Comparison of social gradient in cardiometabolic health in Czechia and Venezuela: a cross-sectional study.

Autor:	Bartoskova Polcrova A; RECETOX, Faculty of Science, Masaryk University, Kotlarska 2, Brno, Czech Republic anna.bartoskova@recetox.muni.cz.; International Clinical Research Centre, St Anne's University Hospital, Brno, Czech Republic., Nieto-Martinez R; Departments of Global Health and Population and Epidemiology, Harvard University T H Chan School of Public Health, Boston, Massachusetts, USA.; Foundation for Clinic, Public Health, and Epidemiology Research of Venezuela (FISPEVEN INC), Caracas, Venezuela., Mechanick JI; The Marie-Josée and Henry R. Kravis Center for Cardiovascular Health at Mount Sinai Heart, and Division of Endocrinology, Diabetes and Bone Disease, Icahn School of Medicine at Mount Sinai, New York, New York, USA., Maranhao Neto GA; International Clinical Research Centre, St Anne's University Hospital, Brno, Czech Republic., Infante-Garcia MM; International Clinical Research Centre, St Anne's University Hospital, Brno, Czech Republic., Pikhart H; RECETOX, Faculty of Science, Masaryk University, Kotlarska 2, Brno, Czech Republic.; Department of Epidemiology and Public Health, University College London, London, UK., Bobak M; RECETOX, Faculty of Science, Masaryk University, Kotlarska 2, Brno, Czech Republic.; Department of Epidemiology and Public Health, University College London, London, UK., Medina-Inojosa J; Department of Cardiovascular Medicine, Mayo Clinic, Rochester, New York, USA., Gonzalez-Rivas JP; International Clinical Research Centre, St Anne's University Hospital, Brno, Czech Republic.; Departments of Global Health and Population and Epidemiology, Harvard University T H Chan School of Public Health, Boston, Massachusetts, USA.; Foundation for Clinic, Public Health, and Epidemiology Research of Venezuela (FISPEVEN INC), Caracas, Venezuela.
Jazyk:	angličtina
Zdroj:	BMJ open [BMJ Open] 2023 Mar 17; Vol. 13 (3), pp. e069077. Date of Electronic Publication: 2023 Mar 17.
DOI:	10.1136/bmjopen-2022-069077
Abstrakt:	Objectives: This study compared the relationships of social determinants with cardiometabolic risk in different socioeconomic contexts: sociopolitically unstable Venezuela (VE) and stable Czechia (CZ). Design: cross-sectional analysis involving two population-based studies. Setting: Brno, Czechia and 23 cities of Venezuela. Participants: 25-64 years old subjects from CZ (2013-2014, n=1579, 56% females) and VE (2014-2017, n=1652, 70% females). Main Outcome Measures: The composite cardiometabolic risk score (CMRS) (scaled 0-8) was calculated using eight biomarkers (body mass index, waist circumference, blood glucose, systolic and diastolic blood pressure, total and high-density lipoprotein-cholesterol, triglycerides). Social characteristics included education in both countries, income in CZ and a composite measure of social position (SP) in VE. Sex stratified ordinal regression examined the social gradient in having less favourable CMRS. Results: In CZ, men and women with low education and women with low income had higher odds of higher CMRS compared with those with high education and income with OR 1.45 (95% CI 1.01 to 2.21), 2.29 (95% CI 1.62 to 3.24) and 1.69 (95% CI 1.23 to 2.35). In VE, women with low education and low SP had higher odds to have higher CMRS OR 1.47 (95% CI 1.09 to 1.97) and 1.51 (95% CI 1.16 to 1.97), while men with low education and low SP had lower odds to have higher CMRS OR 0.64 (95% CI 0.41 to 1.00) and 0.61 (95% CI 0.40 to 0.97), compared with those with high education and high SP. Independently of age, sex and socioeconomic characteristics, Venezuelans had higher odds to have higher CMRS than Czechs (OR 2.70; 95% CI 2.37 to 3.08). Conclusions: The results suggest that the associations of socioeconomic status indices and cardiometabolic risk differed between CZ and VE, likely reflecting differences in the social environment among countries. Further research is needed to confirm and quantify these differences. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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