Impact of social position on the effect of cardiovascular risk factors on self-rated health.
OBJECTIVES: We assessed the impact of education level on the association between self-rated health and cardiovascular risk factors (blood pressure, glycosylated hemoglobin level, and total cholesterol and triglyceride levels). METHODS: We used data from the National Health and Nutrition Examination...
| Publicado en: | American Journal of Public Health Vol. 99; no. 7; pp. 1278 - 1285 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
American Public Health Association
Jul2009
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105381418&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105381418 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00900036 APH jtl: American Journal of Public Health issn: 00900036 maglogo: N pubinfo: dt: Jul2009 vid: 99 iid: 7 pid: 44 pub: American Public Health Association place: Washington, District of Columbia artinfo: ui: 105381418 42646890 2010342300 10.2105/AJPH.2008.147934 NLM19443823 105381418 ppf: 1278 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Impact of social position on the effect of cardiovascular risk factors on self-rated health. aug: au: Delpierre C Lauwers-Cances V Datta GD Berkman L Lang T affil: Inserm UMR558, Toulouse, France; cyrildelpierre@yahoo.fr sug: subj: Cardiovascular Risk Factors Educational Status Health Status Self Report Social Class Adult Blood Pressure Chi Square Test Cholesterol Blood Comparative Studies Confidence Intervals Correlational Studies Descriptive Statistics Female Glycated Hemoglobin Analysis Logistic Regression Male Multivariate Analysis Odds Ratio P-Value Secondary Analysis Sex Factors Survey Research Triglycerides Blood Human Adult: 19-44 years Female Male ab: OBJECTIVES: We assessed the impact of education level on the association between self-rated health and cardiovascular risk factors (blood pressure, glycosylated hemoglobin level, and total cholesterol and triglyceride levels). METHODS: We used data from the National Health and Nutrition Examination Survey for the years 2001 through 2004 (4015 men and 4066 women). Multivariate analyses were performed with a logistic regression model. RESULTS: After adjustment for age and ethnicity, among women with high glycosylated hemoglobin levels, the most-educated women had poorer self-rated health compared with the least-educated women (odds ratio [OR] = 4.61; 95% confidence interval [CI] = 2.90, 7.34 vs OR = 2.59; 95% CI = 1.60, 4.20, respectively; interaction test, P = 0.06). The same was true among women with high cholesterol levels (OR = 2.23; 95% CI = 1.40, 3.56 vs OR = 1.13; 95% CI = 0.85, 1.49, respectively; interaction test, P = 0.06). Among men, the impact of education level on the association between self-rated health and any cardiovascular risk factors (measured or self-reported) was not significant. CONCLUSIONS: The impact of cardiovascular risk factors on self-rated health was higher for highly educated women, which could lead to underestimation of health inequalities between socioeconomic groups when self-rated health is used as an indicator of objective health. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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