Decomposition of gendered income-related inequalities in multiple biological cardiovascular risk factors in a middle-aged population
Abstract Background Socioeconomic inequalities in cardiovascular disease seem to widen or endure in Sweden. However, research on inequalities in antecedent cardiovascular risk factors (CVRFs), and particularly what underpins them, is scarce. The present study aimed 1) to estimate income-related ineq...
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ftdoajarticles:oai:doaj.org/article:81bc6749139f4decbd4df5f15cecab27 2023-05-15T17:45:01+02:00 Decomposition of gendered income-related inequalities in multiple biological cardiovascular risk factors in a middle-aged population Paola A. Mosquera Miguel San Sebastian Anneli Ivarsson Per E. Gustafsson 2018-07-01T00:00:00Z https://doi.org/10.1186/s12939-018-0804-2 https://doaj.org/article/81bc6749139f4decbd4df5f15cecab27 EN eng BMC http://link.springer.com/article/10.1186/s12939-018-0804-2 https://doaj.org/toc/1475-9276 doi:10.1186/s12939-018-0804-2 1475-9276 https://doaj.org/article/81bc6749139f4decbd4df5f15cecab27 International Journal for Equity in Health, Vol 17, Iss 1, Pp 1-20 (2018) Income inequality Cardiovascular risk factors Middle age Decomposition analysis Sweden Public aspects of medicine RA1-1270 article 2018 ftdoajarticles https://doi.org/10.1186/s12939-018-0804-2 2022-12-31T03:10:24Z Abstract Background Socioeconomic inequalities in cardiovascular disease seem to widen or endure in Sweden. However, research on inequalities in antecedent cardiovascular risk factors (CVRFs), and particularly what underpins them, is scarce. The present study aimed 1) to estimate income-related inequalities in eight biological cardiovascular risk factors in Swedish middle-aged women and men; and 2) to examine the contribution of demographic, socioeconomic, behavioural and psychosocial determinants to the observed inequalities. Methods Participants (N = 12,481) comprised all 40- and 50-years old women and men who participated in the regional Västerbotten Intervention Programme in Northern Sweden during 2008, 2009 and 2010. All participants completed a questionnaire on behavioural and psychosocial conditions, and underwent measurements with respect to eight CVRFs (body mass index; waist circumference; total cholesterol; high-density lipoprotein cholesterol; low-density lipoprotein cholesterol; triglycerides; systolic/diastolic blood pressure; glucose tolerance). Data on cardiovascular risk, psychosocial and health behaviours were linked to national register data on income and other socioeconomic and demographic factors. To estimate income inequalities in each CVRF concentration indexes were calculated, and to examine the contribution of the underlying determinants to the observed inequalities a Wagstaff-type decomposition analysis was performed separately for women and men. Results Health inequalities ranged from small to substantial with generally greater magnitude in women. The highest inequalities among women were seen in BMI, triglycerides and HDL-cholesterol (Concentration index = − 0.1850; − 0.1683 and − 0.1479 respectively). Among men the largest inequalities were seen in glucose regulation, BMI and abdominal obesity (Concentration index = − 0.1661; − 0.1259 and − 0.1172). The main explanatory factors were, for both women and men socioeconomic conditions (contributions ranging from 54.8 to 76.7% in women ... Article in Journal/Newspaper Northern Sweden Directory of Open Access Journals: DOAJ Articles International Journal for Equity in Health 17 1 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Income inequality Cardiovascular risk factors Middle age Decomposition analysis Sweden Public aspects of medicine RA1-1270 |
spellingShingle |
Income inequality Cardiovascular risk factors Middle age Decomposition analysis Sweden Public aspects of medicine RA1-1270 Paola A. Mosquera Miguel San Sebastian Anneli Ivarsson Per E. Gustafsson Decomposition of gendered income-related inequalities in multiple biological cardiovascular risk factors in a middle-aged population |
topic_facet |
Income inequality Cardiovascular risk factors Middle age Decomposition analysis Sweden Public aspects of medicine RA1-1270 |
description |
Abstract Background Socioeconomic inequalities in cardiovascular disease seem to widen or endure in Sweden. However, research on inequalities in antecedent cardiovascular risk factors (CVRFs), and particularly what underpins them, is scarce. The present study aimed 1) to estimate income-related inequalities in eight biological cardiovascular risk factors in Swedish middle-aged women and men; and 2) to examine the contribution of demographic, socioeconomic, behavioural and psychosocial determinants to the observed inequalities. Methods Participants (N = 12,481) comprised all 40- and 50-years old women and men who participated in the regional Västerbotten Intervention Programme in Northern Sweden during 2008, 2009 and 2010. All participants completed a questionnaire on behavioural and psychosocial conditions, and underwent measurements with respect to eight CVRFs (body mass index; waist circumference; total cholesterol; high-density lipoprotein cholesterol; low-density lipoprotein cholesterol; triglycerides; systolic/diastolic blood pressure; glucose tolerance). Data on cardiovascular risk, psychosocial and health behaviours were linked to national register data on income and other socioeconomic and demographic factors. To estimate income inequalities in each CVRF concentration indexes were calculated, and to examine the contribution of the underlying determinants to the observed inequalities a Wagstaff-type decomposition analysis was performed separately for women and men. Results Health inequalities ranged from small to substantial with generally greater magnitude in women. The highest inequalities among women were seen in BMI, triglycerides and HDL-cholesterol (Concentration index = − 0.1850; − 0.1683 and − 0.1479 respectively). Among men the largest inequalities were seen in glucose regulation, BMI and abdominal obesity (Concentration index = − 0.1661; − 0.1259 and − 0.1172). The main explanatory factors were, for both women and men socioeconomic conditions (contributions ranging from 54.8 to 76.7% in women ... |
format |
Article in Journal/Newspaper |
author |
Paola A. Mosquera Miguel San Sebastian Anneli Ivarsson Per E. Gustafsson |
author_facet |
Paola A. Mosquera Miguel San Sebastian Anneli Ivarsson Per E. Gustafsson |
author_sort |
Paola A. Mosquera |
title |
Decomposition of gendered income-related inequalities in multiple biological cardiovascular risk factors in a middle-aged population |
title_short |
Decomposition of gendered income-related inequalities in multiple biological cardiovascular risk factors in a middle-aged population |
title_full |
Decomposition of gendered income-related inequalities in multiple biological cardiovascular risk factors in a middle-aged population |
title_fullStr |
Decomposition of gendered income-related inequalities in multiple biological cardiovascular risk factors in a middle-aged population |
title_full_unstemmed |
Decomposition of gendered income-related inequalities in multiple biological cardiovascular risk factors in a middle-aged population |
title_sort |
decomposition of gendered income-related inequalities in multiple biological cardiovascular risk factors in a middle-aged population |
publisher |
BMC |
publishDate |
2018 |
url |
https://doi.org/10.1186/s12939-018-0804-2 https://doaj.org/article/81bc6749139f4decbd4df5f15cecab27 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_source |
International Journal for Equity in Health, Vol 17, Iss 1, Pp 1-20 (2018) |
op_relation |
http://link.springer.com/article/10.1186/s12939-018-0804-2 https://doaj.org/toc/1475-9276 doi:10.1186/s12939-018-0804-2 1475-9276 https://doaj.org/article/81bc6749139f4decbd4df5f15cecab27 |
op_doi |
https://doi.org/10.1186/s12939-018-0804-2 |
container_title |
International Journal for Equity in Health |
container_volume |
17 |
container_issue |
1 |
_version_ |
1766147734742499328 |