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The Relationship Between Socioeconomic Status and CV Risk Factors: The CRONICAS Cohort Study of Peruvian Adults

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dc.contributor.author Quispe, Renato
dc.contributor.author Benziger, Catherine P.
dc.contributor.author Bazo-Alvarez, Juan Carlos
dc.contributor.author Howe, Laura D.
dc.contributor.author Checkley, William
dc.contributor.author Gilman, Robert H.
dc.contributor.author Smeeth, Liam
dc.contributor.author Bernabe-Ortiz, Antonio
dc.contributor.author Miranda, J. Jaime
dc.date.accessioned 2019-02-06T14:45:58Z
dc.date.available 2019-02-06T14:45:58Z
dc.date.issued 2016
dc.identifier.uri https://hdl.handle.net/20.500.12866/5149
dc.description.abstract BACKGROUND: Variations in the distribution of cardiovascular disease and risk factors by socioeconomic status (SES) have been described in affluent societies, yet a better understanding of these patterns is needed for most low- and middle-income countries. OBJECTIVE: This study sought to describe the relationship between cardiovascular risk factors and SES using monthly family income, educational attainment, and assets index, in 4 Peruvian sites. METHODS: Baseline data from an age- and sex-stratified random sample of participants, ages >/=35 years, from 4 Peruvian sites (CRONICAS Cohort Study, 2010) were used. The SES indicators considered were monthly family income (n = 3,220), educational attainment (n = 3,598), and assets index (n = 3,601). Behavioral risk factors included current tobacco use, alcohol drinking, physical activity, daily intake of fruits and vegetables, and no control of salt intake. Cardiometabolic risk factors included obesity, elevated waist circumference, hypertension, insulin resistance, diabetes mellitus, low high-density lipoprotein cholesterol, and high triglyceride levels. RESULTS: In the overall population, 41.6% reported a monthly family income <US$198, and 45.6% had none or primary education. Important differences were noted between the socioeconomic indicators: for example, higher income and higher scores on an asset index were associated with greater risk of obesity, whereas higher levels of education were associated with lower risk of obesity. In contrast, higher SES according to all 3 indicators was associated with higher levels of triglycerides. CONCLUSIONS: The association between SES and cardiometabolic risk factors varies depending on the SES indicator used. These results highlight the need to contextualize risk factors by socioeconomic groups in Latin American settings. en_US
dc.language.iso eng
dc.publisher Elsevier
dc.relation.ispartof urn:issn:2211-8179
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Insulin Resistance en_US
dc.subject Social Class en_US
dc.subject Adult en_US
dc.subject Aged en_US
dc.subject Alcohol Drinking/epidemiology en_US
dc.subject Cardiovascular Diseases/epidemiology en_US
dc.subject Cholesterol, HDL en_US
dc.subject Cohort Studies en_US
dc.subject Diabetes Mellitus/epidemiology en_US
dc.subject Diet/statistics & numerical data en_US
dc.subject Dyslipidemias/epidemiology en_US
dc.subject Educational Status en_US
dc.subject Exercise en_US
dc.subject Female en_US
dc.subject Humans en_US
dc.subject Hypertension/epidemiology en_US
dc.subject Hypertriglyceridemia/epidemiology en_US
dc.subject Income/statistics & numerical data en_US
dc.subject Male en_US
dc.subject Middle Aged en_US
dc.subject Obesity/epidemiology en_US
dc.subject Peru/epidemiology en_US
dc.subject Poverty/statistics & numerical data en_US
dc.subject Risk Factors en_US
dc.subject Smoking/epidemiology en_US
dc.subject Waist Circumference en_US
dc.title The Relationship Between Socioeconomic Status and CV Risk Factors: The CRONICAS Cohort Study of Peruvian Adults en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1016/j.gheart.2015.12.005
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.00 es_PE
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.04


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