Intragenerational Social Mobility and Changes in Blood Pressure: Longitudinal Analysis From the ELSA-Brasil Study

Guimarães, Joanna Miguez Nery; Griep, Rosane Härter; Clarke, Philippa; Fonseca, Maria J M; Barreto, Sandhi Maria; Giatti, Luana; Lotufo, Paulo A; Mill, José Geraldo; Pacheco, Antônio Guilherme; Chor, Dóra

doi:10.1093/ajh/hpy026

Cited by 11 publications

(8 citation statements)

References 29 publications

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“…A possible explanation of this discrepancy concerns the methodological difference of assessing mobility processes. The majority of studies with positive findings did not include information on the position of origin and of destination in analyzing the health effects of upward and downward social mobility (Behrens et al, 2016, Breeze et al, 2001, Cambois, 2004, Cambois and Laborde, 2011, Guimarães et al, 2018, Miething and Åberg Yngwe, 2014, Schmeisser et al, 2010), whereas studies that considered the social position of origin and of destination (Houle, 2011, Van der Waal et al, 2017) reported no significant associations with health, consistent with our results. Thus, our findings underline the importance of considering details on starting and ending points of social mobility processes.…”

Section: Discussionsupporting

confidence: 87%

“…Several studies document the adverse health effects of intragenerational occupational downward mobility or beneficial health effects of upward mobility (Behrens et al, 2016, Breeze et al, 2001, Cambois, 2004, Cambois and Laborde, 2011, Guimarães et al, 2018, Melchior et al, 2005, Melchior et al, 2006, Miething and Åberg Yngwe, 2014, Schmeisser et al, 2010). However, the evidence is inconsistent as other investigations did not or only partly confirm these associations (Guimarães et al, 2018, Houle, 2011, Huang and Sverke, 2007, Niedzwiedz et al, 2012). This inconsistency of evidence may be attributed to three important shortcomings.…”

Section: Introductionmentioning

confidence: 99%

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Intragenerational social mobility and depressive symptoms. Results from the French CONSTANCES cohort study

Hoven

Siegrist

Goldberg

et al. 2019

SSM - Population Health

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BackgroundTo further explain the association between low socioeconomic position and increased risk of poor health, research started to consider life course conditions, including previous occupational positions and patterns of social mobility in the analysis. We describe patterns of intragenerational social mobility and investigate their associations with depressive symptoms.MethodsWe use data from the French CONSTANCES study, a population-based cohort and restrict the sample to people aged 45 to 60. Based on detailed retrospective data with annual information on respondents’ occupational position, we assess the modal social class for two time periods – early adulthood (age 25–34) and mid-adulthood (age 35–44). Depressive symptoms are measured by the Centre for Epidemiologic Studies Depression Scale (CES-D), using sex-specific cut-points.ResultsOur study reveals that most respondents remained in stable working careers, but these careers were less frequent amongst participants with lower socioeconomic positions compared with higher ones. In contrast to several earlier findings we observe no independent associations of intragenerational social mobility processes and health once the social positions of origin and destination are considered. However, our findings confirm a social gradient in the prevalence of depressive symptoms for stable working careers.ConclusionsOur findings underline the importance of integrating data into analysis on starting and ending points of social mobility processes within entire histories of labor market participation.

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Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Intragenerational social mobility and depressive symptoms. Results from the French CONSTANCES cohort study

Hoven

Siegrist

Goldberg

et al. 2019

SSM - Population Health

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“…Variables related to dietary habits (high sodium and low potassium consumption) ( 22 ), excessive alcohol consumption ( 23 ), and low stress control ( 24 ) can also influence the development of hypertension. Studies conducted in Brazil, however, show that the prevalence of hypertension is higher among people with low socioeconomic status and educational backgrounds ( 25 ). However, the data analyzed in the aforementioned studies were obtained from urban populations.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and factors associated with arterial hypertension in a Brazilian rural working population

Salaroli

Cattafesta

Petarli

et al. 2020

Clinics

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To determine the prevalence of hypertension and associated factors in farmers in a rural region of Brazil. METHODS: A cross-sectional study was conducted involving a sample of 790 farmers who were residents of Espírito Santo, Brazil. RESULTS: The prevalence of hypertension was 35.8% (95%CI: 32.5-39.1%, n=283); however, it was higher in men (36.6%, n=151, po0.001) and in those with excess weight (48.9%, n=197, po0.001). Of the 283 hypertensive patients, 125 (44.2%) did not use antihypertensive drugs. In men, lower level of schooling (p=0.004), working in the field for fewer daily hours (po0.001), and having greater abdominal adiposity (p=0.039) were associated with the presence of increased blood pressure. In women, age (p=0.002), lower schooling (p=0.021), and increased central adiposity (p=0.003) were independent predictors of blood pressure. CONCLUSION: The highest prevalence of hypertension was observed in men, with elevated blood pressure being strongly associated with social and economic factors. In women, the association with the classic factors (age, increase in abdominal adiposity, and low schooling) was stronger. In addition, most hypertensive patients are not adequately diagnosed or treated.

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“…Despite the inverse association between schooling and SAH 5,6 , little is known about the relationship between this health outcome and IEM in Brazil. Only one Brazilian study was found, but it was limited to an analysis of intragenerational social mobility and SAH, and no statistically significant association was observed 14 .…”

Section: Educational Mobility Discrimination and Hypertension In Brmentioning

confidence: 99%

Mobilidade educacional intergeracional, discriminação e hipertensão arterial em adultos do Sul do Brasil

et al. 2020

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A hipertensão arterial sistêmica (HAS) é um relevante problema de saúde pública mundial, marcado por desigualdades sociais. No Brasil, estudos sobre a HAS adotando uma perspectiva teórica de curso de vida são escassos. O presente artigo visa a analisar a relação entre mobilidade educacional intergeracional (MEI) e HAS em adultos brasileiros, verificando o impacto da discriminação interpessoal e da cor/“raça” nesta relação. Foram analisados dados dos pais e de 1.720 adultos, entre 20 e 59 anos, do Estudo EpiFloripa Adulto. Modelos de regressão multinível com efeitos aleatórios foram estimados. Os efeitos fixos mostraram relação inversa entre MEI e odds de HAS, com significância estatística para MEI alta (modelo paterno: OR [odds ratio] = 0,39, p = 0,006; modelo materno: OR = 0,35, p = 0,002; e modelo familiar: OR = 0,35, p = 0,001). Análises de interação demonstraram, por sua vez, que situações de discriminação podem atuar conjuntamente com a MEI desfavorável, elevando a odds de HAS, especialmente entre negros e pardos. Conclui-se que a MEI constantemente alta é capaz de reduzir significativamente a odds de HAS, mas que a discriminação pode intensificar o efeito de baixos níveis de educação, especialmente em segmentos da população socialmente marginalizados.

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Intragenerational Social Mobility and Changes in Blood Pressure: Longitudinal Analysis From the ELSA-Brasil Study

Abstract: We showed socioeconomic inequalities in BP progression over the life course. The longitudinal changes in BP varied by social mobility groups in the context of low- and middle-income countries, where high BP has become most prevalent.

Cited by 11 publications

References 29 publications

Intragenerational social mobility and depressive symptoms. Results from the French CONSTANCES cohort study

Intragenerational social mobility and depressive symptoms. Results from the French CONSTANCES cohort study

Prevalence and factors associated with arterial hypertension in a Brazilian rural working population

Mobilidade educacional intergeracional, discriminação e hipertensão arterial em adultos do Sul do Brasil

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