Socioeconomic and behavioral determinants of cardiovascular diseases among older adults in Belgium and France: A longitudinal analysis from the SHARE study

Hassen, Hamid Yimam; Bastiaens, Hilde; Royen, Kathleen Van; Abrams, Steven

doi:10.1371/journal.pone.0243422

Cited by 8 publications

(7 citation statements)

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“…As in our study, Hassen et al found a higher risk of CVD in patients with no social support, lowest level of education, and lowest level of wealth, although localized only to a non-THA population (16). Cohabitation has been proposed as an unconventional risk factor, as differences in cardiovascular events and mortality have been observed among married and unmarried individuals, where marriage has a protective role (17).…”

Section: Ses Markers and The Risk Of Readmission Due To Cvdsupporting

confidence: 71%

The association between socioeconomic status and the 90-day risk of cardiovascular events after total hip arthroplasty – registry-based study of 103,286 patients

Edwards

Kristensen

Varnum

et al. 2022

ActaO

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Background and purpose: Patients receiving a total hip arthroplasty (THA) are subsequently at an increased risk of cardiovascular disease (CVD). Further, socioeconomic status (SES) has an effect on CVD. We evaluated whether low SES is associated with a higher risk of readmission due to CVD after THA within 90 days in a setting with universal tax-supported healthcare.Patients and methods: We performed a nationwide population-based cohort study using Danish health registries from 1995 to 2017. Individual-based information on SES markers (cohabitation, education, income, and liquid assets) was obtained for all participants. The outcome was any hospital-treated CVD. The data was transformed using the pseudo-observation method to enable an estimation of the adjusted risk ratios (RRs) with 95% confidence intervals (CI) for each marker using generalized linear regression.Results: Among 103,286 THA patients, 452 were hospitalized with CVD within 90 days after surgery. Low SES seemed to be associated with a small increased risk of CVD, as the RRs for any CVD were 1.1 (95% CI 0.7–1.7) for patients living alone vs. cohabiting, 1.3 (CI 0.7– .3) for low education vs. high, 1.4 (CI 0.8–2.6) for low income vs. high, and 1.3 (CI 0.8–2.1) for low liquid assets vs. high.Conclusion: Living alone, low education, low income, and low liquid assets seem to be associated with a small increased risk of readmission due to CVD 90 days after THA. Wide confidence intervals in risk should be considered when interpreting the study results.

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Section: Ses Markers and The Risk Of Readmission Due To Cvdsupporting

confidence: 71%

The association between socioeconomic status and the 90-day risk of cardiovascular events after total hip arthroplasty – registry-based study of 103,286 patients

Edwards

Kristensen

Varnum

et al. 2022

ActaO

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“…This may stem from the influence of education, which modified other risk factors. Numerous studies have demonstrated that greater awareness and higher standards of living, associated with higher education level, generally lead to better health [40], especially among women [41]. In addition, analyses confirmed that in the study group, mostly women with the highest education (45.21%), who worked in a sitting position, reported the longest sitting time (>6 hours/day).…”

Section: Plos Onesupporting

confidence: 59%

Lifestyle elements and risk of metabolic syndrome in adults

et al. 2022

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Background The aim of the study was to investigate which elements of lifestyle are associated with metabolic health in adults, defined as the absence of components of metabolic syndrome (MetS) based on the International Diabetes Federation criteria. Methods Data from 10,277 individuals aged 40–65 years constituted the material of this study. Univariate and multivariate analyses with backward stepwise selection were carried out to identify the factors associated with the absence of metabolic disorders. Results No family history of cardiovascular disease increased the odds of being metabolically healthy 1.5-2-fold. Furthermore, the following factors were associated with higher odds of being metabolically healthy in men: abstinence from alcohol (healthy individuals vs. those with ≥3 [OR = 5.49 (2.23–13.52); p<0.001], ≥2 [OR = 4.52 (1.87–10.91); p = 0.001], and ≥1 components of MetS [OR = 3.04 (1.41–6.56); p = 0.005]), moderate alcohol use (healthy individuals vs. those with ≥3 [OR = 3.36 (1.54–7.32); p = 0.002], ≥2 [OR = 3.28 (1.52–7.10); p = 0.002], and ≥1 components of MetS [OR = 3.93 (1.64–9.42); p = 0.002]), moderate-to-vigorous physical activity (MVPA) >2 hours/day and sitting time of 3–6 hours/day. Drinking >2 cups of coffee per day (healthy vs. those with ≥3 [OR = 2.00 (1.47–2.71)], ≥2 [OR = 1.84 (1.38–2.45)], and ≥1 components of MetS [OR = 1.72 (1.30–2.28); all p<0.001]), limiting animal fats to <2 servings/day, MVPA >2 hours/day, and 7–8 hours of sleep per day were associated with higher odds of being metabolically healthy in women. Conclusions A healthy lifestyle increased the odds of being metabolically healthy. Some lifestyle modifications may appear effective in prevention of not only MetS, but also single metabolic risk factors.

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“…Ten studies (Christensen et al 2011 ; Donyavi et al 2011 ; Masoudkabir et al 2012 ; Floud et al 2016 ; Kilpi et al 2016 , 2017 ; Kriegbaum et al 2019 ; Rosengren et al 2019 ; Hassen et al 2020 ; Ge et al 2022 ) assessed the effects of education on CVD outcomes. A random-effects model (I 2 = 82.8%, P = 0.000; I 2 = 67.8%, P = 0.003) was adopted to combine the effect sizes, and the analysis results revealed that the risk of CVD incidence in low- and middle-education groups was 44% and 20% higher than that in the high-education group, respectively [HR = 1.44, 95%CI (1.28, 1.63); HR = 1.20, 95%CI (1.11, 1.30)].…”

Section: Resultsmentioning

confidence: 99%

Association of socioeconomic status with cardiovascular disease and cardiovascular risk factors: a systematic review and meta-analysis

Wang

Zheng

2023

J Public Health (Berl.)

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Aim Cardiovascular disease (CVD) remains one of the leading causes of mortality worldwide, and several studies have indicated the association between socioeconomic status (SES) with CVD and cardiovascular risk factors (CVRFs). It is necessary to elucidate the association of SES and CVRFs with CVD. Subject and methods We searched PubMed, Embase, Web of Science, and the Cochrane Library for publications, using “socioeconomic status,” “cardiovascular disease,” and corresponding synonyms to obtain literature. The quality of studies was evaluated using the National Institutes of Health Quality Assessment Tool (NIH-QAT). All analyses were performed using Stata V.12.0. Results There were 31 eligible studies included in this meta-analysis. All studies presented a low risk of bias via NIH-QAT assessment. As for CVD incidence/mortality, pooled hazard ratios (HR) of low and middle vs. high income were [HR = 1.22 (1.17–1.28); HR = 1.12 (1.09-1.16)] and [HR = 1.37 (1.21–1.56); HR = 1.19 (1.06–1.34)]. The HR of education were [HR = 1.44 (1.28–1.63); HR = 1.2 (1.11–1.3)] and [HR = 1.5 (1.22–1.83); HR = 1.13 (1.05–1.22)]. The HR of deprivation were [HR = 1.28 (1.16–1.41); HR = 1.07 (1.03–1.11)] and [HR = 1.19 (1.11–1.29); HR = 1.1 (1.02–1.17)]. SES was negatively correlated with CVD outcomes. A subgroup analysis of gender and national income level also yielded a negative correlation, and additional details were also obtained. Conclusions SES is inversely correlated with CVD outcomes and the prevalence of CVRFs. As for CVD incidence, women may be more sensitive to income and education. In terms of CVD mortality, men may be more sensitive to income and education, and people from low- and middle-income countries are sensitive to income and education. Supplementary Information The online version contains supplementary material available at 10.1007/s10389-023-01825-4.

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Socioeconomic and behavioral determinants of cardiovascular diseases among older adults in Belgium and France: A longitudinal analysis from the SHARE study

Cited by 8 publications

References 50 publications

The association between socioeconomic status and the 90-day risk of cardiovascular events after total hip arthroplasty – registry-based study of 103,286 patients

The association between socioeconomic status and the 90-day risk of cardiovascular events after total hip arthroplasty – registry-based study of 103,286 patients

Lifestyle elements and risk of metabolic syndrome in adults

Association of socioeconomic status with cardiovascular disease and cardiovascular risk factors: a systematic review and meta-analysis

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