| Full text | |
| Author(s): |
Fernando Alberto Costa Cardoso da Silva
[1]
;
Maylla Luanna Barbosa Martins Bragança
[2]
;
Heloisa Bettiol
[3]
;
Viviane Cunha Cardoso
[4]
;
Marco Antonio Barbieri
[5]
;
Antônio Augusto Moura da Silva
[6]
Total Authors: 6
|
| Affiliation: | [1] Universidade Federal do Maranhão. Department of Public Health. Postgraduation Program of Collective Health - Brasil
[2] Universidade Federal do Maranhão. Department of Public Health. Postgraduation Program of Collective Health - Brasil
[3] Universidade de São Paulo. Faculty of Medicine of Ribeirão Preto. Department of Puericulture and Pediatrics - Brasil
[4] Universidade de São Paulo. Faculty of Medicine of Ribeirão Preto. Department of Puericulture and Pediatrics - Brasil
[5] Universidade de São Paulo. Faculty of Medicine of Ribeirão Preto. Department of Puericulture and Pediatrics - Brasil
[6] Universidade Federal do Maranhão. Department of Public Health. Postgraduation Program of Collective Health - Brasil
Total Affiliations: 6
|
| Document type: | Journal article |
| Source: | Revista Brasileira de Epidemiologia; v. 23, 2020-02-21. |
| Abstract | |
ABSTRACT: Introduction: In high-income countries, persons of high socioeconomic status (SES) have a lower cardiovascular risk. However, in middle and low-income countries, the results are controversial. Objective: To evaluate the association between family income and cardiovascular risk factors in young adults. Methods: A total of 2,063 individuals of a birth cohort initiated in 1978/79 in the city of Ribeirão Preto, Brazil, were evaluated at age of 23/25 years. Cardiovascular risk factors (hypertension, sedentary lifestyle, smoking, low high-density lipoprotein (HDL)-cholesterol, high low-density lipoprotein (LDL)-cholesterol, high fibrinogen, insulin resistance, diabetes, abdominal and total obesity, and metabolic syndrome) were evaluated according to family income. Income was assessed in multiples of the minimum wage. Simple Poisson regression models were used to estimate the prevalence ratios (PR) with robust estimation of the variance. Results: High-income women showed lower prevalences of low HDL-cholesterol (PR = 0.47), total obesity (PR = 0.22), abdominal obesity (PR = 0.28), high blood pressure (PR = 0.28), insulin resistance (PR = 0.57), sedentary lifestyle (PR = 0.47), metabolic syndrome (PR = 0.24), and high caloric intake (PR = 0.71) (p < 0.05). High-income men showed lower prevalences of low HDL-cholesterol (PR = 0.73) and sedentarism (PR = 0.81) (p < 0.05). These results may be explained by the fact that high-income women pay more attention to healthy habits and those with the lowest family income are least likely to access health services resources and treatments. Conclusion: Women were in the final phase of the epidemiologic transition, whereas men were in the middle phase. (AU) | |
| FAPESP's process: | 00/09508-7 - From perinatal health to health of the young adult: study of cohort born in 1978/79 in the hospitals of Ribeirão Preto, SP |
| Grantee: | Marco Antonio Barbieri |
| Support Opportunities: | Research Projects - Thematic Grants |