Socioeconomic mobility in adulthood and cardiovascular disease mortality
Socioeconomic mobility in adulthood and cardiovascular disease mortality
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DOI：
10.1016/j.annepidem.2013.02.004
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发表时间：
2013-04-01
影响因子：
5.6
通讯作者：
Galea, Sandro
中科院分区：
文献类型：
--
作者：
Johnson-Lawrence, Vicki;Kaplan, George;Galea, Sandro
目的：生命历程模型表明，社会经济流动性与心血管疾病（CVD）死亡风险降低有关。我们研究了成年人的社会经济流动性家庭收入有关的心血管疾病死亡率risk among older adults. Methods：数据从2691（n（男性）= 1157; n（女性）= 1534）阿拉米达县研究受访者在1994年被用于这些分析。结果：1965~1994年中国居民收入模式可分为持续低收入模式、中等低收入模式、增长型模式和高收入模式。双变量模型显示，与高模式相比，增加模式的成员资格与CVD死亡率风险降低相关（风险比，0.15; 95%置信区间[CI]，0.04 - 0.53）。控制年龄，种族/民族，婚姻状况和性别，受访者在持续低（HR，2.1; 95% CI，1.5 - 3.1）和高模式（HR，2.2; 95%CI，1.1 - 4.2）与中等低收入组相比，心血管疾病死亡风险增加。关联模式与社会经济地位的社会流动模型一致，表明收入增加或增加的人CVD死亡风险较低。未来的工作应该继续调查在生命过程中捕捉社会流动性变化的措施，以及这些模式如何在以后的生活中塑造慢性病风险。(c)2013 Elsevier Inc. All rights reserved.
Purpose: Life course models suggest that socioeconomic mobility is associated with decreased cardiovascular disease (CVD) mortality risk. We examined adult socioeconomic mobility measured by household income in relation to CVD mortality risk among older adults.Methods: Data from 2691 (n(men) = 1157; n(women) = 1534) Alameda County Study respondents in 1994 were used in these analyses. Latent growth curve models were used to identify income patterns from 1965 to 1994.Results: Income patterns were categorized as consistently low, moderately low, increasing, and high. Bivariate models showed that membership in the increasing compared with high pattern was associated with decreased hazards of CVD mortality (hazard ratio, 0.15; 95% confidence interval [CI], 0.04-0.53). Controlling for age, race/ethnicity, marital status, and gender, respondents in the consistently low (HR, 2.1; 95% CI, 1.5-3.1) and high pattern (HR, 2.2; 95% CI, 1.1-4.2) had increased hazards of CVD mortality than those in the moderately low income group.Conclusions: Patterns of association were consistent with social mobility models of socioeconomic position, indicating lower CVD mortality risk for those with increasing or higher incomes. Future work should continue to investigate measures that capture the variation in social mobility over the life course, and how these patterns shape chronic disease risk in later life. (c) 2013 Elsevier Inc. All rights reserved.