日本代表性人群中，基于社会经济地位，改善生活方式预防心血管疾病的意图存在差异：NIPPON DATA2010。

Differences in Lifestyle Improvements With the Intention to Prevent Cardiovascular Diseases by Socioeconomic Status in a Representative Japanese Population: NIPPON DATA2010.

机构信息

The Disease Prevention Science Course, Graduate School of Medical and Dental Science, Tokyo Medical and Dental University.

International Center for Nutrition and Information, National Institute of Health and Nutrition, National Institutes of Biomedical Innovation, Health and Nutrition.

出版信息

J Epidemiol. 2018;28 Suppl 3(Suppl 3):S35-S39. doi: 10.2188/jea.JE20170254.

DOI:10.2188/jea.JE20170254

PMID:29503384

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5825687/

Abstract

BACKGROUND

The relationships among socioeconomic status and lifestyle improvements have not yet been examined in a representative Japanese population.

METHODS

We analyzed data from 2,647 participants (1,087 men and 1,560 women) who participated in NIPPON DATA2010. This survey inquired about lifestyle improvements and socioeconomic status. Education was categorized as low (≤9 years), middle (10-12 years), and high (≥13 years). Marital status was categorized as married, divorced, widowed, and never married/other. A multivariable logistic regression model was used to calculate the odds ratios (ORs) and 95% confidence intervals (CIs) of lifestyle improvements with the intention of preventing cardiovascular diseases for educational attainment and marital status, with adjustments for age and awareness of cardiovascular disease risk factors.

RESULTS

Overall, 1,507 (56.9%) participants practiced prevention and improvements in hypertension, diabetes, elevated cholesterol, and metabolic syndrome, and the OR of lifestyle improvements was significantly higher with a high education than with a low education in men (OR 2.86; 95% CI, 1.96-4.17) and women (OR 2.36; 95% CI, 1.67-3.33). The number of participants who practiced prevention and improvements in hypertension, diabetes, elevated cholesterol, and metabolic syndrome was significantly lower in divorced than in married men (OR 0.46; 95% CI, 0.22-0.95) and women (OR 0.53; 95% CI, 0.33-0.86).

CONCLUSIONS

Specific differences caused by educational attainment and marital status may exist in lifestyle improvements.

摘要

背景

在具有代表性的日本人群中，还没有研究过社会经济地位与生活方式改善之间的关系。

方法

我们分析了 2647 名参与者（男性 1087 名，女性 1560 名）的 NIPPON DATA2010 数据。该调查询问了生活方式的改善和社会经济地位。教育程度分为低（≤9 年）、中（10-12 年）和高（≥13 年）。婚姻状况分为已婚、离婚、丧偶和未婚/其他。使用多变量逻辑回归模型计算了为预防心血管疾病而改善生活方式的可能性比（ORs）和 95%置信区间（CI），以教育程度和婚姻状况为自变量，调整了年龄和心血管疾病危险因素的知晓情况。

结果

总体而言，1507 名（56.9%）参与者实践了高血压、糖尿病、胆固醇升高和代谢综合征的预防和改善，与低教育程度相比，男性（OR 2.86；95%CI，1.96-4.17）和女性（OR 2.36；95%CI，1.67-3.33）中具有高教育程度的人改善生活方式的可能性显著更高。与已婚男性（OR 0.46；95%CI，0.22-0.95）和女性（OR 0.53；95%CI，0.33-0.86）相比，离婚男性和女性参与者实践高血压、糖尿病、胆固醇升高和代谢综合征预防和改善的人数明显减少。