Effect of age on the relationship of occupational social class with prevalence of modifiable cardiovascular risk factors and cardiovascular diseases. A population-based cross-sectional study from European Prospective Investigation into Cancer - Norfolk (EPIC-Norfolk)

Phyo K Myint, Robert N Luben, Ailsa A Welch, Sheila A Bingham, Nicholas J Wareham, Kay-Tee Khaw

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

BACKGROUND: Previous studies on cardiovascular risk profile in different socioeconomic status were focused on younger populations and many of them have not been able to take into account age and sex differences.

OBJECTIVES: To investigate the relationship of occupational social class with the prevalence of cardiovascular disease risk factors and cardiovascular diseases in younger (<65 years) and older (>or=65 years) men and women.

METHODS: A population-based-cross sectional study was conducted in a general community in Norfolk, United Kingdom. Participants were 23,085 men and women aged 40-79 years, recruited from general practice age-sex registers as part of European Prospective Investigation into Cancer-Norfolk (EPIC-Norfolk). The prevalence of cardiovascular risk factors and cardiovascular diseases were examined.

RESULTS: The prevalence of smoking was significantly higher in those in manual social classes particularly in the younger (<65) age group. Younger women in manual social classes were more likely to be smokers compared to older women in the same social class. Being in manual social classes was associated with higher cholesterol levels in women but lower cholesterol levels in men. Manual social class was associated with higher physical activity in those younger than 65 years but this association was reversed in those 65 years or older.

CONCLUSION: Occupational social class is differently related to cardiovascular risk factors in individuals depending on their age and sex. This may reflect differences in behavior at work and leisure, which vary by sex and pre- and postretirement. Interventions to promote health and reduce social inequalities need to take age and gender into account.

Original languageEnglish
Pages (from-to)51-8
Number of pages8
JournalGerontology
Volume52
Issue number1
DOIs
Publication statusPublished - 2006

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Social Class
Cardiovascular Diseases
Cross-Sectional Studies
Population
Neoplasms
Leisure Activities
Hypercholesterolemia
Sex Characteristics
General Practice
Age Groups
Smoking
Cholesterol
Exercise
Health

Keywords

  • Age Factors
  • Aged
  • Blood Pressure
  • Cardiovascular Diseases
  • Cholesterol
  • Cross-Sectional Studies
  • England
  • Female
  • Health Promotion
  • Humans
  • Male
  • Middle Aged
  • Motor Activity
  • Occupations
  • Risk Factors
  • Sex Factors
  • Smoking
  • Social Class
  • Socioeconomic Factors

Cite this

@article{e376c44e29524edb92898906d7898936,
title = "Effect of age on the relationship of occupational social class with prevalence of modifiable cardiovascular risk factors and cardiovascular diseases. A population-based cross-sectional study from European Prospective Investigation into Cancer - Norfolk (EPIC-Norfolk)",
abstract = "BACKGROUND: Previous studies on cardiovascular risk profile in different socioeconomic status were focused on younger populations and many of them have not been able to take into account age and sex differences.OBJECTIVES: To investigate the relationship of occupational social class with the prevalence of cardiovascular disease risk factors and cardiovascular diseases in younger (<65 years) and older (>or=65 years) men and women.METHODS: A population-based-cross sectional study was conducted in a general community in Norfolk, United Kingdom. Participants were 23,085 men and women aged 40-79 years, recruited from general practice age-sex registers as part of European Prospective Investigation into Cancer-Norfolk (EPIC-Norfolk). The prevalence of cardiovascular risk factors and cardiovascular diseases were examined.RESULTS: The prevalence of smoking was significantly higher in those in manual social classes particularly in the younger (<65) age group. Younger women in manual social classes were more likely to be smokers compared to older women in the same social class. Being in manual social classes was associated with higher cholesterol levels in women but lower cholesterol levels in men. Manual social class was associated with higher physical activity in those younger than 65 years but this association was reversed in those 65 years or older.CONCLUSION: Occupational social class is differently related to cardiovascular risk factors in individuals depending on their age and sex. This may reflect differences in behavior at work and leisure, which vary by sex and pre- and postretirement. Interventions to promote health and reduce social inequalities need to take age and gender into account.",
keywords = "Age Factors, Aged, Blood Pressure, Cardiovascular Diseases, Cholesterol, Cross-Sectional Studies, England, Female, Health Promotion, Humans, Male, Middle Aged, Motor Activity, Occupations, Risk Factors, Sex Factors, Smoking, Social Class, Socioeconomic Factors",
author = "Myint, {Phyo K} and Luben, {Robert N} and Welch, {Ailsa A} and Bingham, {Sheila A} and Wareham, {Nicholas J} and Kay-Tee Khaw",
note = "Copyright 2006 S. Karger AG, Basel.",
year = "2006",
doi = "10.1159/000089826",
language = "English",
volume = "52",
pages = "51--8",
journal = "Gerontology",
issn = "0304-324X",
publisher = "S. Karger AG",
number = "1",

}

TY - JOUR

T1 - Effect of age on the relationship of occupational social class with prevalence of modifiable cardiovascular risk factors and cardiovascular diseases. A population-based cross-sectional study from European Prospective Investigation into Cancer - Norfolk (EPIC-Norfolk)

AU - Myint, Phyo K

AU - Luben, Robert N

AU - Welch, Ailsa A

AU - Bingham, Sheila A

AU - Wareham, Nicholas J

AU - Khaw, Kay-Tee

N1 - Copyright 2006 S. Karger AG, Basel.

PY - 2006

Y1 - 2006

N2 - BACKGROUND: Previous studies on cardiovascular risk profile in different socioeconomic status were focused on younger populations and many of them have not been able to take into account age and sex differences.OBJECTIVES: To investigate the relationship of occupational social class with the prevalence of cardiovascular disease risk factors and cardiovascular diseases in younger (<65 years) and older (>or=65 years) men and women.METHODS: A population-based-cross sectional study was conducted in a general community in Norfolk, United Kingdom. Participants were 23,085 men and women aged 40-79 years, recruited from general practice age-sex registers as part of European Prospective Investigation into Cancer-Norfolk (EPIC-Norfolk). The prevalence of cardiovascular risk factors and cardiovascular diseases were examined.RESULTS: The prevalence of smoking was significantly higher in those in manual social classes particularly in the younger (<65) age group. Younger women in manual social classes were more likely to be smokers compared to older women in the same social class. Being in manual social classes was associated with higher cholesterol levels in women but lower cholesterol levels in men. Manual social class was associated with higher physical activity in those younger than 65 years but this association was reversed in those 65 years or older.CONCLUSION: Occupational social class is differently related to cardiovascular risk factors in individuals depending on their age and sex. This may reflect differences in behavior at work and leisure, which vary by sex and pre- and postretirement. Interventions to promote health and reduce social inequalities need to take age and gender into account.

AB - BACKGROUND: Previous studies on cardiovascular risk profile in different socioeconomic status were focused on younger populations and many of them have not been able to take into account age and sex differences.OBJECTIVES: To investigate the relationship of occupational social class with the prevalence of cardiovascular disease risk factors and cardiovascular diseases in younger (<65 years) and older (>or=65 years) men and women.METHODS: A population-based-cross sectional study was conducted in a general community in Norfolk, United Kingdom. Participants were 23,085 men and women aged 40-79 years, recruited from general practice age-sex registers as part of European Prospective Investigation into Cancer-Norfolk (EPIC-Norfolk). The prevalence of cardiovascular risk factors and cardiovascular diseases were examined.RESULTS: The prevalence of smoking was significantly higher in those in manual social classes particularly in the younger (<65) age group. Younger women in manual social classes were more likely to be smokers compared to older women in the same social class. Being in manual social classes was associated with higher cholesterol levels in women but lower cholesterol levels in men. Manual social class was associated with higher physical activity in those younger than 65 years but this association was reversed in those 65 years or older.CONCLUSION: Occupational social class is differently related to cardiovascular risk factors in individuals depending on their age and sex. This may reflect differences in behavior at work and leisure, which vary by sex and pre- and postretirement. Interventions to promote health and reduce social inequalities need to take age and gender into account.

KW - Age Factors

KW - Aged

KW - Blood Pressure

KW - Cardiovascular Diseases

KW - Cholesterol

KW - Cross-Sectional Studies

KW - England

KW - Female

KW - Health Promotion

KW - Humans

KW - Male

KW - Middle Aged

KW - Motor Activity

KW - Occupations

KW - Risk Factors

KW - Sex Factors

KW - Smoking

KW - Social Class

KW - Socioeconomic Factors

U2 - 10.1159/000089826

DO - 10.1159/000089826

M3 - Article

VL - 52

SP - 51

EP - 58

JO - Gerontology

JF - Gerontology

SN - 0304-324X

IS - 1

ER -