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首页> 外文期刊>BMJ Open >Association of socioeconomic status measured by education, and cardiovascular health: a population-based cross-sectional study
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Association of socioeconomic status measured by education, and cardiovascular health: a population-based cross-sectional study

机译：通过教育和心血管健康衡量的社会经济地位关联：一项基于人群的横断面研究

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Objective Cardiovascular health (CVH) is a relatively new concept defined by the American Heart Association (AHA). The aim of the present study was to assess whether the indices of CVH were discriminators of socioeconomic status (SES) in the adult population of the Republic of Srpska (RS). Design Population-based cross-sectional study. Setting RS, Bosnia and Herzegovina. Participants The study involved 4165 adults aged ≥18?years (mean age 50.2; 54% women) who participated in the National Health Survey performed from September to November 2010 in the RS. Study variables Participant's education was a proxy for SES. Potential discriminators of SES were indices of CVH presented according to AHA as: ideal health behaviours index (non-smoking, body mass index 25?kg/m2, physical activity at goal level and healthy diet); ideal health factors index (untreated total cholesterol 200?mg/dL, untreated blood pressure 120/80?mm?Hg, untreated fasting glucose 100?mg/dL and non-smoking); and ideal CVH status (defined as all seven ideal health metrics present) versus intermediate and poor CVH status. Results Participants with high educational levels had a significantly greater number of ideal CVH metrics, and ideal health factor metrics compared with those with low or medium educational level (OR 0.88 95% CI 0.77 to 0.99 and OR 0.88 95% CI 0.80 to 0.96; OR 0.81 95% CI 0.69 to 0.96 and OR 0.77 95% CI 0.68 to 0.87; respectively). The number of ideal behaviour metrics was not a discriminator of educational groups. Concerning the categories of CVH status the poor CVH was a discriminator for low and medium education compared with those with high education (OR 1.93 95% CI 1.24 to 3.01 and OR 1.54 95% CI 1.08 to 2.19, respectively). Conclusions Our findings emphasise the large potential for preventing cardiovascular disease, showing a low proportion with a favourable CVH profile, especially among low-educated people. It is necessary to consider prevention strategies aimed at improving CVH in RS, targeting primarily low educational groups.
机译：客观心血管健康（CVH）是美国心脏协会（AHA）定义的一个相对较新的概念。本研究的目的是评估CVH指数是否是斯普斯卡共和国（RS）成年人口的社会经济地位（SES）的判别因素。设计基于人群的横断面研究。设置RS，波斯尼亚和黑塞哥维那。参与者该研究涉及4165名年龄≥18岁的成年人（平均年龄50.2; 54％为女性），他们参加了2010年9月至11月在RS中进行的国家健康调查。研究变量参加者的教育是SES的代理。 SES的潜在区分因素是根据AHA提出的CVH指数：理想健康行为指数（禁烟，体重指数<25？kg / m 2 ，目标水平的体育锻炼和健康饮食） ;理想的健康因素指数（未经治疗的总胆固醇<200？mg / dL，未经治疗的血压<120 / <80？mm？Hg，未经治疗的空腹血糖<100？mg / dL和禁止吸烟）;以及理想的CVH状态（定义为存在的所有七个理想健康指标）与中等和差的CVH状态。结果与受教育程度较低或中等的参与者相比，受教育程度较高的参与者的理想CVH指标和理想健康因子指标的数量要多得多（OR 0.88 95％CI 0.77至0.99和OR 0.88 95％CI 0.80至0.96; OR分别为0.81 95％CI 0.69至0.96和OR 0.77 95％CI 0.68至0.87）。理想行为指标的数量不能区分教育群体。关于CVH状态的类别，较差的CVH是高中文化程度的中低差异（OR 1.93 95％CI 1.24至3.01和OR 1.54 95％CI 1.08至2.19）。结论我们的研究结果强调了预防心血管疾病的巨大潜力，尤其是在低学历人群中，心血管疾病的发病率低，CVH水平良好。必须考虑主要针对低学历人群的旨在提高RS中CVH的预防策略。

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