Yu Zhijie, Nissinen Aulikki, Vartiainen Erkki, Hu Gang, Tian Huiguang, Guo Zeyu
Department of Public Health and General Practice, University of Kuopio, Kuopio, Finland.
J Clin Epidemiol. 2002 Feb;55(2):143-9. doi: 10.1016/s0895-4356(01)00451-6.
Socio-economic status and serum lipids are important factors in the progression of cardiovascular disease. We studied the association between socio-economic status and serum lipids in a Chinese urban population. In all, 4,541 respondents (2,231 men and 2,310 women) between 25-64 years of age participated in a cross-sectional population survey carried out in Tianjin, China, and provided blood samples. Three socio-economic indicators (education, occupation, and income), total cholesterol, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, and triglycerides were determined. People in higher socio-economic groups had a more unfavorable serum lipid profile compared with those in lower socio-economic groups. This significant association was especially apparent in men. Education seemed to be the most important predictor of serum lipids in the three socio-economic indicators. The direction of the association between high socio-economic status and poor serum lipid profiles appears to be opposite to those observed in the developed countries.
社会经济地位和血脂是心血管疾病进展的重要因素。我们在中国城市人群中研究了社会经济地位与血脂之间的关联。共有4541名年龄在25至64岁之间的受访者（2231名男性和2310名女性）参与了在中国天津进行的一项横断面人群调查，并提供了血样。测定了三项社会经济指标（教育程度、职业和收入）、总胆固醇、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇和甘油三酯。与社会经济地位较低的人群相比，社会经济地位较高的人群血脂状况更不理想。这种显著关联在男性中尤为明显。在三项社会经济指标中，教育程度似乎是血脂最重要的预测因素。社会经济地位高与血脂状况差之间的关联方向似乎与在发达国家观察到的情况相反。
