Educational inequalities and cardiovascular risk factors. A cross-sectional population-based study in southern Spain
Autor: | Francisco J. Tinahones, José Miguel Morales-Asencio, Rosa Sanchez Perez, Ildefonso Martos-Cerezuela, Juana Montiel-Murillo, Maria Teresa Moyano-Paris, Rosa Bernal-López, Ricardo Gómez-Huelgas, Antonio J Baca-Osorio, Jose Mancera-Romero, Flores Perez Juncosa |
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Rok vydání: | 2013 |
Předmět: |
Gerontology
Adult Male medicine.medical_specialty Waist Cross-sectional study Health Status Population Health Behavior Psychological intervention Blood Pressure Overweight Body Mass Index Risk Factors medicine Prevalence Humans Obesity education General Nursing education.field_of_study business.industry Public health Smoking Public Health Environmental and Occupational Health Middle Aged Lipids Cross-Sectional Studies Socioeconomic Factors Cardiovascular Diseases Spain Hypertension Population study Educational Status Female medicine.symptom business Body mass index Demography |
Zdroj: | Public health nursing (Boston, Mass.). 30(3) |
ISSN: | 1525-1446 |
Popis: | Objectives To determine the prevalence and distribution of modifiable cardiovascular risk factors focused on educational level differences, in an adult population in Southern Spain. Design and Sample Cross-sectional population-based study. Random sample from the adult population assigned to a Primary Health Care Centre in Malaga (Southern Spain), which attends 38,625 inhabitants. Measures Level of education, physical activity, blood pressure, waist perimeter, body mass index, lipid profile, fasting plasma glucose, among others, were assessed. Results Final sample included 2,270 subjects with a mean age of 43.65 (SD: 16.65), 49.74% male and 50.26% female. 57.6% had none or only primary studies. Overweight was present in 55.8%, smokers were 27.6% and sedentary people 51.9%. Once adjusted by sex and age, all modifiable factors were lower in people with higher education. The highest risks were sedentarism (OR 1.95; 95% CI: 1.16–3.29) and hypertension (OR: 2.07 95% CI: 1.49–2.80) for those with lower education. Conclusions There is a clear inverse gradient of cardiovascular risk factors and educational level in the study population. Public health and community nurses should develop strong interventions for this challenge and extend their influence to public policies focused on educational inequalities and health. |
Databáze: | OpenAIRE |
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