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首页> 外文期刊>Annals of epidemiology >Socioeconomic mobility in adulthood and cardiovascular disease mortality
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Socioeconomic mobility in adulthood and cardiovascular disease mortality

机译：成年时期的社会经济流动性和心血管疾病死亡率

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Purpose: Life course models suggest that socioeconomic mobility is associated with decreased cardiovascular disease (CVD) mortality risk. We examined adult socioeconomic mobility measured by household income in relation to CVD mortality risk among older adults. Methods: Data from 2691 (nmen = 1157; nwomen = 1534) Alameda County Study respondents in 1994 were used in these analyses. Latent growth curve models were used to identify income patterns from 1965 to 1994. Results: Income patterns were categorized as consistently low, moderately low, increasing, and high. Bivariate models showed that membership in the increasing compared with high pattern was associated with decreased hazards of CVD mortality (hazard ratio, 0.15; 95% confidence interval [CI], 0.04-0.53). Controlling for age, race/ethnicity, marital status, and gender, respondents in the consistently low (HR, 2.1; 95% CI, 1.5-3.1) and high pattern (HR, 2.2; 95% CI, 1.1-4.2) had increased hazards of CVD mortality than those in the moderately low income group. Conclusions: Patterns of association were consistent with social mobility models of socioeconomic position, indicating lower CVD mortality risk for those with increasing or higher incomes. Future work should continue to investigate measures that capture the variation in social mobility over the life course, and how these patterns shape chronic disease risk in later life.
机译：目的：生命历程模型表明社会经济流动性与心血管疾病（CVD）死亡率降低有关。我们研究了通过家庭收入衡量的成年人社会经济流动性与老年人中CVD死亡风险的关系。方法：将1994年阿拉米达县研究的2691名患者（nmen = 1157; nwomen = 1534）中的数据用于这些分析。潜在增长曲线模型用于确定1965年至1994年的收入模式。结果：收入模式分为持续低，中等低，增加和高。双变量模型显示，与高模式相比，成员增加与CVD死亡率的降低风险相关（风险比0.15; 95％置信区间[CI]为0.04-0.53）。在控制年龄，种族/民族，婚姻状况和性别方面，始终处于低水平（HR，2.1; 95％CI，1.5-3.1）和高模式（HR，2.2; 95％CI，1.1-4.2）的受访者有所增加CVD死亡率的危害要比中低收入人群高。结论：关联模式与社会经济地位的社会流动模型相一致，表明收入增加或收入较高者的CVD死亡率风险更低。未来的工作应继续研究能够捕捉到整个生命过程中社会流动性变化的措施，以及这些模式如何影响以后生活中的慢性疾病风险。

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