Socio-economic inequalities in high blood pressure and additional risk factors for cardiovascular disease among older individuals in Colombia: Results from a nationally representative study

Background Studies in high-income countries have documented a consistent gradient between socio-economic status (SES) and high blood pressure (HBP), a key risk factor for cardiovascular disease (CVD). However, evidence from Latin American countries (LA) remains comparatively scarce and inconclusive....

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Bibliographic Details
Published in:PloS one 2020-06, Vol.15 (6), p.e0234326-e0234326
Main Authors: Hessel, Philipp, Rodriguez-Lesmes, Paul, Torres, David
Format: Article
Language:English
Subjects:
Aging
Alcohol
Alcohol use
Biology and Life Sciences
Bivariate analysis
Blood pressure
Body mass
Body mass index
Body size
Cardiovascular disease
Cardiovascular diseases
Demographic aspects
Disadvantaged groups
Education
Exercise
Fruits
Health aspects
Health risks
Heart diseases
Hypertension
Medicine and Health Sciences
Obesity
Overweight
People and places
Physical activity
Public health
Regression analysis
Regression models
Risk analysis
Risk factors
Smoke
Social class
Socioeconomic factors
Socioeconomics
Statistics
Vegetables
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Summary:Background Studies in high-income countries have documented a consistent gradient between socio-economic status (SES) and high blood pressure (HBP), a key risk factor for cardiovascular disease (CVD). However, evidence from Latin American countries (LA) remains comparatively scarce and inconclusive. Data Data for 3,984 individuals came from a nationally representative survey of individuals aged 60 years or above in Colombia (Encuesta de Salud, Bienestar y Envejecimiento) (SABE) conducted in 2015. SES was measured by educational achievement and household assets. CVD risk factors included objectively measured HBP and body mass index (BMI), as well as behaviors (smoking, alcohol consumption, fruit and vegetables intake, and physical activity). Methods Bivariate methods and multivariate regression models were used to assess associations between SES with HBP as well as additional risk factors for CVD. Results Individuals with lower SES have significantly higher risk of suffering from HBP. Compared to those with no formal education, individuals with secondary or post-secondary education have a 37% lower risk of HBP (odds ratio [OR] = 0.63, P-value
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0234326