A cross-sectional study of socioeconomic status and cardiovascular disease risk among participants in the Prospective Urban Rural Epidemiological (PURE) Study
Autor: | Bonaventure Amandi Egbujie, Thandi Puoane, Ehimario U. Igumbor |
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Rok vydání: | 2015 |
Předmět: |
medicine.medical_specialty
education.field_of_study business.industry Cross-sectional study Population Psychological intervention General Medicine 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Environmental health Epidemiology Cohort Medicine Marital status 030212 general & internal medicine business education Socioeconomic status Cohort study |
Zdroj: | South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde. 106(9) |
ISSN: | 0256-9574 |
Popis: | Background. Cardiovascular diseases (CVDs) are a challenge to populations and health systems worldwide. It is projected that by 2020 about a third of all deaths globally will be caused by CVDs, and that they will become the single leading cause of death by 2030. Empirical evidence suggests that there is socioeconomic patterning in the distribution and prevalence of risk factors for CVD, but the exact nature of this relationship in South Africa remains unclear. Objective. To examine the association between socioeconomic status (SES) and risk factors for CVD in a cohort of adult South Africans living in rural and urban communities. Method. This was a cross-sectional analytical study of baseline data on a population-based cohort of 1 976 SA men and women aged 35 - 70 years who were part of the Cape Town arm of the Prospective Urban and Rural Epidemiology (PURE) Study. Results. We found a complex association between SES and CVD risk factors, its pattern differing between urban and rural participants. Marital status showed the most consistent association with CVD risk in both groups: widowed participants living in urban communities were more likely to be hypertensive as well as diabetic, while single participants in both locations were more likely to use alcohol and tobacco products. Level of education was the only SES variable that had no significant association with any CVD risk factor in either study group. All measured SES variables were significantly different between urban and rural participants ( p |
Databáze: | OpenAIRE |
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