School of Social and Human Sciences, Universidad Externado de Colombia, Bogotá, Colombia.
Alberto Lleras Camargo School of Government, Universidad de los Andes, Bogotá, Colombia.
Front Public Health. 2024 Apr 12;12:1296593. doi: 10.3389/fpubh.2024.1296593. eCollection 2024.
Hypertension is one of the main concerns in public health, since it is related with increased morbidity, and potential years of life lost in addition to loss of quality of life. This study aimed to assess: (1) the distribution of indicators of life course SEP in a cohort of Colombian patients with hypertension and (2) to assess the association of life course SEP and control of hypertension among this cohort of patients.
Data were obtained using the baseline survey of 258 patients from the Social Determinants and Inequities in the Control of Blood Hypertension Program (ProDSICHA). Mother occupation and housing conditions were measured with the Event History Calendar. Mother educational level was measured with the questionnaire developed by the Project on Ethnicity and Race in Latin America (PERLA). Socioeconomic position during adulthood was measured using education, occupation, and income level based in the MacArthur Network.
The group with a higher lifelong social position and the group of lower lifelong social position showed better control of hypertension (OR = 1.21; <0.05; OR = 1.33; < .05, respectively) compared to those whose social position throughout life varied the most. No statistical differences were found in the relations between single lifetime social position variables, and hypertension control in the three time points analyzed.
These findings warrant further research to deeper our understanding on the role of a multidimensional and cumulative approach of social position in hypertension control.
高血压是公共卫生关注的主要问题之一，因为它与发病率增加以及潜在的生命损失以及生活质量下降有关。本研究旨在评估：（1）在哥伦比亚高血压患者队列中评估生命历程社会经济地位（SEP）指标的分布；（2）评估该队列患者的生命历程 SEP 与高血压控制之间的关联。
使用 258 名患者的基线调查数据，该数据来自社会决定因素和不平等控制血液高血压计划（ProDSICHA）。使用事件历史日历测量母亲的职业和住房条件。使用拉丁美洲种族和民族项目（PERLA）开发的问卷测量母亲的教育水平。成年期的社会经济地位使用基于麦克阿瑟网络的教育、职业和收入水平来衡量。
与社会地位波动最大的人相比，具有较高终身社会地位的群体和具有较低终身社会地位的群体的高血压控制效果更好（OR=1.21；<0.05；OR=1.33；<0.05）。在分析的三个时间点上，单一生涯社会地位变量与高血压控制之间的关系均未发现统计学差异。
这些发现需要进一步研究，以加深我们对社会地位的多维和累积方法在高血压控制中的作用的理解。
