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01.06.2012 | Original Article

Socioeconomic status and incident cardiovascular disease in a developing country: findings from the Isfahan cohort study (ICS)

verfasst von: Farzad Masoudkabir, Nafiseh Toghianifar, Mohammad Talaie, Masoumeh Sadeghi, Nizal Sarrafzadegan, Nooshin Mohammadifard, Tom Marshall, G. Neil Thomas

Erschienen in: International Journal of Public Health | Ausgabe 3/2012

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Abstract

Objectives

We evaluated the association between socioeconomic status (SES) and incident cardiovascular disease (CVD) in a sample of the Iranian population.

Methods

We followed 6,504 participants who were initially free from CVD. At baseline, subjects were assessed for CVD risk factors and self-reported data were obtained for education, occupation, and income.

Results

After 24,379 person-years of follow-up (median = 4.8 years), 276 incident cases of CVD were detected. There was no significant association between the level of education and the incidence of CVD. In univariate analysis, retired individuals showed a significantly higher incidence of CVD than individuals who were working, and subjects in the highest tertile of income were less likely to suffer CVD than those in the lowest tertile. However, the associations disappeared after adjusting for age and sex.

Discussion

There was no detectable, independent association between the SES and incident CVD. The counterbalance of the higher exposure to CVD risk factors and better access to health-care services and more appropriate risk factor modification in higher socioeconomic classes might diminish the association of SES and CVD in developing countries.

Bahonar A, Sarrafzadegan N, Kelishadi R, Shirani S, Ramezani MA, Taghdisi MH, Gharipour M (2011) Association of socioeconomic profiles with cardiovascular risk factors in Iran: the Isfahan Healthy Heart Program. Int J Public Health 56(1):37–44. doi:10.1007/s00038-010-0125-8 PubMedCrossRef

Body mass index and cardiovascular disease risk factors in seven Asian and five Latin American centers: data from the International Clinical Epidemiology Network (INCLEN) (1996). Obes Res 4(3):221–228

Chadha SL, Radhakrishnan S, Ramachandran K, Kaul U, Gopinath N (1990) Epidemiological study of coronary heart disease in urban population of Delhi. Indian J Med Res 92:424–430PubMed

Clark AM, DesMeules M, Luo W, Duncan AS, Wielgosz A (2009) Socioeconomic status and cardiovascular disease: risks and implications for care. Nat Rev Cardiol 6(11):712–722. doi:10.1038/nrcardio.2009.163 PubMedCrossRef

Deans KA, Bezlyak V, Ford I, Batty GD, Burns H, Cavanagh J, de Groot E, McGinty A, Millar K, Shiels PG, Tannahill C, Velupillai YN, Sattar N, Packard CJ (2009) Differences in atherosclerosis according to area level socioeconomic deprivation: cross sectional, population based study. BMJ 339:b4170PubMedCrossRef

Diez-Roux AV, Nieto FJ, Tyroler HA, Crum LD, Szklo M (1995) Social inequalities and atherosclerosis. The atherosclerosis risk in communities study. Am J Epidemiol 141(10):960–972PubMed

Feldman JJ, Makuc DM, Kleinman JC, Cornoni-Huntley J (1989) National trends in educational differentials in mortality. Am J Epidemiol 129(5):919–933PubMed

Friedewald WT, Levy RI, Fredrickson DS (1972) Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. Clin Chem 18(6):499–502PubMed

Goldman N, Turra CM, Rosero-Bixby L, Weir D, Crimmins E (2011) Do biological measures mediate the relationship between education and health: a comparative study. Soc Sci Med 72(2):307–315. doi:10.1016/j.socscimed.2010.11.004 PubMedCrossRef

Gupta R, Kaul V, Agrawal A, Guptha S, Gupta VP (2010) Cardiovascular risk according to educational status in India. Prev Med 51(5):408–411. doi:10.1016/j.ypmed.2010.08.014 PubMedCrossRef

Kaplan GA, Keil JE (1993) Socioeconomic factors and cardiovascular disease: a review of the literature. Circulation 88(4 Pt 1):1973–1998PubMed

Lopez AD (1993) Assessing the burden of mortality from cardiovascular diseases. World Health Stat Q 46(2):91–96PubMed

Lopez AD, Mathers CD, Ezzati M, Jamison DT, Murray CJ (2006) Global and regional burden of disease and risk factors, 2001: systematic analysis of population health data. Lancet 367(9524):1747–1757. doi:10.1016/s0140-6736(06)68770-9 PubMedCrossRef

Mackenbach JP, Cavelaars AE, Kunst AE, Groenhof F (2000) Socioeconomic inequalities in cardiovascular disease mortality: an international study. Eur Heart J 21(14):1141–1151. doi:10.1053/euhj.1999.1990 PubMedCrossRef

Marmot MG, Smith GD, Stansfeld S, Patel C, North F, Head J, White I, Brunner E, Feeney A (1991) Health inequalities among British civil servants: the Whitehall II study. Lancet 337(8754):1387–1393PubMedCrossRef

Nash SD, Cruickshanks KJ, Klein R, Klein BE, Nieto FJ, Ryff CD, Krantz EM, Shubert CR, Nondahl DM, Acher CW (2011) Socioeconomic status and subclinical atherosclerosis in older adults. Prev Med 52(3–4):208–212. doi:10.1016/j.ypmed.2010.12.009 PubMed

Okrainec K, Banerjee DK, Eisenberg MJ (2004) Coronary artery disease in the developing world. Am Heart J 148(1):7–15. doi:10.1016/j.ahj.2003.11.027 PubMedCrossRef

Omran AR (2005) The epidemiologic transition: a theory of the epidemiology of population change. 1971. Milbank Q 83(4):731–757. doi:10.1111/j.1468-0009.2005.00398.x

Reddy KS (1993) Cardiovascular diseases in India. World Health Stat Q 46(2):101–107PubMed

Rose G, Marmot MG (1981) Social class and coronary heart disease. Br Heart J 45(1):13–19PubMedCrossRef

Rosero-Bixby L, Dow WH (2009) Surprising SES gradients in mortality, health, and biomarkers in a Latin American population of adults. J Gerontol B Psychol Sci Soc Sci 64(1):105–117. doi:10.1093/geronb/gbn004 PubMedCrossRef

Sarrafzadegan N, Talaei M, Sadeghi M, Kelishadi R, Oveisgharan S, Mohammadifard N, Sajjadieh AR, Kabiri P, Marshall T, Thomas GN, Tavasoli A (2010) The Isfahan cohort study: rationale, methods and main findings. J Hum Hypertens. doi:10.1038/jhh.2010.99 PubMed

Sarrafzadegan N, Sadri G, Malek Afzali H, Baghaei M, Mohammadi Fard N, Shahrokhi S, Tolooie H, Poormoghaddas M, Sadeghi M, Tavassoli A, Rafiei M, Kelishadi R, Rabiei K, Bashardoost N, Boshtam M, Asgary S, Naderi G, Changiz T, Yousefie A (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(4):309–320CrossRef

Smith KV, Goldman N (2007) Socioeconomic differences in health among older adults in Mexico. Soc Sci Med 65(7):1372–1385. doi:10.1016/j.socscimed.2007.05.023 PubMedCrossRef

Terris M (1999) The development and prevention of cardiovascular disease risk factors: socioenvironmental influences. Prev Med 29(6 Pt 2):S11–S17. doi:10.1006/pmed.1998.0476 PubMedCrossRef

Wild S, Roglic G, Green A, Sicree R, King H (2004) Global prevalence of diabetes: estimates for the year 2000 and projections for 2030. Diabetes Care 27(5):1047–1053PubMedCrossRef

Yeh LL, Kuller LH, Bunker CH, Ukoli FA, Huston SL, Terrell DF (1996) The role of socioeconomic status and serum fatty acids in the relationship between intake of animal foods and cardiovascular risk factors. Ann Epidemiol 6(4):290–298PubMedCrossRef

Yusuf S, Reddy S, Ounpuu S, Anand S (2001) Global burden of cardiovascular diseases: part I: general considerations, the epidemiologic transition, risk factors, and impact of urbanization. Circulation 104(22):2746–2753PubMedCrossRef

Titel: Socioeconomic status and incident cardiovascular disease in a developing country: findings from the Isfahan cohort study (ICS)
verfasst von: Farzad Masoudkabir
Nafiseh Toghianifar
Mohammad Talaie
Masoumeh Sadeghi
Nizal Sarrafzadegan
Nooshin Mohammadifard
Tom Marshall
G. Neil Thomas
Publikationsdatum: 01.06.2012
Verlag: SP Birkhäuser Verlag Basel
Erschienen in: International Journal of Public Health / Ausgabe 3/2012
Print ISSN: 1661-8556
Elektronische ISSN: 1661-8564
DOI: https://doi.org/10.1007/s00038-012-0344-2

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Socioeconomic status and incident cardiovascular disease in a developing country: findings from the Isfahan cohort study (ICS)

Abstract

Objectives

Methods

Results

Discussion

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Springer Medizin

Abstract

Objectives

Methods

Results

Discussion

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