Construction and validation of CAPSES scale as a composite indicator of SES for health research: an application to modeling social determinants of cardiovascular diseases

BMC Public Health

Research

Bahman Cheraghian¹  Mohammad Ali Mansournia²  Kazem Mohammad²  Mohsen Asadi-Lari³  Reza Majdzadeh⁴  Saharnaz Nedjat⁵ 

[1] Department of Biostatistics and Epidemiology, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran;Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran;Oncopathology Research Centre, University of Medical Sciences, Tehran, Iran;School of Health and Social Care, University of Essex Colchester, Colchester, UK;School of Public Health, Tehran University of Medical Sciences, Tehran, Iran;

关键词: CAPSES scale;    SES;    Social determinants;    Cardiovascular diseases;    Urban HEART;    Iran;   

DOI  :  10.1186/s12889-023-15206-9

 received in 2022-02-25, accepted in 2023-02-03,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundThe main objective of this study was to construct and validate a composite socioeconomic status indicator containing material capital, human capital, and social capital (CAPSES scale) and also appropriate it for CVDs in a large population-based study.MethodsThis cross-sectional study, the Urban HEART-2 project, was conducted in Tehran, Iran, in 2011. A total of 34,116 households covering 118,542 individuals were assessed in this study. A 14-parts questionnaire was completed for all selected households. All the gathered data were based on the participants’ self-reports. Literacy, wealth index, expenditure, skill level, and Townsend index were used as SES indexes. CVDs, including Hypertension, Myocardial infarction, and stroke, were considered the main outcomes. A structural equation model (SEM) was used to construct a CAPSES scale and a composition index of SES. Criterion validity and Construct validity were used to assess this scale.ResultsA total of 91,830 subjects consisting of 33,884 (49%) men were included in this analysis. The mean age of the participants was 41.5 ± 11.37 years. Among the assessed participants, 5904(6.4%) reported hypertension, 1507(1.6%) myocardial infarction, and 407(0.4%) strokes. The overall weighted prevalence of self-reported cardiovascular events (hypertension, stroke, and MI) was 8.03% (95%CI: 7.8–8.2). Inverse associations were seen between the CAPSES scale and its domains with CVDs, adjusted for sex, age, BMI, smoking, and diabetes by a multiple logistic regression model.ConclusionThe CAPSES scale was significantly associated with stroke and hypertension. Our findings showed that the CAPSES index could be useful for public health research.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

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Fig. 1