Socioeconomic Status in Association with Metabolic Syndrome and Coronary Heart Disease Risk.
10.4082/kjfm.2013.34.2.131
- Author:
Ji Young KIM
1
;
Sung Hi KIM
;
Yoon Jeong CHO
Author Information
1. Department of Family Medicine, Daegu Catholic University Hospital, Daegu, Korea. khmksh@cu.ac.kr
- Publication Type:Original Article
- Keywords:
Social Class;
Cardiovascular Disease Risk
- MeSH:
Adult;
Aged;
Cholesterol;
Coronary Disease;
Drinking;
Female;
Humans;
Male;
Mass Screening;
Odds Ratio;
Prevalence;
Smoke;
Smoking;
Social Class
- From:Korean Journal of Family Medicine
2013;34(2):131-138
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: The purpose of this study was to examine the association of metabolic syndrome (MS) coronary heart disease (CHD) with socioeconomic status (SES). METHODS: The participants were 2,170 (631 men and 1,539 women), aged over 40 years who had visited for health screening from April to December in 2009. We classified them into three SES levels according to their education and income levels. MS was defined using the criteria of modified National Cholesterol Education Program Adult Treatment Panel III and CHD risk was defined using Framingham risk score (FRS) > or = 10%. RESULTS: High, middle, and low SES were 12.0%, 73.7%, and 14.3%, respectively. The prevalence of MS was 18.1%. For high, middle, and low SES, after adjusted covariates (age, drinking, smoking, and exercise), odds ratios for MS in men were 1.0, 1.41 (confidence interval [CI], 0.83 to 2.38; P > 0.05), and 1.50 (CI, 0.69 to 3.27; P > 0.05), respectively and in women were 1.0, 1.74 (CI, 1.05 to 3.18; P < 0.05), and 2.81 (CI, 1.46 to 2.43; P < 0.05), respectively. The prevalence of FRS > or = 10% was 33.5% (adjusted covariates were drinking, smoking, and exercise) and odds ratios for FRS > or = 10% in men were 1.0, 2.86 (CI, 1.35 to 6.08; P < 0.001), and 3.12 (CI, 1.94 to 5.00; P < 0.001), respectively and in women were 1.0, 3.24 (CI, 1.71 to 6.12; P < 0.001), and 8.80 (CI, 4.50 to 17.23; P < 0.001), respectively. CONCLUSION: There was an inverse relationship between SES and FRS > or = 10% risk in men, and an inverse relationship between SES and both risk of MS and FRS > or = 10% in women.
