Socioeconomic status and pulmonary function, transition from childhood to adulthood: cross-sectional results from the polish part of the HAPIEE study
Socioeconomic status and pulmonary function, transition from childhood to adulthood: cross-sectional results from the polish part of the HAPIEE study
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DOI：
10.1136/bmjopen-2018-022638
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发表时间：
2019-06-01
期刊：
影响因子：
2.9
通讯作者：
Pajak, Andrzej
中科院分区：
文献类型：
--
作者：
Polak, Maciej;Szafraniec, Krystyna;Pajak, Andrzej
目的 先前的研究报道了社会经济地位 (SES) 与肺功能之间的负相关关系，但对于肺功能是否受到 SES 变化的影响尚不清楚。我们旨在描述儿童期和成年期SES变化与肺功能的关系。设计横断面研究。参与者研究样本包括4104名男性和女性，年龄45-69岁，克拉科夫居民，参与东欧健康、酒精和心理社会因素项目的波兰部分。主要结果用力呼气量（FEV1）和用力肺活量（FVC）为 通过标准化肺活量测定程序进行评估。根据父母教育程度、童年时期住房标准、自身教育、就业状况、家庭便利设施和财务状况等信息，将参与者分为三类 SES（低、中或高）。 结果 成年期低 SES 和高 SES 的人之间平均 FVC 的调整后差异，男性为 100 mL (p= 0.005)，女性为 100 mL (p< 0.001)；平均 FEV1 差异分别为 103 mL (p< 0.001) 和 80 mL (p< 0.001)。与儿童期和成年期的低 SES 或向下的社会流动性相比，儿童期和成年期的向上社会流动性以及中度或高 SES 与显着较高的 FEV1 和 FVC 相关。 结论 生命过程中的低 SES 与最低的肺功能相关。向下的社会流动性与较差的肺功能相关，而向上的流动性或生命历程以及中度或高社会经济地位与较好的肺功能相关。
Objective Previous studies have reported inverse associations between socioeconomic status (SES) and lung function, but less is known about whether pulmonary function is affected by SES changes. We aimed to describe the relationship of changes of SES between childhood and adulthood with pulmonary function.Design Cross-sectional study.Participants The study sample included 4104 men and women, aged 45-69 years, residents of Krakow, participating in the Polish part of the Health, Alcohol and Psychosocial Factors in Eastern Europe Project.Main outcome Forced expiratory volume (FEV1) and forced vital capacity (FVC) were assessed by the standardised spirometry procedure. Participants were classified into three categories of SES (low, moderate or high) based on information on parent's education, housing standard during childhood, own education, employment status, household amenities and financial status.Results The adjusted difference in mean FVC between persons with low and high adulthood SES was 100 mL (p= 0.005) in men and 100 mL (p< 0.001) in women; the differences in mean FEV1 were 103 mL (p< 0.001) and 80 mL (p< 0.001), respectively. Upward social mobility and moderate or high SES at both childhood and adulthood were related to significantly higher FEV1 and FVC compared with low SES at both childhood and adulthood or downward social mobility.Conclusions Low SES over a life course was associated with the lowest lung function. Downward social mobility was associated with a poorer pulmonary function, while upward mobility or life course and moderate or high SES were associated with a better pulmonary function.