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Association of Educational, Occupational and Socioeconomic Status with Cardiovascular Risk Factors in Asian Indians: A Cross-Sectional Study

Author

Listed:
  • Rajeev Gupta
  • Prakash C Deedwania
  • Krishnakumar Sharma
  • Arvind Gupta
  • Soneil Guptha
  • Vijay Achari
  • Arthur J Asirvatham
  • Anil Bhansali
  • Balkishan Gupta
  • Sunil Gupta
  • Mallikarjuna V Jali
  • Tulika G Mahanta
  • Anuj Maheshwari
  • Banshi Saboo
  • Jitendra Singh
  • Rajiv Gupta

Abstract

Background: To determine correlation of multiple parameters of socioeconomic status with cardiovascular risk factors in India. Methods: The study was performed at eleven cities using cluster sampling. Subjects (n = 6198, men 3426, women 2772) were evaluated for socioeconomic, demographic, biophysical and biochemical factors. They were classified into low, medium and high socioeconomic groups based on educational level ( 15 yr formal education), occupational class and socioeconomic scale. Risk factor differences were evaluated using multivariate logistic regression. Results: Age-adjusted prevalence (%) of risk factors in men and women was overweight or obesity in 41.1 and 45.2, obesity 8.3 and 15.8, high waist circumference 35.7 and 57.5, high waist-hip ratio 69.0 and 83.8, hypertension 32.5 and 30.4, hypercholesterolemia 24.8 and 25.3, low HDL cholesterol 34.1 and 35.1, high triglycerides 41.2 and 31.5, diabetes 16.7 and 14.4 and metabolic syndrome in 32.2 and 40.4 percent. Lifestyle factors were smoking 12.0 and 0.5, other tobacco use 12.7 and 6.3, high fat intake 51.2 and 48.2, low fruits/vegetables intake 25.3 and 28.9, and physical inactivity in 38.8 and 46.1%. Prevalence of > = 3 risk factors was significantly greater in low (28.0%) vs. middle (23.9%) or high (22.1%) educational groups (p = 3 major cardiovascular risk factors.

Suggested Citation

  • Rajeev Gupta & Prakash C Deedwania & Krishnakumar Sharma & Arvind Gupta & Soneil Guptha & Vijay Achari & Arthur J Asirvatham & Anil Bhansali & Balkishan Gupta & Sunil Gupta & Mallikarjuna V Jali & Tul, 2012. "Association of Educational, Occupational and Socioeconomic Status with Cardiovascular Risk Factors in Asian Indians: A Cross-Sectional Study," PLOS ONE, Public Library of Science, vol. 7(8), pages 1-10, August.
    • Handle: RePEc:plo:pone00:0044098
    DOI: 10.1371/journal.pone.0044098
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    References listed on IDEAS

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    1. Manor, Orly & Matthews, Sharon & Power, Chris, 2003. "Health selection: the role of inter- and intra-generational mobility on social inequalities in health," Social Science & Medicine, Elsevier, vol. 57(11), pages 2217-2227, December.
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    3. June Y T Po & S V Subramanian, 2011. "Mortality Burden and Socioeconomic Status in India," PLOS ONE, Public Library of Science, vol. 6(2), pages 1-8, February.
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    2. Patricia Rarau & Justin Pulford & Hebe Gouda & Suparat Phuanukoonon & Chris Bullen & Robert Scragg & Bang Nguyen Pham & Barbara McPake & Brian Oldenburg, 2019. "Socio-economic status and behavioural and cardiovascular risk factors in Papua New Guinea: A cross-sectional survey," PLOS ONE, Public Library of Science, vol. 14(1), pages 1-18, January.
    3. Darlington-Pollock, Frances & Norman, Paul & Lee, Arier C. & Grey, Corina & Mehta, Suneela & Exeter, Daniel J., 2016. "To move or not to move? Exploring the relationship between residential mobility, risk of cardiovascular disease and ethnicity in New Zealand," Social Science & Medicine, Elsevier, vol. 165(C), pages 128-140.
    4. Weiwei Ping & Wenjun Cao & Hongzhuan Tan & Chongzheng Guo & Zhiyong Dou & Jianzhou Yang, 2018. "Health protective behavior scale: Development and psychometric evaluation," PLOS ONE, Public Library of Science, vol. 13(1), pages 1-12, January.
    5. Anubha Agarwal & Devraj Jindal & Vamadevan S Ajay & Dimple Kondal & Siddhartha Mandal & Shreeparna Ghosh & Mumtaj Ali & Kavita Singh & Mark D Huffman & Nikhil Tandon & Dorairaj Prabhakaran, 2019. "Association between socioeconomic position and cardiovascular disease risk factors in rural north India: The Solan Surveillance Study," PLOS ONE, Public Library of Science, vol. 14(7), pages 1-16, July.

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