association of childhood and adult socioeconomic indicators with cardiovascular risk factors and its modification by age the carla study 2002-2006协会的童年和成人社会经济指标与心血管风险因素及其修改卡拉研究2002 - 2006岁.pdfVIP

Schumann et al. BMC Public Health 2011, 11:289 /1471-2458/11/289 RESEARCH ARTICLE Open Access Association of childhood and adult socioeconomic indicators with cardiovascular risk factors and its modification by age: the CARLA Study 2002-2006 1,2* 1 1 3 1 1,4 Barbara Schumann , Alexander Kluttig , Daniel Tiller , Karl Werdan , Johannes Haerting and Karin H Greiser Abstract Background: The influence of socioeconomic status (SES) on cardiovascular diseases and risk factors is widely known, although the role of different SES indicators is not fully understood. The aim of this study was to investigate the role of different SES indicators for cardiovascular disease risk factors in a middle and old aged East German population. Methods: Cross-sectional data of an East German population-based cohort study (1779 men and women aged 45 to 83) were used to assess the association of childhood and adulthood SES indicators (childhood SES, education, occupational position, income) with cardiovascular risk factors. Adjusted means and odds ratios of risk factors by SES indicators with 95% confidence intervals (CI) were calculated by linear and logistic regression models, stratified by sex. The interaction effect of education and age on cardiovascular risk factors was tested by including an interaction term. Results: In age-adjusted models, education, occupational position, and income were statistically significantly associated with abdominal obesity in men, and with smoking in both sexes. Men with low education had a more than threefold risk of being a smoker (OR 3.44, CI 1.58-7.51). Low childhood SES was associated with higher systolic blood pressure and abdominal obesity in women (OR 2.27,