Literature DB >> 15313598

How income and education contribute to risk factors for cardiovascular disease in the elderly in a former Communist country.

Wlodzimierz Stelmach1, Krystyna Kaczmarczyk-Chałas, Wojciech Bielecki, Iwona Stelmach, Wojciech Drygas.   

Abstract

OBJECTIVES: Careful examination of the risk factors for cardiovascular disease (CVD) may enable clinicians to develop a reasonably preventive programme among the elderly. The main purpose of this paper was to examine the effects of income and education on CVD risk factors in an elderly population who had lived most of their lives in Communist times.
METHODS: The CINDI (Countrywide Integrated Non-communicable Diseases Intervention) Programme questionnaire was used to collect data from an elderly (65+ years) population in Lodz, a large industrial city in Poland. The study population (n = 1,461) was selected at random, and the overall response rate was 57.1%. The following risk factors were evaluated: hypertension, obesity, elevated cholesterol, elevated blood sugar and smoking.
RESULTS: Hypertension was the most frequently observed CVD risk factor (83.4% of participants) followed by hypercholesterolaemia (70.2%), obesity (30.5%), diabetes (18.4%) and smoking (8.5%). Hypertension and hypercholesterolaemia were related to age (OR=0.91, 95%CI: 0.88-0.95 and OR=0.95, 95%CI: 0.92-0.98, respectively). The younger people in the study population exhibited the highest prevalence of hypertension and hypercholesterolaemia; hypercholesterolaemia was observed more frequently among widowed respondents. Obesity and diabetes were associated with education level (OR=0.52, 95%CI: 0.34-0.79 and OR=0.60, 95%CI: 0.37-0.97, respectively). Younger single males with a lower level of education and income exhibited the highest prevalence of smoking. Multivariate analysis showed that age, education and gender were the best predictors for the cumulative risk factors of CVD.
CONCLUSIONS: Education is more strongly associated with CVD risk factors than material status in the elderly. The best predictors of risk factors were age, sex and education. As we gain knowledge about CVD risk factors, we may be able to target preventive services in the elderly population more accurately and effectively, and help older adults make health decisions to reduce risk factors and increase their quality of life.

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Year:  2004        PMID: 15313598     DOI: 10.1016/j.puhe.2003.12.012

Source DB:  PubMed          Journal:  Public Health        ISSN: 0033-3506            Impact factor:   2.427


  8 in total

1.  How does the risk of cardiovascular death and cardiovascular risk factor profiles differ between socioeconomic classes in Poland: A country in transition.

Authors:  Pawel Nadrowski; Ewa Podolecka; Andrzej Pajak; Agnieszka Dorynska; Wojciech Drygas; Wojciech Bielecki; Magdalena Kwasniewska; Andrzej Tykarski; Arkadiusz Niklas; Tomasz Zdrojewski; Michal Skrzypek; Wojciech Wojakowski; Krystyna Kozakiewicz
Journal:  Cardiol J       Date:  2018-03-23       Impact factor: 2.737

2.  Association of socioeconomic profiles with cardiovascular risk factors in Iran: the Isfahan Healthy Heart Program.

Authors:  Ahmad Bahonar; Nizal Sarrafzadegan; Roya Kelishadi; Shahin Shirani; Mohammad Arash Ramezani; Mohammad Hossein Taghdisi; Mojgan Gharipour
Journal:  Int J Public Health       Date:  2010-02-12       Impact factor: 3.380

3.  Prevalence of metabolic syndrome-related disorders in a large adult population in Turkey.

Authors:  S Yavuz Sanisoglu; Cagatay Oktenli; Adnan Hasimi; Mehmet Yokusoglu; Mehmet Ugurlu
Journal:  BMC Public Health       Date:  2006-04-10       Impact factor: 3.295

4.  Factors associated with self-reported ill health among older Ugandans: a cross sectional study.

Authors:  Stephen Ojiambo Wandera; Valerie Golaz; Betty Kwagala; James Ntozi
Journal:  Arch Gerontol Geriatr       Date:  2015-05-22       Impact factor: 3.250

5.  Prevalence and risk factors for self-reported non-communicable diseases among older Ugandans: a cross-sectional study.

Authors:  Stephen Ojiambo Wandera; Betty Kwagala; James Ntozi
Journal:  Glob Health Action       Date:  2015-07-22       Impact factor: 2.640

6.  Prevalence and determinants of cardiovascular disease risk factors among the residents of urban community housing projects in Malaysia.

Authors:  Mohammadreza Amiri; Hazreen Abdul Majid; FarizahMohd Hairi; Nithiah Thangiah; Awang Bulgiba; Tin Tin Su
Journal:  BMC Public Health       Date:  2014-11-24       Impact factor: 3.295

Review 7.  Risk Factors of Cardiovascular Disease and Their Related Socio-Economical, Environmental and Health Behavioral Factors: Focused on Low-Middle Income Countries- A Narrative Review Article.

Authors:  Li-Yuan Sun; Eun-Whan Lee; Aqeela Zahra; Jae-Hyun Park
Journal:  Iran J Public Health       Date:  2015-04       Impact factor: 1.429

8.  The Impact of Educational Status on 10-Year (2004-2014) Cardiovascular Disease Prognosis and All-cause Mortality Among Acute Coronary Syndrome Patients in the Greek Acute Coronary Syndrome (GREECS) Longitudinal Study.

Authors:  Venetia Notara; Demosthenes B Panagiotakos; Yannis Kogias; Petros Stravopodis; Antonis Antonoulas; Spyros Zombolos; Yannis Mantas; Christos Pitsavos
Journal:  J Prev Med Public Health       Date:  2016-07
  8 in total

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