Institute for Biometrics and Epidemiology, German Diabetes Center (DDZ), Leibniz Center for Diabetes, Research at Heinrich-Heine-University, Düsseldorf, Germany.
German Center for Diabetes Research (DZD e.V.), Partner Düsseldorf, München-Neuherberg, Germany.
Int J Public Health. 2021 May 10;66:633909. doi: 10.3389/ijph.2021.633909. eCollection 2021.
An inverse relationship between education and cardiovascular risk has been described, however, the combined association of education, income, and neighborhood socioeconomic status with macrovascular disease is less clear. The aim of this study was to evaluate the association of educational level, equivalent household income and area deprivation with macrovascular disease in Germany. Cross-sectional data from two representative German population-based studies, SHIP-TREND ( = 3,731) and KORA-F4 ( = 2,870), were analyzed. Multivariable logistic regression models were applied to estimate odds ratios and 95% confidence intervals for the association between socioeconomic determinants and macrovascular disease (defined as self-reported myocardial infarction or stroke). The study showed a higher odds of prevalent macrovascular disease in men with low and middle educational level compared to men with high education. Area deprivation and equivalent income were not related to myocardial infarction or stroke in any of the models. Educational level, but not income or area deprivation, is significantly related to the macrovascular disease in men. Effective prevention of macrovascular disease should therefore start with investing in individual education.
已有研究表明，教育程度与心血管风险之间呈负相关，然而，教育程度、收入和社区社会经济地位与大血管疾病的综合关联尚不清楚。本研究旨在评估德国教育程度、家庭等效收入和地区贫困程度与大血管疾病之间的关系。本研究分析了两项具有代表性的德国基于人群的研究（SHIP-TREND，n=3731 和 KORA-F4，n=2870）的横断面数据。采用多变量逻辑回归模型，估计社会经济决定因素与大血管疾病（定义为自述心肌梗死或中风）之间的关联的优势比和 95%置信区间。研究表明，与高学历男性相比，低学历和中等学历男性的大血管疾病患病率更高。在任何模型中，地区贫困和等效收入均与心肌梗死或中风无关。教育程度，但不是收入或地区贫困，与男性的大血管疾病显著相关。因此，大血管疾病的有效预防应从投资个人教育开始。
