Skip to main content
Erschienen in: International Journal of Public Health 1/2011

01.02.2011 | Original Article

Association of socioeconomic profiles with cardiovascular risk factors in Iran: the Isfahan Healthy Heart Program

verfasst von: Ahmad Bahonar, Nizal Sarrafzadegan, Roya Kelishadi, Shahin Shirani, Mohammad Arash Ramezani, Mohammad Hossein Taghdisi, Mojgan Gharipour

Erschienen in: International Journal of Public Health | Ausgabe 1/2011

Einloggen, um Zugang zu erhalten

Abstract

Objectives

To determine the relationship between socioeconomic status (SES) and cardiovascular disease (CVD) risk factors.

Methods

A representative sample of adult populations living in three cities in Iran was studied. The demographic and subjective data were collected by questionnaires prepared and validated for this study; physical examination and laboratory tests were conducted under standard protocols. Three components of SES including education, occupation, and income were determined. The univariate ANOVA was used for statistical analysis.

Results

The population studied (99.3% response rate) comprised 12,514 subjects (51% females, mean age 38.4 ± 14.3 years). While higher education was a protective factor against smoking in men OR = 0.8 (95% CI = 0.7–0.8), it increased the risk of smoking in women OR = 1.2(95% CI = 1.02–1.5). The other risk factors increased with education especially in men. Higher income level increased the OR of CVD risk factors. Occupation had an inverse association with the aforementioned risk factors. The employed individuals had higher serum lipid level and body mass index than unemployed individual.

Conclusion

In line with previous studies, we found an association between SES and CVD risk factors. Education level was the strongest associated factor.
Literatur
Zurück zum Zitat Ball K, Crawford D (2005) Socioeconomic status and weight change in adults: a review. Soc Sci Med 60:1987–2010CrossRefPubMed Ball K, Crawford D (2005) Socioeconomic status and weight change in adults: a review. Soc Sci Med 60:1987–2010CrossRefPubMed
Zurück zum Zitat Bobak M, Hertzman C, Skodova Z, Marmot M (1999) Socioeconomic status and cardiovascular risk factors in the Czech Republic. Int J Epidemiol 28:46–52CrossRefPubMed Bobak M, Hertzman C, Skodova Z, Marmot M (1999) Socioeconomic status and cardiovascular risk factors in the Czech Republic. Int J Epidemiol 28:46–52CrossRefPubMed
Zurück zum Zitat Engstrom G, Hedblad B, Rosvall M, Janzon L, Lindgarde F (2006) Occupation, marital status, and low-grade inflammation: mutual confounding or independent cardiovascular risk factors? Arterioscler Thromb Vasc Biol 26:643–648CrossRefPubMed Engstrom G, Hedblad B, Rosvall M, Janzon L, Lindgarde F (2006) Occupation, marital status, and low-grade inflammation: mutual confounding or independent cardiovascular risk factors? Arterioscler Thromb Vasc Biol 26:643–648CrossRefPubMed
Zurück zum Zitat Ezeamama AE, Viali S, Tuitele J, McGarvey ST (2006) The influence of socioeconomic factors on cardiovascular disease risk factors in the context of economic development in the Samoan archipelago. Soc Sci Med 63:2533–2545CrossRefPubMed Ezeamama AE, Viali S, Tuitele J, McGarvey ST (2006) The influence of socioeconomic factors on cardiovascular disease risk factors in the context of economic development in the Samoan archipelago. Soc Sci Med 63:2533–2545CrossRefPubMed
Zurück zum Zitat Friedwald WT, Levy RI, Fredrickson DS (1972) Estimation of the concentration of low density lipoprotein cholesterol in plasma without use of the prepatative ultracentrifuge. Clin Chem 18:499–502 Friedwald WT, Levy RI, Fredrickson DS (1972) Estimation of the concentration of low density lipoprotein cholesterol in plasma without use of the prepatative ultracentrifuge. Clin Chem 18:499–502
Zurück zum Zitat Gregory CO, Dai J, Ramirez-Zea M, Stein AD (2007) Occupation is more important than rural or urban residence in explaining the prevalence of metabolic and cardiovascular disease risk in Guatemalan adults. J Nutr 137:1314–1319PubMed Gregory CO, Dai J, Ramirez-Zea M, Stein AD (2007) Occupation is more important than rural or urban residence in explaining the prevalence of metabolic and cardiovascular disease risk in Guatemalan adults. J Nutr 137:1314–1319PubMed
Zurück zum Zitat Helmert U, Shea S, Bammann K (1997) The impact of occupation on self-reported cardiovascular morbidity in western Germany: gender differences. Rev Environ Health 12:25–42PubMed Helmert U, Shea S, Bammann K (1997) The impact of occupation on self-reported cardiovascular morbidity in western Germany: gender differences. Rev Environ Health 12:25–42PubMed
Zurück zum Zitat Huisman M, Kunst AE, Bopp M et al (2005) Educational inequalities in cause-specific mortality in middle-aged and older men and women in eight Western European populations. Lancet 365:493–500PubMed Huisman M, Kunst AE, Bopp M et al (2005) Educational inequalities in cause-specific mortality in middle-aged and older men and women in eight Western European populations. Lancet 365:493–500PubMed
Zurück zum Zitat Kaplan GA, Keil JE (1993) Socioeconomic factors and cardiovascular disease: a review of the literature. Circulation 88:1973–1998PubMed Kaplan GA, Keil JE (1993) Socioeconomic factors and cardiovascular disease: a review of the literature. Circulation 88:1973–1998PubMed
Zurück zum Zitat Lagro-Janssen T, Lo Fo Wong S, van den Muijsenbergh M (2008) The importance of gender in health problems. Eur J Gen Pract 14:33–37CrossRefPubMed Lagro-Janssen T, Lo Fo Wong S, van den Muijsenbergh M (2008) The importance of gender in health problems. Eur J Gen Pract 14:33–37CrossRefPubMed
Zurück zum Zitat Luoto R, Pekkanen J, Uutela A, Tuomilehto J (1994) Cardiovascular risks and socioeconomic status: differences between men and women in Finland. J Epidemiol Community Health 48:348–354CrossRefPubMed Luoto R, Pekkanen J, Uutela A, Tuomilehto J (1994) Cardiovascular risks and socioeconomic status: differences between men and women in Finland. J Epidemiol Community Health 48:348–354CrossRefPubMed
Zurück zum Zitat Malyutina S, Bobak M, Simonova G et al (2004) Education, marital status, and total and cardiovascular mortality in Novosibirsk, Russia: a prospective cohort study. Ann Epidemiol 14:244–249CrossRefPubMed Malyutina S, Bobak M, Simonova G et al (2004) Education, marital status, and total and cardiovascular mortality in Novosibirsk, Russia: a prospective cohort study. Ann Epidemiol 14:244–249CrossRefPubMed
Zurück zum Zitat McFadden E, Luben R, Wareham N et al (2008) Occupational social class, educational level, smoking and body mass index, and cause-specific mortality in men and women: a prospective study in the European Prospective Investigation of Cancer and Nutrition in Norfolk (EPIC-Norfolk) cohort. Eur J Epidemiol 23:511–522CrossRefPubMed McFadden E, Luben R, Wareham N et al (2008) Occupational social class, educational level, smoking and body mass index, and cause-specific mortality in men and women: a prospective study in the European Prospective Investigation of Cancer and Nutrition in Norfolk (EPIC-Norfolk) cohort. Eur J Epidemiol 23:511–522CrossRefPubMed
Zurück zum Zitat Mensah GA (2005) Eliminating disparities in cardiovascular health: six strategic imperatives and a framework for action. Circulation 111:1332–1336CrossRefPubMed Mensah GA (2005) Eliminating disparities in cardiovascular health: six strategic imperatives and a framework for action. Circulation 111:1332–1336CrossRefPubMed
Zurück zum Zitat Mensah GA, Mokdad AH, Ford ES et al (2005) State of disparities in cardiovascular health in the United States. Circulation 111:1233–1241CrossRefPubMed Mensah GA, Mokdad AH, Ford ES et al (2005) State of disparities in cardiovascular health in the United States. Circulation 111:1233–1241CrossRefPubMed
Zurück zum Zitat Panagiotakos DB, Pitsavos C, Chrysohoou C et al (2008) The effect of clinical characteristics and dietary habits on the relationship between education status and 5-year incidence of cardiovascular disease: the ATTICA study. Eur J Nutr 47:258–265CrossRefPubMed Panagiotakos DB, Pitsavos C, Chrysohoou C et al (2008) The effect of clinical characteristics and dietary habits on the relationship between education status and 5-year incidence of cardiovascular disease: the ATTICA study. Eur J Nutr 47:258–265CrossRefPubMed
Zurück zum Zitat Pearson TA (2003) Education and income: double-edged swords in the epidemiologic transition of cardiovascular disease. Ethn Dis 13:S158–S163PubMed Pearson TA (2003) Education and income: double-edged swords in the epidemiologic transition of cardiovascular disease. Ethn Dis 13:S158–S163PubMed
Zurück zum Zitat Pilote L, Dasgupta K, Guru V et al (2007) A comprehensive view of sex-specific issues related to cardiovascular disease. CMAJ 176:S1–S44PubMed Pilote L, Dasgupta K, Guru V et al (2007) A comprehensive view of sex-specific issues related to cardiovascular disease. CMAJ 176:S1–S44PubMed
Zurück zum Zitat Pollitt RA, Rose KM, Kaufman JS (2005) Evaluating the evidence for models of life course socioeconomic factors and cardiovascular outcomes: a systematic review. BMC Public Health 20:5–7 Pollitt RA, Rose KM, Kaufman JS (2005) Evaluating the evidence for models of life course socioeconomic factors and cardiovascular outcomes: a systematic review. BMC Public Health 20:5–7
Zurück zum Zitat Potvin L, Richard L, Edwards AC (2000) Knowledge of cardiovascular disease risk factors among the Canadian population: relationships with indicators of socioeconomic status. CMAJ 162:S5–S11CrossRefPubMed Potvin L, Richard L, Edwards AC (2000) Knowledge of cardiovascular disease risk factors among the Canadian population: relationships with indicators of socioeconomic status. CMAJ 162:S5–S11CrossRefPubMed
Zurück zum Zitat Rafiei M, Boshtam M, Sarrafzadegan N (1999) Lipid profile in Isfahan population: an Isfahan cardiovascular risk factor survey, 1994. East Mediterrean Health J 5:766–777 Rafiei M, Boshtam M, Sarrafzadegan N (1999) Lipid profile in Isfahan population: an Isfahan cardiovascular risk factor survey, 1994. East Mediterrean Health J 5:766–777
Zurück zum Zitat Roohafza HR, Sadeghi M, Kelishadi R (2005) Cardiovascular risk factors in Iranian adults according to educational levels: Isfahan Healthy Heart Program. Asia Pac J Public Health 17:9–14CrossRefPubMed Roohafza HR, Sadeghi M, Kelishadi R (2005) Cardiovascular risk factors in Iranian adults according to educational levels: Isfahan Healthy Heart Program. Asia Pac J Public Health 17:9–14CrossRefPubMed
Zurück zum Zitat Sarrafzadegan N, Baghaei A, Sadri Gh et al (2006) Isfahan Healthy Heart Program: evaluation of comprehensive, community-based interventions for non- communicable disease prevention. Prev Control 2:73–84CrossRef Sarrafzadegan N, Baghaei A, Sadri Gh et al (2006) Isfahan Healthy Heart Program: evaluation of comprehensive, community-based interventions for non- communicable disease prevention. Prev Control 2:73–84CrossRef
Zurück zum Zitat Sarrafzadegan N, Kelishadi R, Esmaillzadeh A et al (2009) Do lifestyle interventions work in developing countries? Findings from the Isfahan Healthy Heart Program in the Islamic Republic of Iran. Bull World Health Organ 87:39–50CrossRefPubMed Sarrafzadegan N, Kelishadi R, Esmaillzadeh A et al (2009) Do lifestyle interventions work in developing countries? Findings from the Isfahan Healthy Heart Program in the Islamic Republic of Iran. Bull World Health Organ 87:39–50CrossRefPubMed
Zurück zum Zitat Sarraf-Zadegan N, Sadri G, Malek Afzali H et al (2003) Isfahan Healthy Heart Programme: a comprehensive integrated community-based programme for cardiovascular disease prevention and control; design, methods and initial experience. Acta Cardiol 58:309–320CrossRefPubMed Sarraf-Zadegan N, Sadri G, Malek Afzali H et al (2003) Isfahan Healthy Heart Programme: a comprehensive integrated community-based programme for cardiovascular disease prevention and control; design, methods and initial experience. Acta Cardiol 58:309–320CrossRefPubMed
Zurück zum Zitat Schroder H, Rohlfs I, Schmelz EM, Marrugat J (2004) Relationship of socioeconomic status with cardiovascular risk factors and lifestyle in a Mediterranean population. Eur J Nutr 43:77–85CrossRefPubMed Schroder H, Rohlfs I, Schmelz EM, Marrugat J (2004) Relationship of socioeconomic status with cardiovascular risk factors and lifestyle in a Mediterranean population. Eur J Nutr 43:77–85CrossRefPubMed
Zurück zum Zitat Schulz AJ, House JS, Israel BA et al (2008) Relational pathways between socioeconomic position and cardiovascular risk in a multiethnic urban sample: complexities and their implications for improving health in economically disadvantaged populations. J Epidemiol Community Health 62:638–646CrossRefPubMed Schulz AJ, House JS, Israel BA et al (2008) Relational pathways between socioeconomic position and cardiovascular risk in a multiethnic urban sample: complexities and their implications for improving health in economically disadvantaged populations. J Epidemiol Community Health 62:638–646CrossRefPubMed
Zurück zum Zitat Skodova Z, Nagyova I, van Dijk JP et al (2009) Socioeconomic inequalities in quality of life and psychological outcomes among cardiac patients. Int J Public Health 54:233–240CrossRefPubMed Skodova Z, Nagyova I, van Dijk JP et al (2009) Socioeconomic inequalities in quality of life and psychological outcomes among cardiac patients. Int J Public Health 54:233–240CrossRefPubMed
Zurück zum Zitat Stelmach W, Kaczmarczyk-Chalas K, Bielecki W et al (2004) How income and education contribute to risk factors for cardiovascular disease in the elderly in a former Communist country. Public Health 118:439–449CrossRefPubMed Stelmach W, Kaczmarczyk-Chalas K, Bielecki W et al (2004) How income and education contribute to risk factors for cardiovascular disease in the elderly in a former Communist country. Public Health 118:439–449CrossRefPubMed
Zurück zum Zitat Stelmach W, Kaczmarczyk-Chalas K, Bielecki W, Drygas W (2005) How education, income, control over life and life style contribute to risk factors for cardiovascular disease among adults in a post-communist country. Public Health 119:498–508CrossRefPubMed Stelmach W, Kaczmarczyk-Chalas K, Bielecki W, Drygas W (2005) How education, income, control over life and life style contribute to risk factors for cardiovascular disease among adults in a post-communist country. Public Health 119:498–508CrossRefPubMed
Zurück zum Zitat Stoverinck MJ, Lagro-Janssen AL, Weel CV (1996) Sex differences in health problems, diagnostic testing, and referral in primary care. J Fam Pract 43:567–576PubMed Stoverinck MJ, Lagro-Janssen AL, Weel CV (1996) Sex differences in health problems, diagnostic testing, and referral in primary care. J Fam Pract 43:567–576PubMed
Zurück zum Zitat Thelle DS (1999) The influence of socioeconomic status on cardiovascular diseases. G Ital Cardiol 29:680–683PubMed Thelle DS (1999) The influence of socioeconomic status on cardiovascular diseases. G Ital Cardiol 29:680–683PubMed
Zurück zum Zitat Tyroler HA (1999) The influence of socioeconomic factors on cardiovascular disease risk factor development. Prev Med 29:S36–S40CrossRefPubMed Tyroler HA (1999) The influence of socioeconomic factors on cardiovascular disease risk factor development. Prev Med 29:S36–S40CrossRefPubMed
Zurück zum Zitat Vartiainen E, Pekkanen J, Koskinen S et al (1998) Do changes in cardiovascular risk factors explain the increasing socioeconomic difference in mortality from ischaemic heart disease in Finland? J Epidemiol Community Health 52:416–419CrossRefPubMed Vartiainen E, Pekkanen J, Koskinen S et al (1998) Do changes in cardiovascular risk factors explain the increasing socioeconomic difference in mortality from ischaemic heart disease in Finland? J Epidemiol Community Health 52:416–419CrossRefPubMed
Zurück zum Zitat Winkleby MA, Jatulis DE, Frank E, Fortmann SP (1992) Socioeconomic status and health: how education, income, and occupation contribute to risk factors for cardiovascular disease. Am J Public Health 82:816–882CrossRefPubMed Winkleby MA, Jatulis DE, Frank E, Fortmann SP (1992) Socioeconomic status and health: how education, income, and occupation contribute to risk factors for cardiovascular disease. Am J Public Health 82:816–882CrossRefPubMed
Zurück zum Zitat Wong SL, Donnan SP (1992) Influence of socioeconomic status on cardiovascular diseases in Hong Kong. J Epidemiol Community Health 46:148–150CrossRefPubMed Wong SL, Donnan SP (1992) Influence of socioeconomic status on cardiovascular diseases in Hong Kong. J Epidemiol Community Health 46:148–150CrossRefPubMed
Metadaten
Titel
Association of socioeconomic profiles with cardiovascular risk factors in Iran: the Isfahan Healthy Heart Program
verfasst von
Ahmad Bahonar
Nizal Sarrafzadegan
Roya Kelishadi
Shahin Shirani
Mohammad Arash Ramezani
Mohammad Hossein Taghdisi
Mojgan Gharipour
Publikationsdatum
01.02.2011
Verlag
SP Birkhäuser Verlag Basel
Erschienen in
International Journal of Public Health / Ausgabe 1/2011
Print ISSN: 1661-8556
Elektronische ISSN: 1661-8564
DOI
https://doi.org/10.1007/s00038-010-0125-8

Weitere Artikel der Ausgabe 1/2011

International Journal of Public Health 1/2011 Zur Ausgabe

Acknowledgement

Acknowledgement