Social disadvantage and cardiovascular disease: development of an index and analysis of age, sex, and ethnicity effects
| Autor: | Fahad Razak, Sonia S. Anand, Ruby Jacobs, Salim Yusuf, Albertha Darlene Davis, Vlad Vuksan, Koon K. Teo |
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| Rok vydání: | 2006 |
| Předmět: |
Gerontology
Adult Male medicine.medical_specialty Canada Epidemiology Ethnic group Disease Overweight White People Sex Factors Asian People Risk Factors medicine Humans Risk factor Socioeconomic status Poverty Abdominal obesity Aged Anthropometry business.industry Age Factors General Medicine Middle Aged Health Surveys Socioeconomic Factors Cardiovascular Diseases Indians North American Marital status Female medicine.symptom business Demography |
| Zdroj: | International journal of epidemiology. 35(5) |
| ISSN: | 0300-5771 |
| Popis: | Background Social disadvantage is defined by adverse socio-economic characteristics and is distributed unequally by age, sex, and ethnicity. We studied the relationship between social disadvantage, cardiovascular risk factors, and cardiovascular disease (CVD) among men and women from diverse ethno-racial backgrounds. Methods A total of 1227 men and women of South Asian, Chinese, Aboriginal, and European ancestry were randomly selected from four communities in Canada to undergo a health assessment. Socio-economic factors, conventional and novel CV risk factors, atherosclerosis, and CVD were measured. A social disadvantage index was generated and included employment status, income, and marital status. Social disadvantage was examined in relation to risk factors for CVD, atherosclerosis, and prevalent CVD. Results Social disadvantage was higher among older people, women, and non-white ethnic groups. Cigarette smoking, glucose, overweight, abdominal obesity, and CRP were higher among individuals with higher social disadvantage, whereas systolic blood pressure, lipids, norepinephrine, and atherosclerosis were not. Social disadvantage is an independent predictor of CVD after adjustment for conventional and novel risk markers for CVD (OR for 1 point increase = 1.25; 95% CI 1.06-1.47). Conclusion The social disadvantage index combines social and economic exposures into a single continuous measure. Significant variation in social disadvantage by age, sex, and ethnic group exists. Increased social disadvantage is associated with an increased burden of some CV risk factors, and is an independently associated with CVD. |
| Databáze: | OpenAIRE |
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