Surprising SES Gradients in Mortality, Health, and Biomarkers in a Latin American Population of Adults
Identifieur interne : 001074 ( Main/Exploration ); précédent : 001073; suivant : 001075Surprising SES Gradients in Mortality, Health, and Biomarkers in a Latin American Population of Adults
Auteurs : Luis Rosero-Bixby [Costa Rica] ; William H. Dow [États-Unis]Source :
- Journals of Gerontology Series B: Psychological Sciences and Social Sciences [ 1079-5014 ] ; 2009-02-04.
Abstract
Background To determine socioeconomic status (SES) gradients in the different dimensions of health among elderly Costa Ricans. Hypothesis: SES disparities in adult health are minimal in Costa Rican society. Methods Data from the Costa Rican Study on Longevity and Healthy Aging study: 8,000 elderly Costa Ricans to determine mortality in the period 20002007 and a subsample of 3,000 to determine prevalence of several health conditions and biomarkers from anthropometry and blood and urine specimens. Results The ultimate health indicator, mortality, as well as the metabolic syndrome, reveals that better educated and wealthier individuals are worse off. In contrast, quality of liferelated measures such as functional and cognitive disabilities, physical frailty, and depression all clearly worsen with lower SES. Overall self-reported health (SRH) also shows a strong positive SES gradient. Traditional cardiovascular risk factors such as diabetes and cholesterol are not significantly related to SES, but hypertension and obesity are worse among high-SES individuals. Reflecting mixed SES gradients in behaviors, smoking and lack of exercise are more common among low SES, but high calorie diets are more common among high SES. Conclusions Negative modern behaviors among high-SES groups may be reversing cardiovascular risks across SES groups, hence reversing mortality risks. But negative SES gradients in healthy years of life persist.
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DOI: 10.1093/geronb/gbn004
Affiliations:
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Hypothesis: SES disparities in adult health are minimal in Costa Rican society. Methods Data from the Costa Rican Study on Longevity and Healthy Aging study: 8,000 elderly Costa Ricans to determine mortality in the period 20002007 and a subsample of 3,000 to determine prevalence of several health conditions and biomarkers from anthropometry and blood and urine specimens. Results The ultimate health indicator, mortality, as well as the metabolic syndrome, reveals that better educated and wealthier individuals are worse off. In contrast, quality of liferelated measures such as functional and cognitive disabilities, physical frailty, and depression all clearly worsen with lower SES. Overall self-reported health (SRH) also shows a strong positive SES gradient. Traditional cardiovascular risk factors such as diabetes and cholesterol are not significantly related to SES, but hypertension and obesity are worse among high-SES individuals. Reflecting mixed SES gradients in behaviors, smoking and lack of exercise are more common among low SES, but high calorie diets are more common among high SES. Conclusions Negative modern behaviors among high-SES groups may be reversing cardiovascular risks across SES groups, hence reversing mortality risks. But negative SES gradients in healthy years of life persist.</div></front></TEI><affiliations><list><country><li>Costa Rica</li><li>États-Unis</li></country><region><li>Californie</li></region><settlement><li>Berkeley (Californie)</li></settlement></list><tree><country name="Costa Rica"><noRegion><name sortKey="Rosero Bixby, Luis" sort="Rosero Bixby, Luis" uniqKey="Rosero Bixby L" first="Luis" last="Rosero-Bixby">Luis Rosero-Bixby</name></noRegion></country><country name="États-Unis"><region name="Californie"><name sortKey="Dow, William H" sort="Dow, William H" uniqKey="Dow W" first="William H." last="Dow">William H. Dow</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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