Cardiovascular risk factors and educational attainment in Southern Spain: A study of a random sample of 3091 adults

European Journal of Epidemiology

Volumn 14, Issue 8, 1998, Pages 755-763

  Cirera, Lluís ^a,b   Tormo, María José ^a   Chirlaque, María Dolores ^a   Navarro, Carmen ^a  

^a DEPARTMENT OF EPIDEMIOLOGY   (Spain)

^b HOSPITAL GENERAL UNIVERSITARIO REINA SOFÍA   (Spain)

Author keywords

Cardiovascular risk factors; Education; Socioeconomic factors; Spain

Indexed keywords

CHOLESTEROL;

ADULT; AGED; ARTICLE; BODY HEIGHT; BODY MASS; BODY WEIGHT; CARDIOVASCULAR DISEASE; CARDIOVASCULAR RISK; CHOLESTEROL BLOOD LEVEL; CIGARETTE SMOKING; EDUCATION; EXERCISE; FEMALE; HUMAN; HYPERTENSION; ISCHEMIC HEART DISEASE; MAJOR CLINICAL STUDY; MALE; RISK FACTOR; SEX DIFFERENCE; SPAIN; SYSTOLIC BLOOD PRESSURE; TRIACYLGLYCEROL BLOOD LEVEL;

ADOLESCENT; ADULT; AGE FACTORS; AGED; BLOOD PRESSURE; BODY HEIGHT; BODY WEIGHT; CHOLESTEROL; CHOLESTEROL, HDL; CONFIDENCE INTERVALS; EDUCATIONAL STATUS; FEMALE; HEART DISEASES; HUMANS; HYPERTENSION; LOGISTIC MODELS; MALE; MIDDLE AGED; MOTOR ACTIVITY; OBESITY; ODDS RATIO; QUESTIONNAIRES; RISK FACTORS; SEX FACTORS; SMOKING; SPAIN; TRIGLYCERIDES;

EID: 0032415044     PISSN: 03932990     EISSN: None     Source Type: Journal    
DOI: 10.1023/A:1007596222217     Document Type: Article

References (56)

1. Winkleby MA, Jatulis DE, Frank E, Fortmann SP. Socioeconomic status and health: How education, income, and occupation contribute to risk factors for cardiovascular disease. Am J Public Health 1992; 82: 816-820.
2. Helmert U, Shea S, Herman B, Greiser E. Relationship of social class characteristics and risk factors for coronary heart disease in West Germany. Public Health 1990; 104: 399-416.
3. Bennett S. Cardiovascular risk factors in Australia: Trends in socio-economic inequalities. J Epidemiol Community Health 1995; 49: 363-372.
4. Jacobsen BK, Thelle DS. Risk factors for coronary heart disease and level of education. The Tromso Heart Study. Am J Epidemiol 1988; 127: 923-932.
5. Matthews KA, Kelsey SF, Meilahn EN, Kuller LH, Wing RR. Educational attainment and behavioural risk factors for coronary heart disease in middle-aged women. Am J Epidemiol 1989; 129: 1132-1144.
6. Pekkanen J, Uutela A, Valkonen T, Vartiainen E, Tuomilehto J, Puska P. Coronary risk factor levels: Differences between educational groups in 1972-87 in eastern Finland. J Epidemiol Community Health 1995; 49: 144-149.
7. Luoto R, Pekkanen J, Uutela A, Tuomilehto J. Cardiovascular risks and socioeconomic status: Differences between men and women in Finland. J Epidemiol Community Health 1994; 48: 348-354.
8. Reynes JF, Lasater TM, Feldman H, Assaf AR, Carleton RA. Education and risk factors for coronary heart disease: Results from a New England Community. Am J Prev Med 1993; 9: 365-371.
9. Shewry MC, Smith WCS, Woodward M, Tunstall-Pedoe H. Variation in coronary risk factors by social status: Results from the Scottish heart health study. Br J General Practice 1992; 42: 406-410.
10. Greiser E, Joeckel KH, Giersiepen K, Maschewsky-Schneider U, Zachcial M. Cardiovascular disease risk factors, CHD morbidity and mortality in the Federal Republic of Germany. Int J Epidemiol 1989; 18 Suppl 1: S118-124.
11. Wamala SP, Wolk A, Orth-Gómer K. Determinants of obesity in relation to socioeconomic status among middle-aged Swedish women. Prev Med 1997; 734-744.
12. Wamala SP, Wolk A, Schenck-Gustafsson K, Orth-Gómer K. Lipid profile and socioeconomic status in healthy middle aged women in Sweden. J Epidemiol Community Health 1997; 51: 400-407.
13. Kaplan GA, Keil JE. Socioeconomic factors and cardiovascular disease: A review of the literature. Circulation 1993; 88: 1973-1998.
14. Marmot MG, Adelstein AM, Robinson N, Rose GA. Changing social-class distribution of heart disease. Br Med J 1978; 2: 1109-1112.
15. Marmot MG, Shipley MJ, Rose G. Inequalities in death-specific explanations of a general pattern? Lancet 1984; 1: 1003-1006.
16. Dobson AJ, Gibberd RW, Leeder SR, O'Connell DL. Occupational differences in ischaemic heart disease mortality and risk factors in Australia. Am J Epidemiol 1985; 122: 283-290.
17. Rosenman RH, Brand RJ, Jenkins CD, Friedman M, Straus R, Wurm M. Coronary heart disease in the Western Collaborative Group Study. JAMA 1975; 233: 872-877.
18. Liu K, Cedres LB, Stamler J, et al. Relationship of education to major risk factors and death from coronary heart disease, cardiovascular diseases and all causes. Circulation 1982; 66: 1308-1314.
19. Banegas JR, Rodríguez-Artalejo F, Graciani A, Hernández-Vecino R, del Rey-Calero J. Trends in ischaemic heart disease mortality and its determinants in Spain, 1940-1988. Eur J Public Health 1995; 5: 50-55.
20. Thom TJ. International mortality from heart disease: Rates and trends. Int J Epidemiol 1989; 18 Suppl 1: S20-S28.
21. WHO MONICA Project. WHO MONICA Project: Risk Factors. Int J Epidemiol 1989; 18 Suppl 1: S46-S55.
22. WHO. The WHO MONICA Project: A worldwide monitoring system for cardiovascular diseases. Geneva: WHO. World Health Stat Annu 1989: 27-148.
23. Regidor E, Gutiérrez-Fisac JL, Rodríguez C. Increased socioeconomic differences in mortality in eight Spanish provinces. Soc Sci Med 1995; 41: 801-807.
24. Marmot MG, McDowall ME. Mortality decline and widening social inequalities. Lancet 1986; ii: 274-276.
25. Rose G, Marmot MG. Social class and coronary heart disease. Br Heart J 1981; 45: 13-19.
26. Pocock SJ, Shaper AG, Cook DG, Phillips AN, Walker M. Social class differences in ischaemic heart disease in British men. Lancet 1987; ii: 197-201.
27. Mackenbach JP. Socio-economic health differences in the Netherlands: A review of recent empirical findings. Soc Sci Med 1992; 34: 213-226.
28. Regidor E, Gutiérrez-Fisac JL, Rodríguez C, de Mateo S, Alonso I. Las desigualdades sociales y la salud en España [Health inequalities in Spain]. In: Navarro C, Cabasés JM, Tormo MJ (eds), La salud y el sistema sanitario en España: Informe SESPAS, 1995 [Health and health care system in Spain: SESPAS report, 1995]. Barcelona: SG Editores, 1995: 19-43. (In Spanish).
29. Gutiérrez-Fisac JL, Regidor E, Rodríguez C. Economic and social factors associated with body mass index and obesity in the Spanish population aged 20-64 years. Eur J Public Health 1995; 5: 193-198.
30. Gutiérrez-Fisac JL, Regidor E, Rodríguez C. Trends in obesity differences by educational level in Spain. J Clin Epidemiol 1996; 49: 351-354.
31. Tormo MJ, Navarro C, Chirlaque MD, Pérez-Flores D. Factores de riesgo cardiovascular en la región de Murcia, España [Cardiovascular Risk Factors in the Murcia Region, Spain]. Rev Esp Salud Pública 1997; 71: 515-530. (In Spanish).
32. WHO MONICA Project. Part III: Population Survey; Section 1: Population survey data component. In: MONICA Manual. Geneva: WHO 1990.
33. Tormo MJ, Navarro C, Pérez-Flores D. Quality control in the measurement of blood pressure: A practical estimation of within-observer variability in community surveys. Eur J Publ Health 1995; 5: 265-268.
34. The fifth report of the Joint National Committee on Detection, Evaluation and Treatment of high blood pressure. Archives of Internal Medicine 1993; 153: 154-183.
35. Tormo MJ, Moreno I, Chirlaque MD, Navarro C. Validez de un cuestionario de actividad física reciente [Validity of a recent physical activity questionnaire]. Gac Sant 1995; 9: 174-182. (In Spanish).
36. Lakka TA, Venalainen JM, Rauramaa R, Salonen R, Tuomilehto J, Salonen J. Relation of leisure-time physical activity and cardiorespiratory fitness to the risk of acute myocardial infarction in men. N Eng J Med 1994; 330: 1549-1554.
37. Blair SN, Kohl HW, Gordon NF, Paffenbarger RS. How much physical activity is good for health? Ann Rev Public Health 1992; 13: 99-126.
38. Study Group European Atherosclerosis Society. The recognition and management of hyperlipidemia in adults: A policy statement of the European Atherosclerosis Society. Eur Heart J 1988; 9: 571-600.
39. Kalton G. Introduction to Survey Sampling. Newbury Park, California: Sage University Papers; 1983: 69-75. Series: Quantitative Applications in the Social Sciences.
40. UNESCO. International Standard Classification of Education. Paris: UNESCO 1976.
41. Multivariate Analysis of Variance. In: Morusis JM (ed), SPSS. Advanced Statistics™ 6.1. Chicago: SPSS Inc, 1994: 57-105.
42. Logistic Regression Analysis. In: Morusis JM (ed), SPSS. Advanced Statistics™ 6.1. Chicago: SPSS Inc, 1994: 1-30.
43. Pierce JP, Fiore MC, Novotny TE, Hatziandreu EJ, Davis RM. Trends in cigarette smoking in the United States. JAMA 1989; 261: 56-60.
44. Tormo MJ, Navarro C, Chirlaque MD, Pérez-Flores D. Prevalence and control of arterial hypertension in the south-east of Spain: A radical but still insufficient improvement. Eur J Epidemol 1997; 13: 1-8.
45. Helmert U, Mielck A, Classen E. Social inequities in cardiovascular disease risk factors in East and West Germany. Soc Sci Med 1992; 35: 1283-1292.
46. Shaper AG, Pocock SJ, Walker M, Phillips AN, Whitehead TP, Macfarlane PW. Risk factors for ischaemic heart disease: The prospective phase of the British Regional Heart Study. J Epidemiol Community Health 1985; 39: 197-209.
47. Grupo EPIC en España. Patrones de consumo y principales fuentes de ingesta de lípidos y ácidos grasos en la población adulta en 5 comunidades de España [Intake patterns and main sources of dietary lipides and fatty acids in the adult population of 5 communities in Spain]. Med Clin (In press).
48. Grundy SM. Monounsaturated fatty acids and cholesterol metabolism: Implication for dietary recommendation. J Nutr 1989; 119: 529-533.
49. Helmert U, Herman B, Shea S. Moderate and vigorous leisure-time physical activity and cardiovascular disease risk factor in West Germany, 1984-1991. Int J Epidemiol 1994; 23: 285-292.
50. Garrison RJ, Gold RS, Wilson PWF, Kannel WB. Educational attainment and coronary heart disease risk: The Framingham Offspring Study. Prev Med 1993; 22: 54-64.
51. Holme I, Helgeland A, Hjermann I, Leren P, Lund-Larsen PG. Physical activity at work and at leisure in relation to coronary risk factors and social class. Acta Med Scand 1981; 209: 277-283.
52. Liberatos P, Link BG, Kelsey JL. The measurement of social class in epidemiology. Epidemiol Rev 1988; 10: 87-121.
53. Grupo de Trabajo de la Sociedad Española de Epidemiología. La medición de la clase social en ciencias de la salud [The measurement of social class in the health sciences]. Barcelona: SG Editores, 1995: 29-40, 50-61, 75-76, 106-116. (In Spanish).
54. Banegas JR, Villar F, Pérez de Andres C, Jiménez García-Pascual R, Gil E, Muñiz J, Juane Sánchez R. [An epidemiological study on cardiovascular risk factors in 35-64 years old Spanish population] Estudio epidemiológico de los factores de riesgo cardiovascular en la población Española de 35 a 64 años. Rev Sanid Hig Publica 1993; 67: 419-445. (In Spanish).
55. Instituto Nacional de Estadística. Educación. In: Panorámica social de España, 1994 [Social panoramic of Spain]. Madrid: INE, 1994: 165-166. (In Spanish).
56. Cirera L, Tormo MJ, Navarro C. Evolución de la mortalidad cardiovascular, isquémica y cerebrovascular en la Région de Murcia: 1975-1991 [Trends in cardiovascular, ischemic and stroke mortality in Murcia (South-east, Spain): 1975-1991]. Rev Lat Cardiol 1996; 17: 39-43. (In Spanish).