Migrating husbands and changing cardiovascular risk factors in the wife: a cross sectional study in Asian Indian women

• Published in: Journal of epidemiology and community health (1979) 2012-10, Vol.66 (10), p.881-889
• Main Authors: Gupta, Rajeev, Gupta, Rajiv, Agrawal, Aachu, Misra, Anoop, Guptha, Soneil, Pandey, Ravindra M, Misra, Puneet, Vikram, Naval K, Dey, Sanjit, Rao, Shobha, Menon, V Usha, Kamalamma, N, Revathi, K, Mathur, Beena, Sharma, Vinita
• Format: Article
• Language: English
• Subjects: access to health care; Adult; Aged; Asian Continental Ancestry Group - psychology; Asian Continental Ancestry Group - statistics & numerical data; atherosclerosis; Biological and medical sciences; biostatistics; birth weight; Blood pressure; Body Mass Index; breast feeding; Cardiovascular disease; Cardiovascular Diseases - ethnology; Cardiovascular Diseases - etiology; CHD/coronary heart; Cholesterols; Chronic illnesses; Cross-Sectional Studies; Data collection; Diabetes; Diet; epidemiology; Exercise; Female; Funding; General aspects; Health risk assessment; Health risks; Human migration; Humans; Hypertension; Hypertension - complications; Hypertension - ethnology; India; India - epidemiology; Life Style; Lifestyle; Lifestyles; lipids; Logistic Models; Low income groups; Male; Measurement techniques; Medical sciences; Mens health; Middle age; Middle Aged; Migrants; Migration; Miscellaneous; Mortality; Nutrition research; Obesity; Obesity - complications; Obesity - ethnology; Population; Population Dynamics; Population studies; Population Surveillance; Predisposing factors; Prevalence; Public health. Hygiene; Public health. Hygiene-occupational medicine; Questionnaires; Risk Factors; Rural areas; Rural Population; Science; Society; Socioeconomic Factors; Spouses; Studies; Surveys and Questionnaires; Urban areas; Urban Population; Womens health
• ISSN: 0143-005X; 1470-2738
• DOI: 10.1136/jech-2011-200101

ObjectiveThe authors studied the influence of migration of husband on cardiovascular risk factors in Asian Indian women.MethodsPopulation-based studies in women aged 35–70 years were performed in four urban and five rural locations. 4608 (rural 2604 and urban 2004) of the targeted 8000 (57%) were enrolled. Demographic details, lifestyle factors, anthropometry, fasting glucose and cholesterol were measured. Multivariate logistic and quadratic regression was performed to compare influence of migration and its duration on prevalence of risk factors.ResultsDetails of migration were available in 4573 women (rural 2267, rural–urban migrants 455, urban 1552 and urban–rural migrants 299). Majority were married, and illiteracy was high. Median (interquartile) duration of residence in urban locations among rural–urban migrants was 9 (4–18) years and in rural areas for urban–rural migrants 23 (18–30) years. In rural, rural–urban migrants, urban and urban–rural migrants, age-adjusted prevalence (%) of risk factors was tobacco use 41.9, 22.7, 18.8 and 38.1; sedentary lifestyle 69.7, 82.0, 79.9 and 74.6; high-fat diet 33.3, 54.2, 66.1 and 61.1; overweight 21.3, 42.7, 46.3 and 29.7; large waist 8.5, 38.5, 29.2 and 29.2; hypertension 30.4, 49.4, 47.7 and 38.4; hypercholesterolaemia 14.4, 31.3, 26.6 and 9.1 and diabetes 3.9, 15.8, 14.9 and 8.4, respectively (p