The social patterning of risk factors for noncommunicable diseases in five countries: evidence from the modeling the epidemiologic transition study (METS)

BMC Public Health

Research Article

Walter Riesen¹  Wolfgang Korte¹  Naomi Levitt²  Jacob Plange-Rhule³  Bharathi Viswanathan⁴  Estelle V. Lambert⁵  David Shoham⁶  Lara R. Dugas⁶  Ramon A. Durazo-Arvizu⁶  Liping Tong⁶  Amy Luke⁶  Terrence E. Forrester⁷  Silvia Stringhini⁸  Pascal Bovet⁹ 

[1] Center for Laboratory Medicine, Canton Hospital, St. Gallen, Switzerland;Chronic Disease Initiative in Africa, Department of Medicine, University of CapeTown, Cape Town, South Africa;Kwame Nkrumah University of Science and Technology, Kumasi, Ghana;Ministry of Health, Victoria, Republic of Seychelles;Research Unit for Exercise Science and Sports Medicine, University of Cape Town, Cape Town, South Africa;Stritch School of Medicine, Loyola University Chicago, Maywood, IL, USA;Tropical Medicine Research Institute, University of the West Indies, Mona, Kingston, Jamaica;University Institute of Social and Preventive Medicine (IUMSP), Lausanne University Hospital, Biopôle 2, Route de la Corniche 10, 1010, Lausanne, Switzerland;University Institute of Social and Preventive Medicine (IUMSP), Lausanne University Hospital, Biopôle 2, Route de la Corniche 10, 1010, Lausanne, Switzerland;Ministry of Health, Victoria, Republic of Seychelles;

关键词: Socioeconomic status;    Noncommunicable diseases;    Low and middle income countries;    Smoking;    Physical activity;    Obesity;    Hypertension;    Risk factors;   

DOI  :  10.1186/s12889-016-3589-5

 received in 2016-01-08, accepted in 2016-08-25,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundAssociations between socioeconomic status (SES) and risk factors for noncommunicable diseases (NCD-RFs) may differ in populations at different stages of the epidemiological transition. We assessed the social patterning of NCD-RFs in a study including populations with different levels of socioeconomic development.MethodsData on SES, smoking, physical activity, body mass index, blood pressure, cholesterol and glucose were available from the Modeling the Epidemiologic Transition Study (METS), with about 500 participants aged 25–45 in each of five sites (Ghana, South Africa, Jamaica, Seychelles, United States).ResultsThe prevalence of NCD-RFs differed between these populations from five countries (e.g., lower prevalence of smoking, obesity and hypertension in rural Ghana) and by sex (e.g., higher prevalence of smoking and physical activity in men and of obesity in women in most populations). Smoking and physical activity were associated with low SES in most populations. The associations of SES with obesity, hypertension, cholesterol and elevated blood glucose differed by population, sex, and SES indicator. For example, the prevalence of elevated blood glucose tended to be associated with low education, but not with wealth, in Seychelles and USA. The association of SES with obesity and cholesterol was direct in some populations but inverse in others.ConclusionsIn conclusion, the distribution of NCD-RFs was socially patterned in these populations at different stages of the epidemiological transition, but associations between SES and NCD-RFs differed substantially according to risk factor, population, sex, and SES indicator. These findings emphasize the need to assess and integrate the social patterning of NCD-RFs in NCD prevention and control programs in LMICs.

【 授权许可】

CC BY   
© The Author(s). 2016