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Life course socioeconomic adversities and 10-year risk of cardiovascular disease: cross-sectional analysis of the Brazilian Longitudinal Study of Adult Health

Author

Listed:
  • Dayse Rodrigues Sousa Andrade

    (Universidade Federal de Minas Gerais)

  • Lidyane V. Camelo

    (Universidade Federal de Minas Gerais)

  • Rodrigo Citton P. Reis

    (Universidade Federal de Minas Gerais)

  • Itamar S. Santos

    (Universidade de São Paulo)

  • Antonio Luiz Ribeiro

    (Universidade Federal de Minas Gerais)

  • Luana Giatti

    (Universidade Federal de Minas Gerais)

  • Sandhi Maria Barreto

    (Universidade Federal de Minas Gerais)

Abstract

Objectives To investigate whether life course exposure to adverse socioeconomic positions (SEP) as well as maintaining a low SEP or decreasing the SEP intra- and intergeneration was associated with an increased 10-year cardiovascular disease (CVD) risk predicted by the Framingham Risk Score. Methods This is a cross-sectional analysis of baseline data (2008–2010) of 13,544 active workers from ELSA-Brasil cohort. Maternal education, leg length, social class of first occupation and education were used to evaluate childhood, youth and adulthood SEP. Results After considering adulthood SEP, exposure to early-life low SEP remained associated with an increased 10-year CVD risk. The 10-year CVD risk also rose as the number of exposures to low SEP throughout life increased. Compared to individuals in high-stable intragenerational trajectory, those in upward, downward, or stable low trajectory presented higher 10-year CVD risk. Increasing individuals’ SEP over generation showed no increased risk of 10-year CVD risk compared to individuals in high-stable trajectory. Conclusions Childhood may be a critical period for exposures to social adversities. Life course low SEP may also affect the 10-year CVD risk via accumulation of risk and social mobility.

Suggested Citation

  • Dayse Rodrigues Sousa Andrade & Lidyane V. Camelo & Rodrigo Citton P. Reis & Itamar S. Santos & Antonio Luiz Ribeiro & Luana Giatti & Sandhi Maria Barreto, 2017. "Life course socioeconomic adversities and 10-year risk of cardiovascular disease: cross-sectional analysis of the Brazilian Longitudinal Study of Adult Health," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(2), pages 283-292, March.
    • Handle: RePEc:spr:ijphth:v:62:y:2017:i:2:d:10.1007_s00038-016-0928-3
    DOI: 10.1007/s00038-016-0928-3
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