Leino M, Raitakari O T, Porkka K V, Taimela S, Viikari J S
Cardiorespiratory Research Unit, University of Turku, Finland.
Int J Epidemiol. 1999 Aug;28(4):667-75. doi: 10.1093/ije/28.4.667.
Low educational level is associated with an increased risk of coronary heart disease. The aim of the present study was to examine the relationships between education and common cardiovascular risk factors in young adults.
Trends in conventional risk factors of young adults aged 21, 24, 27 and 30 years in 1992 (n = 443) were examined across the educational groups as part of a 12-year follow-up study, the Cardiovascular Risk in Young Finns Study. Education was determined as participants' own educational level and as parental years of schooling.
In males, subject's own education was related inversely and independently of parental school years to serum total and low density lipoprotein (LDL) cholesterol concentration, smoking and body mass index. In females, participant's own educational level associated inversely with smoking and physical inactivity. Parental school years was associated inversely and independently of one's own educational level with serum total and LDL cholesterol values and waist-hip ratio in females. In both genders, parental education was a stronger determinant of diet (butter use) than one's own educational level.
The least educated young adults have adopted a more adverse lifestyle than the more educated. The risk factor profile in young adulthood, especially in females, is still affected by parental education. The influences of one's own and parental educational level on vascular risk profile should be taken into consideration when planning public health campaigns among young adults.
低教育水平与冠心病风险增加相关。本研究的目的是探讨年轻人中教育与常见心血管危险因素之间的关系。
作为一项为期12年的随访研究“芬兰年轻人心血管风险研究”的一部分,对1992年21岁、24岁、27岁和30岁的年轻人(n = 443)的传统危险因素在不同教育组中的变化趋势进行了研究。教育程度根据参与者自身的教育水平以及父母的受教育年限来确定。
在男性中,参与者自身的教育程度与血清总胆固醇和低密度脂蛋白(LDL)胆固醇浓度、吸烟及体重指数呈负相关,且独立于父母的受教育年限。在女性中,参与者自身的教育水平与吸烟和身体活动不足呈负相关。在女性中,父母的受教育年限与血清总胆固醇和LDL胆固醇值以及腰臀比呈负相关,且独立于自身的教育水平。在两性中,父母的教育程度对饮食(黄油摄入量)的影响比自身教育水平更强。
受教育程度最低的年轻人比受教育程度较高的年轻人采取了更不良的生活方式。青年期的危险因素状况,尤其是在女性中,仍受父母教育程度的影响。在规划针对年轻人的公共卫生运动时,应考虑自身和父母教育水平对血管危险因素状况的影响。