Education and household income and carotid intima-media thickness in Japan: baseline data from the Aidai Cohort Study in Yawatahama, Uchiko, Seiyo, and Ainan

Environmental Health and Preventive Medicine

Eizen Kimura¹  Ryuichi Kawamoto²  Hidenori Senba³  Yoshihiro Miyake⁴  Keiko Tanaka⁴  Bunzo Matsuura⁵  Takashi Higaki⁶  Toyohisa Miyata⁶  Yasuko Hasebe⁷ 

[1] Center for Data Science, Ehime University, Matsuyama, Japan;Department of Medical Informatics, Ehime University Graduate School of Medicine, Toon, Japan;Department of Community Medicine, Ehime University Graduate School of Medicine, Toon, Japan;Department of Epidemiology and Preventive Medicine, Ehime University Graduate School of Medicine, Toon, Japan;Department of Internal Medicine, Matsuyama Shimin Hospital, Matsuyama, Japan;Department of Epidemiology and Preventive Medicine, Ehime University Graduate School of Medicine, Toon, Japan;Research Promotion Unit, Translation Research Center, Ehime University Hospital, Toon, Japan;Center for Data Science, Ehime University, Matsuyama, Japan;Department of Lifestyle-Related Medicine and Endocrinology, Ehime University Graduate School of Medicine, Toon, Japan;Department of Regional Pediatrics and Perinatology, Ehime University Graduate School of Medicine, Toon, Japan;Junpu Health Care Center, Matsuyama, Japan;

关键词: Carotid intima-media thickness;    Cross-sectional study;    Education;    Household income;    Japanese;   

DOI  :  10.1186/s12199-021-01011-6

来源: Springer

【 摘 要 】

BackgroundEpidemiological evidence for the relationship between education and income and carotid intima-media thickness (CIMT) has been limited and inconsistent. The present cross-sectional study investigated this issue using baseline data from the Aidai Cohort Study.MethodsStudy subjects were 2012 Japanese men and women aged 34−88 years. Right and left CIMT were measured at the common carotid artery using an automated carotid ultrasonography device. Maximum CIMT was defined as the largest CIMT value in either the left or right common carotid artery. Carotid wall thickening was defined as a maximum CIMT value > 1.0 mm.ResultsThe prevalence of carotid wall thickening was 13.0%. In participants under 60 years of age (n = 703) and in those aged 60 to 69 years (n = 837), neither education nor household income was associated with carotid wall thickening or with maximum CIMT. Among those aged 70 years or older (n = 472), however, higher educational level, but not household income, was independently related to a lower prevalence of carotid wall thickening: the multivariate-adjusted odds ratio for high vs. low educational level was 0.43 (95% confidence interval 0.21−0.83, p for trend = 0.01). A significant inverse association was observed between education, but not household income, and maximum CIMT (p for trend = 0.006).ConclusionsHigher educational level may be associated with a lower prevalence of carotid wall thickening and a decrease in maximum CIMT only in participants aged 70 years or older.

【 授权许可】

CC BY