Morbidity in postmenopausal women with poverty

• Published in: Revista medíca de Chile 2010-02, Vol.138 (2), p.188-195
• Main Authors: Navarro, Mary Carmen, Saavedra, Pedro, DE Miguel, Emilio, Castro, Rosa, Bonet de La N, Mario, Sosa, Manuel
• Format: Article
• Language: Spanish
• Subjects: Alcohol Drinking - epidemiology; Comorbidity; Diabetes Mellitus - epidemiology; Epidemiology; Female; Humans; Hypertension - epidemiology; Interviews as Topic; Life Style; Middle Aged; Obesity - epidemiology; Postmenopause; Poverty; Prevalence; Rheumatic Diseases - epidemiology; Smoking - epidemiology; Spain - epidemiology; Thyroid Diseases - epidemiology
• ISSN: 0034-9887
• DOI: 10.4067/S0034-98872010000200007

Less favored social classes usually have more unhealthy life-styles and a more difficult access to Health Resources. To study the possible association between poverty and some common diseases, in a population of postmenopausal women. Four hundred and forty nine poor women aged 56 +/- 12 years and 776 consecutive women aged 53 +/- 12 years, answered a personal interview about their lifestyles and medications used. Their medical records were reviewed and they were subjected to a complete physical examination, including weight and height measurement. A fasting blood sample was also obtained. Poverty was defined according to criteria of the Spanish National Institute of Statistics that is based on the income in Euros and the number of family members that share such income. A higher proportion of poor women live in rural areas. They were shorter, had a higher weight and thus a higher body mass index, smoked less and drank less alcohol than their non-poor counterparts drink. The consumption of caffeine, the actual calcium intake and the physical activity during leisure time was similar in both groups. Compared with their counterparts, poor women had a higher prevalence of diabetes mellitus (15.9 and 10.1% respectively, p = < 0.01), obesity (44.2 and 24.3% respectively, p < 0.01) hypertension (24.3 and 16.4%o respectively, p respectively, p = 0.03). A multiple logistic regression model showed that obesity, hypertension, diabetes mellitus, smoking, alcohol consumption and living in rural areas, were independently associated to poverty. Poor postmenopausal women have a higher prevalence of diabetes mellitus, obesity, autoimmune rheumatic diseases and hypertension and lower frequency of smoking and alcohol consumption than their affluent counterparts do.