gms | German Medical Science

MAINZ//2011: 56. GMDS-Jahrestagung und 6. DGEpi-Jahrestagung

Deutsche Gesellschaft für Medizinische Informatik, Biometrie und Epidemiologie e. V.
Deutsche Gesellschaft für Epidemiologie e. V.

26. - 29.09.2011 in Mainz

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Association of neighbourhood socioeconomic status and individual socioeconomic status cardiovascular risk factors in an eastern German population – the CARLA study 2002-2006

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  • Karin Halina Greiser - Deutsches Krebsforschungszentrum (DKFZ), Heidelberg
  • Daniel Tiller - Institut für Med. Epidemiologie, Biometrie und Informatik, MLU Halle-Wittenberg, Halle (Saale)
  • Oliver Kuss - Institut für Med. Epidemiologie, Biometrie und Informatik, MLU Halle-Wittenberg, Halle (Saale)
  • Alexander Kluttig - Institut für Med. Epidemiologie, Biometrie und Informatik, MLU Halle-Wittenberg, Halle (Saale)
  • Gavin Rudge - Public Health, Epidemiology and Biostatistics Unit, The College of Medical and Dental Sciences, The University of Birmingham, Birmingham, UK
  • Barbara Schumann - 4 Centre for Global Health Research, Umeå University, Umeå, Sweden
  • Karl Werdan - Universitätklinik für Innere Medizin III, MLU Halle-Wittenberg, Halle (Saale)
  • Johannes Haerting - Institut für Med. Epidemiologie, Biometrie und Informatik, MLU Halle-Wittenberg, Halle (Saale)

Mainz//2011. 56. Jahrestagung der Deutschen Gesellschaft für Medizinische Informatik, Biometrie und Epidemiologie (gmds), 6. Jahrestagung der Deutschen Gesellschaft für Epidemiologie (DGEpi). Mainz, 26.-29.09.2011. Düsseldorf: German Medical Science GMS Publishing House; 2011. Doc11gmds168

doi: 10.3205/11gmds168, urn:nbn:de:0183-11gmds1686

Published: September 20, 2011

© 2011 Greiser et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

Text

Background/objectives: Individual socioeconomic status (SES) is a determinant of cardiovascular risk factors (RF). Recent studies suggest an independent association of neighbourhood SES with cardiovascular RF, but the mechanisms have not fully been understood. Our aim was to assess the association of neighbourhood and individual SES with cardiovascular RF in an Eastern German population.

Methods: We used cross-sectional data of 1779 participants aged 45-83 years of the population-based CARLA study. We calculated linear mixed models to assess the age-adjusted influence of neighbourhood-specific unemployment rates and individual SES on smoking, systolic blood pressure (SBP), and body mass index (BMI). Spatial dependencies within and between neighbourhoods were adjusted for by using ICAR models.

Results: Neighbourhood-specific unemployment rates varied between 6.3 and 35.3%. Per 1% increase in the neighbourhood’s unemployment rate, the number of cigarettes smoked/day increased by 0.11 in men (95% confidence interval, CI=0.09; 0.12) and 0.05, (CI=0.04; 0.07) in women.

In women, SBP increased by 0.04 mmHg with unemployment rate (CI=0.03; 0.06), while there was no statistically significant association of SBP with SES in men.

BMI was only in women significantly associated with unemployment (increase in BMI per 1% increase in unemployment rate 0.04 (CI=0. 02; 0.05)).

Associations of RF with individual SES were stronger than with neighbourhood SES in multiple models.

Conclusions: Our findings confirm the previously described association of neighbourhood SES with smoking independent of individual SES, while we found inconsistent associations with SBP and BMI. The neighbourhood environment may be more relevant for behavioural than for biomedical risk factors.

Outline

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