期刊论文详细信息
BMC Public Health
Socioeconomic status and metabolic syndrome in the general population of China: a cross-sectional study
Dayi Hu1  Lijun Zhang2  Yuanyuan Fu1  Rongjing Ding1  Junling Gao2  Ruoqing Chen2  Jinming Yu2  Yiqiang Zhan2 
[1] Heart Center, Peking University People’s Hospital, Beijing, 100044, PR, China;Institute of Clinical Epidemiology, Key Laboratory of Public Health Safety (Ministry of Education), Fudan University, Shanghai, 200032, PR, China
关键词: Cross-sectional study;    Metabolic syndrome;    Socioeconomic status;   
Others  :  1162914
DOI  :  10.1186/1471-2458-12-921
 received in 2012-03-14, accepted in 2012-10-02,  发布年份 2012
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【 摘 要 】

Background

Individual socioeconomic status (SES) has been found to be associated with cardiovascular diseases in developed countries, but the association between individual SES and metabolic syndrome (MetS) is still unclear in China. The objective of this study was to investigate the association between individual SES and MetS in China.

Methods

A cross-sectional study of 10054 community residents was performed from May to August 2007 using multistage stratified random sampling. SES was assessed in terms of education, personal monthly income, and household monthly income. The association between SES and MetS was determined by logistic regression models.

Results

After the adjustments regarding age, marital status, smoking, drinking, physical activity, body mass index (BMI), and community type, odds ratios (ORs) for MetS of individuals with education level of 7~12 years and >12 years were 0.87 (95% confidence interval [CI]: 0.75 to 0.99) and 0.83 (95% CI: 0.62 to 0.91) respectively compared with those with education level of <7 years in women. Following the adjustments as above, ORs for MetS of individuals with household monthly income level of middle and higher were 0.94 (95% CI: 0.86 to 0.97), and 0.72 (95% CI: 0.65 to 0.88) respectively compared with those with lower household monthly income level in women. The association between SES and MetS was not significant in men.

Conclusions

Gender had an influence on the association between individual SES and MetS. Lower education and household monthly income level were associated with higher risk of MetS among community residents in women, while such association was not significant in men.

【 授权许可】

   
2012 Zhan et al.; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]Clark AM, DesMeules M, Luo W, Duncan AS, Wielgosz A: Socioeconomic status and cardiovascular disease: risks and implications for care. Nat Rev Cardiol 2009, 6(11):712-722.
  • [2]Steptoe A, Shamaei-Tousi A, Gylfe A, Henderson B, Bergstrom S, Marmot M: Socioeconomic status, pathogen burden and cardiovascular disease risk. Heart 2007, 93(12):1567-1570.
  • [3]Connolly VM, Kesson CM: Socioeconomic status and clustering of cardiovascular disease risk factors in diabetic patients. Diabetes Care 1996, 19(5):419-422.
  • [4]Leyland AH: Socioeconomic gradients in the prevalence of cardiovascular disease in Scotland: the roles of composition and context. J Epidemiol Community Health 2005, 59(9):799-803.
  • [5]Park MJ, Yun KE, Lee GE, Cho HJ, Park HS: A cross-sectional study of socioeconomic status and the metabolic syndrome in Korean adults. Ann Epidemiol 2007, 17(4):320-326.
  • [6]Lucove JC, Kaufman JS, James SA: Association between adult and childhood socioeconomic status and prevalence of the metabolic syndrome in African Americans: The Pitt County Study. Am J Public Health 2007, 97(2):234-236.
  • [7]Matthews KA, Raikkonen K, Gallo L, Kuller LH: Association between socioeconomic status and metabolic syndrome in women: Testing the reserve capacity model. Health Psychol 2008, 27(5):576-583.
  • [8]Li JB, Wang X, Zhang JX, Gu P, Zhang X, Chen CX, Guo R, Wu M: Metabolic syndrome: prevalence and risk factors in southern China. J Int Med Res 2010, 38(3):1142-1148.
  • [9]Wang W, Kong J, Sun J, Wang CY, Chen HY, Jiang YF, Feng XW, He SM, Niu JQ: Epidemiological investigation of metabolic syndrome and analysis of relevant factors in north-eastern China. J Int Med Res 2010, 38(1):150-159.
  • [10]Zuo H, Shi Z, Hu X, Wu M, Guo Z, Hussain A: Prevalence of metabolic syndrome and factors associated with its components in Chinese adults. Metabolism 2009, 58(8):1102-1108.
  • [11]Brunner EJ, Marmot MG, Nanchahal K, Shipley MJ, Stansfeld SA, Juneja M, Alberti KG: Social inequality in coronary risk: central obesity and the metabolic syndrome. Evidence from the Whitehall II study. Diabetologia 1997, 40(11):1341-1349.
  • [12]Ferguson TS, Tulloch-Reid MK, Younger NO, Knight-Madden JM, Samms-Vaughan M, Ashley D, Van den Broeck J, Wilks RJ: Prevalence of the metabolic syndrome and its components in relation to socioeconomic status among Jamaican young adults: a cross-sectional study. BMC Public Health 2010, 10:307. BioMed Central Full Text
  • [13]Mangat C, Goel NK, Walia DK, Agarwal N, Sharma MK, Kaur J, Singh R, Singh G: Metabolic syndrome: a challenging health issue in highly urbanized Union Territory of north India. Diabetol Metab Syndr 2010, 2:19. BioMed Central Full Text
  • [14]Gu DF, Reynolds K, Wu XG, Chen F, Duan XF, Reynolds RF, Whelton PK, He J, Grp IC: Prevalence of the metabolic syndrome and overweight among adults in China. Lancet 2005, 365(9468):1398-1405.
  • [15]Russo C, Jin ZZ, Homma S, Rundek T, Elkind MSV, Sacco RL, Di Tullio MR: Effect of diabetes and hypertension on left ventricular diastolic function in a high-risk population without evidence of heart disease. Eur J Heart Fail 2010, 12(5):454-461.
  • [16]Liu SQ, He K, Yao CH, Zeng ZC: Prevalence of the Metabolic Syndrome and Overweight Among Chinese Adults: 2002 China National Nutrition and Health Survey. Circulation 2009, 119(10):E342-E342.
  • [17]Xu WH, Ruan XN, Fu XJ, Zhu QL, Zhang H, Bai Y, Wu HY, Zhou Y, Qiu H, Sun Q, et al.: Prevalence of the metabolic syndrome in Pudong New Area of Shanghai using three proposed definitions among Chinese adults. BMC Public Health 2010, 10:246. BioMed Central Full Text
  • [18]National Cholesterol Education Program Coordinating Committee: Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) final report. Circulation 2002, 106(25):3143-3421.
  • [19]Santos AC, Ebrahim S, Barros H: Gender, socio-economic status and metabolic syndrome in middle-aged and old adults. BMC Public Health 2008, 8:62. BioMed Central Full Text
  • [20]Wang Z, Zhai F, Du S, Popkin B: Dynamic shifts in Chinese eating behaviors. Asia Pac J Clin Nutr 2008, 17(1):123-130.
  • [21]Winkleby MA, Jatulis DE, Frank E, Fortmann SP: Socioeconomic status and health: how education, income, and occupation contribute to risk factors for cardiovascular disease. Am J Public Health 1992, 82(6):816-820.
  • [22]Guo C, Min W: Education and intergenerational income mobility in urban China. Front Educ China 2008, 3(1):22-44.
  • [23]Backlund E, Rowe G, Lynch J, Wolfson MC, Kaplan GA, Sorlie PD: Income inequality and mortality: a multilevel prospective study of 521 248 individuals in 50 US states. Int J Epidemiol 2007, 36(3):590-596.
  • [24]Dowd JB, Albright J, Raghunathan TE, Schoeni RF, Leclere F, Kaplan GA: Deeper and wider: income and mortality in the USA over three decades. Int J Epidemiol 2011, 40(1):183-188.
  • [25]Li H, Zhu Y: Income, income inequality, and health: Evidence from China. J Comp Econ 2006, 34(4):668-693.
  • [26]Zhongwei Z: Income Inequality, Unequal Health Care Access, and Mortality in China. Popul Dev Rev 2006, 32:461-483.
  • [27]Cohen S, Doyle WJ, Baum A: Socioeconomic status is associated with stress hormones. Psychosom Med 2006, 68(3):414-420.
  • [28]Whitworth JA, Mangos GJ, Kelly JJ: Cushing, cortisol, and cardiovascular disease. Hypertension 2000, 36(5):912-916.
  • [29]Thurston RC, Kubzansky LD, Kawachi I, Berkman LF: Is the association between socioeconomic position and coronary heart disease stronger in women than in men? Am J Epidemiol 2005, 162(1):57-65.
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