Socio-economic inequalities in high blood pressure and additional risk factors for cardiovascular disease among older individuals in Colombia: Results from a nationally representative study

Background Studies in high-income countries have documented a consistent gradient between socio-economic status (SES) and high blood pressure (HBP), a key risk factor for cardiovascular disease (CVD). However, evidence from Latin American countries (LA) remains comparatively scarce and inconclusive....

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Tipo de recurso:
Fecha de publicación:
2020
Institución:
Universidad del Rosario
Repositorio:
Repositorio EdocUR - U. Rosario
Idioma:
eng
OAI Identifier:
oai:repository.urosario.edu.co:10336/26972
Acceso en línea:
https://doi.org/10.1371/journal.pone.0234326
https://repository.urosario.edu.co/handle/10336/26972
Palabra clave:
Medical risk factors
Cardiovascular diseases
Blood pressure
Socioeconomic aspects of health
Colombia
Alcohol consumption
Obesity
Cardiovascular disease risk
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License
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spelling 1a932819-989e-4c93-9570-578c8d54bf82-163b41af1-2956-4f32-b0be-bd00219b723e-110262579936002020-08-19T14:40:39Z2020-08-19T14:40:39Z2020-06-09Background Studies in high-income countries have documented a consistent gradient between socio-economic status (SES) and high blood pressure (HBP), a key risk factor for cardiovascular disease (CVD). However, evidence from Latin American countries (LA) remains comparatively scarce and inconclusive. Data Data for 3,984 individuals came from a nationally representative survey of individuals aged 60 years or above in Colombia (Encuesta de Salud, Bienestar y Envejecimiento) (SABE) conducted in 2015. SES was measured by educational achievement and household assets. CVD risk factors included objectively measured HBP and body mass index (BMI), as well as behaviors (smoking, alcohol consumption, fruit and vegetables intake, and physical activity). Methods Bivariate methods and multivariate regression models were used to assess associations between SES with HBP as well as additional risk factors for CVD. Results Individuals with lower SES have significantly higher risk of suffering from HBP. Compared to those with no formal education, individuals with secondary or post-secondary education have a 37% lower risk of HBP (odds ratio [OR] = 0.63, P-value<0.001). Being in the highest asset quartile (most affluent) is associated with a 44% lower risk (OR = 56, P-value = 0.001) of HBP compared to those in the lowest asset quartile (most deprived). Individuals with lower SES are more likely to smoke, not engage in regular physical activity and not regularly consume fruits or vegetables. In contrast, individuals with higher SES are more likely to consume alcohol and, those with more assets, more likely to be obese. Conclusions Among older Colombians there exists a marked SES gradient in HBP as well as several additional risk factors for CVD. The results highlight the importance of a public health approach towards HBP and additional CVD risk factors that takes into account the specific conditions of older individuals, especially among disadvantaged groups.application/pdfhttps://doi.org/10.1371/journal.pone.0234326EISSN: 1932-6203https://repository.urosario.edu.co/handle/10336/26972engPLOS Public Library of SciencePLoS OnePLoS One, EISSN: 1932-6203, (9 June 2020); 12 pp. https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0234326&type=printableAbierto (Texto Completo)http://purl.org/coar/access_right/c_abf2PLoS Oneinstname:Universidad del Rosarioreponame:Repositorio Institucional EdocURMedical risk factorsCardiovascular diseasesBlood pressureSocioeconomic aspects of healthColombiaAlcohol consumptionObesityCardiovascular disease riskSocio-economic inequalities in high blood pressure and additional risk factors for cardiovascular disease among older individuals in Colombia: Results from a nationally representative studyDesigualdades socioeconómicas en la presión arterial alta y factores de riesgo adicionales de enfermedad cardiovascular entre las personas mayores en Colombia: resultados de un estudio representativo a nivel nacionalarticleArtículohttp://purl.org/coar/version/c_970fb48d4fbd8a85http://purl.org/coar/resource_type/c_6501Hessel, PhilippTorres, DavidRodríguez Lesmes, Paul AndrésORIGINALjournal-pone-0234326.pdfapplication/pdf511637https://repository.urosario.edu.co/bitstreams/5f1ae312-df78-4797-be6b-fe6995fd81ad/download5612a64e247db6e1717280d1d8965c53MD51TEXTjournal-pone-0234326.pdf.txtjournal-pone-0234326.pdf.txtExtracted texttext/plain42547https://repository.urosario.edu.co/bitstreams/a68ee36b-6738-49b2-8c07-1729fe419aea/downloade4774e0b21b6d967afc91e2cd9a3111dMD52THUMBNAILjournal-pone-0234326.pdf.jpgjournal-pone-0234326.pdf.jpgGenerated Thumbnailimage/jpeg4248https://repository.urosario.edu.co/bitstreams/32c5fd03-45bd-4ca1-ab39-8839d4ce7362/download9419ba14c5c269c471fbb9861049018eMD5310336/26972oai:repository.urosario.edu.co:10336/269722021-06-03 00:50:03.344https://repository.urosario.edu.coRepositorio institucional EdocURedocur@urosario.edu.co
dc.title.spa.fl_str_mv Socio-economic inequalities in high blood pressure and additional risk factors for cardiovascular disease among older individuals in Colombia: Results from a nationally representative study
dc.title.TranslatedTitle.spa.fl_str_mv Desigualdades socioeconómicas en la presión arterial alta y factores de riesgo adicionales de enfermedad cardiovascular entre las personas mayores en Colombia: resultados de un estudio representativo a nivel nacional
title Socio-economic inequalities in high blood pressure and additional risk factors for cardiovascular disease among older individuals in Colombia: Results from a nationally representative study
spellingShingle Socio-economic inequalities in high blood pressure and additional risk factors for cardiovascular disease among older individuals in Colombia: Results from a nationally representative study
Medical risk factors
Cardiovascular diseases
Blood pressure
Socioeconomic aspects of health
Colombia
Alcohol consumption
Obesity
Cardiovascular disease risk
title_short Socio-economic inequalities in high blood pressure and additional risk factors for cardiovascular disease among older individuals in Colombia: Results from a nationally representative study
title_full Socio-economic inequalities in high blood pressure and additional risk factors for cardiovascular disease among older individuals in Colombia: Results from a nationally representative study
title_fullStr Socio-economic inequalities in high blood pressure and additional risk factors for cardiovascular disease among older individuals in Colombia: Results from a nationally representative study
title_full_unstemmed Socio-economic inequalities in high blood pressure and additional risk factors for cardiovascular disease among older individuals in Colombia: Results from a nationally representative study
title_sort Socio-economic inequalities in high blood pressure and additional risk factors for cardiovascular disease among older individuals in Colombia: Results from a nationally representative study
dc.subject.keyword.spa.fl_str_mv Medical risk factors
Cardiovascular diseases
Blood pressure
Socioeconomic aspects of health
Colombia
Alcohol consumption
Obesity
Cardiovascular disease risk
topic Medical risk factors
Cardiovascular diseases
Blood pressure
Socioeconomic aspects of health
Colombia
Alcohol consumption
Obesity
Cardiovascular disease risk
description Background Studies in high-income countries have documented a consistent gradient between socio-economic status (SES) and high blood pressure (HBP), a key risk factor for cardiovascular disease (CVD). However, evidence from Latin American countries (LA) remains comparatively scarce and inconclusive. Data Data for 3,984 individuals came from a nationally representative survey of individuals aged 60 years or above in Colombia (Encuesta de Salud, Bienestar y Envejecimiento) (SABE) conducted in 2015. SES was measured by educational achievement and household assets. CVD risk factors included objectively measured HBP and body mass index (BMI), as well as behaviors (smoking, alcohol consumption, fruit and vegetables intake, and physical activity). Methods Bivariate methods and multivariate regression models were used to assess associations between SES with HBP as well as additional risk factors for CVD. Results Individuals with lower SES have significantly higher risk of suffering from HBP. Compared to those with no formal education, individuals with secondary or post-secondary education have a 37% lower risk of HBP (odds ratio [OR] = 0.63, P-value<0.001). Being in the highest asset quartile (most affluent) is associated with a 44% lower risk (OR = 56, P-value = 0.001) of HBP compared to those in the lowest asset quartile (most deprived). Individuals with lower SES are more likely to smoke, not engage in regular physical activity and not regularly consume fruits or vegetables. In contrast, individuals with higher SES are more likely to consume alcohol and, those with more assets, more likely to be obese. Conclusions Among older Colombians there exists a marked SES gradient in HBP as well as several additional risk factors for CVD. The results highlight the importance of a public health approach towards HBP and additional CVD risk factors that takes into account the specific conditions of older individuals, especially among disadvantaged groups.
publishDate 2020
dc.date.accessioned.none.fl_str_mv 2020-08-19T14:40:39Z
dc.date.available.none.fl_str_mv 2020-08-19T14:40:39Z
dc.date.created.spa.fl_str_mv 2020-06-09
dc.type.eng.fl_str_mv article
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dc.identifier.issn.none.fl_str_mv EISSN: 1932-6203
dc.identifier.uri.none.fl_str_mv https://repository.urosario.edu.co/handle/10336/26972
url https://doi.org/10.1371/journal.pone.0234326
https://repository.urosario.edu.co/handle/10336/26972
identifier_str_mv EISSN: 1932-6203
dc.language.iso.spa.fl_str_mv eng
language eng
dc.relation.citationTitle.none.fl_str_mv PLoS One
dc.relation.ispartof.spa.fl_str_mv PLoS One, EISSN: 1932-6203, (9 June 2020); 12 pp.
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dc.publisher.spa.fl_str_mv PLOS Public Library of Science
dc.source.spa.fl_str_mv PLoS One
institution Universidad del Rosario
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