the control of hypertension during adulthood
title_sort prospective longitudinal approach to examine the association between social position in childhood adolescence and adulthood with the control of hypertension during adulthood
topic life course social position
hypertension control
socioeconomic position
social determinants of health
hypertension
url https://www.frontiersin.org/articles/10.3389/fpubh.2024.1296593/full
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