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成人肥胖、成年期血压与社会经济地位的关联。

Association of an adult obesity, blood pressure adulthood socio-economic position.

作者信息

Siadat Zahra Dana, Abdoli Aminreza, Shahsanaee Armindokht

机构信息

Assistant Professor, Department of Community Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

J Res Med Sci. 2012 Mar;17(3):222-8.

Abstract

BACKGROUND

The purpose of this study is to investigate an effect of childhood and adulthood socio-economic position on selected cardiovascular risk factors including obesity, blood pressure level and smoking behavior.

MATERIALS AND METHODS

This is a cross-sectional study performed on 479 individuals, randomly selected by random clustered sampling from men and women aged 30-50 years, living in Esfahan. Their demographic characteristics, education, occupation and smoking behavior were questioned. Their weight, height and blood pressure were also measured, and their BMI (Body Mass Index) was calculated. The data were analyzed by SPSS 19 software.

RESULTS

In men, the odds ratio for ever smoking to never smoking at higher levels of education in comparison with the lower levels was 6.08 (2.65-14.11). For manual occupation to non-manual occupation, it was 3.55 (1.88-6.68). The odds ratio for obesity and overweight vs no overweight, for manual occupation to non-manual occupation was 3.12 (1.81-5.40) in men and for father's occupation it was 2.03 (1.10-3.74). In women, their education with the odds ratio of 2.11 (1.17-3.82) and father's occupation with the odds ratio of 6.63 (3.50-12.58) altered their chance of being obese or overweight. Also, in women, the mean systolic blood pressure was significantly lower at higher educational levels and in those whose fathers' occupation were manual but lower in manual workers.

CONCLUSION

The current socio-economic position in individuals is associated with an obesity and smoking behavior, particularly in men. Childhood socio-economic position increases the chance of an obesity and higher blood pressure, particularly in women.

摘要

背景

本研究旨在调查儿童期和成年期社会经济地位对选定的心血管危险因素的影响,这些因素包括肥胖、血压水平和吸烟行为。

材料与方法

这是一项横断面研究,对479名个体进行了研究,这些个体是通过随机整群抽样从居住在伊斯法罕的30至50岁的男性和女性中随机选取的。询问了他们的人口统计学特征、教育程度、职业和吸烟行为。还测量了他们的体重、身高和血压,并计算了他们的体重指数(BMI)。数据使用SPSS 19软件进行分析。

结果

在男性中,与较低教育水平相比,较高教育水平下曾经吸烟与从不吸烟的比值比为6.08(2.65 - 14.11)。体力劳动者与非体力劳动者相比,比值比为3.55(1.88 - 6.68)。男性中体力劳动者与非体力劳动者相比,肥胖和超重与非超重的比值比为3.12(1.81 - 5.40),父亲职业的比值比为2.03(1.10 - 3.74)。在女性中,教育程度的比值比为2.11(1.17 - 3.82),父亲职业的比值比为6.63(3.50 - 12.58)改变了她们肥胖或超重的几率。此外,在女性中,较高教育水平以及父亲职业为体力劳动者但从事体力劳动的女性的平均收缩压显著较低。

结论

个体当前的社会经济地位与肥胖和吸烟行为相关,尤其是在男性中。儿童期社会经济地位增加了肥胖和高血压的几率,尤其是在女性中。

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