在一项瑞士普通人群代表性调查中，心血管危险因素社会经济不平等状况的12年（2008 - 2019年）趋势。

Twelve-year (2008-2019) trends in socioeconomic inequalities in cardiovascular risk factors in a Swiss representative survey of the general population.

作者信息

de Mestral Carlos, Piumatti Giovanni, Nehme Mayssam, Guessous Idris, Stringhini Silvia

机构信息

Unit of Population Epidemiology, Division of Primary Care Medicine, Geneva University Hospitals, Geneva, Switzerland.

Fondazione Agnelli, Turin, Italy.

出版信息

Prev Med Rep. 2024 Jul 14;45:102823. doi: 10.1016/j.pmedr.2024.102823. eCollection 2024 Sep.

DOI:10.1016/j.pmedr.2024.102823

PMID:39081844

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11286997/

Abstract

OBJECTIVE

We assessed trends in socioeconomic inequalities in cardiovascular risk factors prevalence among Swiss adults from 2008 to 2019.

METHODS

Using data from the Bus Santé study, an annual survey of adults living in Geneva, Switzerland, we calculated the prevalence per period and by demographic and socioeconomic indicators, assessing inequality trends using the relative index of inequality (RII) and the slope index of inequality (SII).

RESULTS

Among 10,739 participants, most CVD risk factors decreased over time, while diabetes, obesity, and smoking prevalence remained steady. In 2017-2019, prevalence of most CVD risk factors was higher in socioeconomically disadvantaged groups. Relative and absolute inequalities decreased over time, but mostly remained, for hypertension [in 2017-2019, education-RII (95 % CI) = 1.27 (1.12-1.46), income-RII = 1.27 (1.10-1.47)], hypercholesterolemia [education-RII = 1.15 (1.00-1.32)], and sedentarity [education-RII = 1.95 (1.52-2.51), income-RII = 1.69 (1.28-2.23)], and appeared to have reversed for hazardous alcohol use [income-RII = 0.75 (0.60-0.93)]. Substantial and persistent relative and absolute inequalities in diabetes prevalence were observed [education-RII = 2.39 (1.75-3.27), income-RII = 3.18 (2.25-4.48), and subsidy-RII = 2.77 (1.89-4.05)]. Inequalities were also marked across all socioeconomic indicators for obesity prevalence [education-RII = 3.32 (2.63-4.19), income-RII = 2.37 (1.85-3.04), subsidy-RII = 1.98 (1.48-2.66)] and for smoking [education-RII = 2.42 (2.06-2.84), income-RII = 2.37 (1.99-2.84), subsidy-RII = 1.91 (1.56-2.35)].

CONCLUSIONS

Over 12 years in Geneva, Switzerland, socioeconomic inequalities in hypertension, hypercholesterolemia, hazardous alcohol use, and sedentarity decreased but persist, while substantial inequalities in diabetes, obesity, and smoking remained unchanged.

摘要

目的

我们评估了2008年至2019年瑞士成年人心血管危险因素患病率的社会经济不平等趋势。

方法

利用瑞士日内瓦成年人年度健康调查（Bus Santé study）的数据，我们计算了各时期以及按人口统计学和社会经济指标划分的患病率，使用不平等相对指数（RII）和不平等斜率指数（SII）评估不平等趋势。

结果

在10739名参与者中，大多数心血管疾病危险因素随时间减少，而糖尿病、肥胖症和吸烟患病率保持稳定。在2017 - 2019年，社会经济弱势群体中大多数心血管疾病危险因素的患病率较高。相对和绝对不平等随时间减少，但在高血压方面（2017 - 2019年，教育程度 - RII（95%置信区间）= 1.27（1.12 - 1.46），收入 - RII = 1.27（1.10 - 1.47））、高胆固醇血症（教育程度 - RII = 1.15（1.00 - 1.32））和久坐不动（教育程度 - RII = 1.95（1.52 - 2.51），收入 - RII = 1.69（1.28 - 2.23））方面大多仍然存在，而有害饮酒方面（收入 - RII = 0.75（0.60 - 0.93））似乎出现了逆转。观察到糖尿病患病率存在显著且持续的相对和绝对不平等（教育程度 - RII = 2.39（1.75 - 3.27），收入 - RII = 3.18（2.25 - 4.48），补贴 - RII = 2.77（1.89 - 4.05））。肥胖症患病率（教育程度 - RII = 3.32（2.63 - 4.19），收入 - RII = 2.37（1.85 - 3.04），补贴 - RII = 1.98（1.48 - 2.66））和吸烟（教育程度 - RII = 2.42（2.06 - 2.84），收入 - RII = 2.37（1.99 - 2.84），补贴 - RII = 1.91（1.56 - 2.35））在所有社会经济指标上的不平等也很明显。