Socioeconomic Inequalities in Metabolic Syndrome by Age and Gender in a Spanish Working Population

被引:17
作者
Abbate, Manuela [1 ]
Pericas, Jordi [2 ,3 ]
Yanez, Aina M. [1 ,2 ,3 ]
Lopez-Gonzalez, Angel A. [4 ,5 ]
De Pedro-Gomez, Joan [2 ,3 ]
Aguilo, Antoni [2 ,3 ]
Morales-Asencio, Jose M. [6 ,7 ]
Bennasar-Veny, Miquel [2 ,3 ,8 ]
机构
[1] Univ Balearic Isl, Res Grp Global Hlth, Palma De Mallorca 07122, Spain
[2] Hlth Res Inst Balearic Isl IdISBa, Palma De Mallorca 07120, Spain
[3] Univ Balearic Isl, Nursing & Physiotherapy Dept, Palma De Mallorca 07122, Spain
[4] Univ Balearic Isl, Sch Odontol ADEMA, Palma De Mallorca 07009, Spain
[5] Balearic Isl Hlth Serv, Prevent Occupat Risks Hlth Serv, Palma De Mallorca 07003, Spain
[6] Univ Malaga, Dept Nursing, Malaga 29071, Spain
[7] Inst Invest Biomed Malaga IBIMA, Malaga 29010, Spain
[8] CIBER Epidemiol & Salud Publ CIBERESP, Madrid 28029, Spain
关键词
socioeconomic status; socioeconomic status gradient; metabolic syndrome; prevalence of metabolic syndrome; LIFE-COURSE ORIGINS; RISK-FACTORS; HEALTH; PREVALENCE; WOMEN; ASSOCIATION; EDUCATION; MIDLIFE; INCOME; ADULTS;
D O I
10.3390/ijerph181910333
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Lower socio-economic status (SES) is significantly associated with metabolic syndrome (MS) prevalence, possibly affecting women more than men, although evidence in Spain is still limited. The present cross-sectional study analyzed the association between MS and SES by age and gender among 42,146 working adults living in the Balearic Islands (Spain). Prevalence was higher in men (9.4% by ATP-III; 12.3% by IDF) than women (3.8% by ATP-III; 5.7% by IDF) and in the lower social class (7.9% by ATP-III; 10.7% by IDF) than the higher (4.1% by ATP-III; 5.9% by IDF). The SES gradient in MS prevalence was larger in women (PR 95% CI: 3.38, 2.50-4.58 by ATP-III; 3.06, 2.43-3.86 by IDF) than in men (1.23, 1.06-1.41 by ATP-III; 1.15, 1.03-1.30 by IDF) and was already evident from early adulthood, reaching the highest ratio at the late stages of middle adulthood (4.34, 1.11-16.98). Among men, it was significant during the late stages of early adulthood only (1.80, 1.19-2.73). Lower SES influenced MS prevalence in both genders, however, women seemed more affected than men. From a public health perspective, SES could be strongly associated with the burden of MS; in an effort to reduce its prevalence, public health policies should focus on gender differences in socio-economic inequality and consider women with low socio-economic resources as a priority.
引用
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页数:16
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