Comparison of social gradient in cardiometabolic health in Czechia and Venezuela: a cross-sectional study

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Publikace nespadá pod Ekonomicko-správní fakultu, ale pod Přírodovědeckou fakultu. Oficiální stránka publikace je na webu muni.cz.
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BARTOŠKOVÁ Anna NIETO-MARTINEZ Ramfis MECHANICK Jeffrey I. MARANHAO NETO Geraldo A. INFANTE-GARCIA Maria M. PIKHART Hynek BOBÁK Martin MEDINA-INOJOSA Jose GONZALEZ-RIVAS Juan P.

Rok publikování 2023
Druh Článek v odborném periodiku
Časopis / Zdroj BMJ Open
Fakulta / Pracoviště MU

Přírodovědecká fakulta

Citace
www https://bmjopen.bmj.com/content/13/3/e069077
Doi http://dx.doi.org/10.1136/bmjopen-2022-069077
Klíčová slova cardiovascular health study; Czechia; Venezuela; cardiovascular risk factors
Přiložené soubory
Popis Objectives: This study compared the relationships of social determinants with cardiometabolic risk in different socioeconomic contexts: sociopolitically unstable Venezuela (VE) and stable Czechia (CZ).Design: cross-sectional analysis involving two population-based studies. Setting: Brno, Czechia and 23 cities of Venezuela. Participants: 25-64 years old subjects from CZ (2013-2014, n=1579, 56% females) and VE (2014-2017, n=1652, 70% females). Main outcome measures: The composite cardiometabolic risk score (CMRS) (scaled 0-8) was calculated using eight biomarkers (body mass index, waist circumference, blood glucose, systolic and diastolic blood pressure, total and high-density lipoprotein-cholesterol, triglycerides). Social characteristics included education in both countries, income in CZ and a composite measure of social position (SP) in VE. Sex stratified ordinal regression examined the social gradient in having less favourable CMRS. Results: In CZ, men and women with low education and women with low income had higher odds of higher CMRS compared with those with high education and income with OR 1.45 (95% CI 1.01 to 2.21), 2.29 (95% CI 1.62 to 3.24) and 1.69 (95% CI 1.23 to 2.35). In VE, women with low education and low SP had higher odds to have higher CMRS OR 1.47 (95% CI 1.09 to 1.97) and 1.51 (95% CI 1.16 to 1.97), while men with low education and low SP had lower odds to have higher CMRS OR 0.64 (95% CI 0.41 to 1.00) and 0.61 (95% CI 0.40 to 0.97), compared with those with high education and high SP. Independently of age, sex and socioeconomic characteristics, Venezuelans had higher odds to have higher CMRS than Czechs (OR 2.70; 95%CI 2.37 to 3.08). Conclusions: The results suggest that the associations of socioeconomic status indices and cardiometabolic risk differed between CZ and VE, likely reflecting differences in the social environment among countries. Further research is needed to confirm and quantify these differences.
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