BACKGROUND: Our goal was to study associations between childhood socioeconomic position (SEP), adulthood SEP, adulthood risk factors and cardiovascular disease (CVD) mortality, by investigating the critical period and pathway models. METHODS: The prospective GLOBE study in the Netherlands, with baseline data from 1991, was linked with cause of death register data from Statistics Netherlands in 2007. At baseline, respondents reported information on childhood SEP (i.e. occupational level of respondent's father), adulthood SEP (educational level), and adulthood risk factors (health behaviours, material circumstances, and psychosocial factors). Analyses included 4894 men and 5572 women. Data were analysed by Cox proportional hazard ratios (HR) with CVD mortality as the outcome. RESULTS: Childhood SEP was associated with CVD mortality among men with the lowest childhood SEP only (HR 1.32, 95% CI 1.00-1.74), and not among women. The majority of childhood SEP inequalities in CVD mortality among men (88%) were explained by material, behavioural and psychosocial risk factors in adulthood, and adulthood SEP. This was mostly due to the association of childhood SEP with adulthood SEP, and the interrelations of adulthood SEP with risk factors, and partly via the direct association of childhood SEP with adulthood risk factors, independent of adulthood SEP. CONCLUSION: This study supports the pathway model for men, but found no evidence that socioeconomic conditions in childhood are critical for CVD mortality in later life independent of adulthood conditions. Developing effective methods to reduce material and behavioural risk factors among lower socioeconomic groups should be a top priority in cardiovascular disease prevention.
BACKGROUND: Our goal was to study associations between childhood socioeconomic position (SEP), adulthood SEP, adulthood risk factors and cardiovascular disease (CVD) mortality, by investigating the critical period and pathway models. METHODS: The prospective GLOBE study in the Netherlands, with baseline data from 1991, was linked with cause of death register data from Statistics Netherlands in 2007. At baseline, respondents reported information on childhood SEP (i.e. occupational level of respondent's father), adulthood SEP (educational level), and adulthood risk factors (health behaviours, material circumstances, and psychosocial factors). Analyses included 4894 men and 5572 women. Data were analysed by Cox proportional hazard ratios (HR) with CVD mortality as the outcome. RESULTS: Childhood SEP was associated with CVD mortality among men with the lowest childhood SEP only (HR 1.32, 95% CI 1.00-1.74), and not among women. The majority of childhood SEP inequalities in CVD mortality among men (88%) were explained by material, behavioural and psychosocial risk factors in adulthood, and adulthood SEP. This was mostly due to the association of childhood SEP with adulthood SEP, and the interrelations of adulthood SEP with risk factors, and partly via the direct association of childhood SEP with adulthood risk factors, independent of adulthood SEP. CONCLUSION: This study supports the pathway model for men, but found no evidence that socioeconomic conditions in childhood are critical for CVD mortality in later life independent of adulthood conditions. Developing effective methods to reduce material and behavioural risk factors among lower socioeconomic groups should be a top priority in cardiovascular disease prevention.
Authors: Dayse Rodrigues de Sousa Andrade; Lidyane V Camelo; Rodrigo Citton P Dos Reis; Itamar S Santos; Antonio Luiz Ribeiro; Luana Giatti; Sandhi Maria Barreto Journal: Int J Public Health Date: 2016-12-02 Impact factor: 3.380
Authors: Mariëlle A Beenackers; Dany Doiron; Isabel Fortier; J Mark Noordzij; Erica Reinhard; Emilie Courtin; Martin Bobak; Basile Chaix; Giuseppe Costa; Ulrike Dapp; Ana V Diez Roux; Martijn Huisman; Emily M Grundy; Steinar Krokstad; Pekka Martikainen; Parminder Raina; Mauricio Avendano; Frank J van Lenthe Journal: BMC Public Health Date: 2018-01-19 Impact factor: 3.295
Authors: Tina W Wey; Dany Doiron; Rita Wissa; Guillaume Fabre; Irina Motoc; J Mark Noordzij; Milagros Ruiz; Erik Timmermans; Frank J van Lenthe; Martin Bobak; Basile Chaix; Steinar Krokstad; Parminder Raina; Erik Reidar Sund; Marielle A Beenackers; Isabel Fortier Journal: J Epidemiol Community Health Date: 2020-11-12 Impact factor: 3.710
Authors: Yee Xing You; Nurul Fatin Malek Rivan; Devinder Kaur Ajit Singh; Nor Fadilah Rajab; Arimi Fitri Mat Ludin; Normah Che Din; Ai-Vyrn Chin; Michael Fenech; Mohd Zul Amin Kamaruddin; Suzana Shahar Journal: Int J Environ Res Public Health Date: 2022-07-22 Impact factor: 4.614