Socioeconomic status and education level are associated with dyslipidemia in adults not taking lipid-lowering medication: a population-based study
| Autor: | Luçandra Ramos Espírito Santo, Marise Fagundes Silveira, José Geraldo Mill, Carla Silvana de Oliveira e Silva, Vivianne Margareth Chaves Pereira Reis, Lorena Aguilar Xavier, Thaís de Oliveira Faria, Marcelo Perim Baldo, Gabriel Alencar Mota |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Health (social science)
Population Blood lipids Developing country 030204 cardiovascular system & hematology 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine medicine 030212 general & internal medicine education Socioeconomic status education.field_of_study medicine.diagnostic_test Triglyceride business.industry Public Health Environmental and Occupational Health General Medicine medicine.disease chemistry lipids (amino acids peptides and proteins) business Lipid profile Body mass index Dyslipidemia Demography |
| Zdroj: | International health. |
| ISSN: | 1876-3405 |
| Popis: | Background Socio-economic disparities account for changes in the lipid profile in developing countries. We aimed to investigate the association between blood lipids and socio-economic and educational strata in adults not taking lipid-lowering medications. Methods A cross-sectional, population-based study enrolled 1614 individuals not taking lipid-lowering medications. Sociodemographic characteristics, monthly income, education level and the number of consumer goods available at home were obtained and individuals were classified into five socio-economic categories. Blood lipids were obtained in fasting participants. Results In men, the higher the socio-economic or educational stratum, the higher the total cholesterol, low-density lipoprotein cholesterol (LDL-c) and triglyceride (TG) levels and the lower the high-density lipoprotein cholesterol (HDL-c), after controlling for age, body mass index, hypertension, smoking habit and physical activity. In women, the higher socio-economic strata were associated with elevated total cholesterol and HDL-c, while lower total cholesterol, LDL-c and TG levels were found in those with higher education levels. Also, individuals in the upper socio-economic strata had higher levels of total cholesterol and LDL-c, showing more than two times higher odds of having multiple alterations in blood lipids (men: OR 2.99 [95% CI 1.23 to 5.07]; women: OR 2.31 [95% CI 1.09 to 5.83]). Conclusions Dyslipidemia is highly prevalent in developing countries. Individuals in the highest socio-economic category are the ones at higher risk for dyslipidemia. This phenomenon calls for strategies to stimulate healthy diet habits and a physically active lifestyle to minimize health problems. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|