Abstract P087: Cardiometabolic Risk Factors and Socioeconomic Status in Peruvian Adults: The CRONICAS Cohort Study
The association between cardiovascular diseases (CVD) and social determinants remains complex and varies between and within countries. The distribution of CVD risk factors by socioeconomic status (SES) determines the health inequality arising across nations and within countries, but it urges a better understanding of how social determinants affect health in LMIC. We sought to estimate the association between SES indicators and cardiometabolic risk factors in Peruvian population.
Pooled data, from four distinct geographical sites, from the age- and sex-stratified population-based CRONICAS Cohort study was analyzed. SES indicators were wealth index (in tertiles), educational attainment (highest level of education) and place of residence (urban or rural). Outcomes were diabetes (fasting glucose ≥126mg/dL or current medication), hypertension (SBP ≥140 or DBP ≥90mmHg, or antihypertensive medication), obesity (BMI ≥30kg/m2), high total cholesterol (≥200mg/dL), low HDL-c: (<40mg/dL men, <50mg/dL women), and metabolic syndrome as per harmonized ATP-III definition. Multiple logistic regressions, adjusting for age, gender, place of residence, wealth index and years of education as appropriate, were used. 3619 individuals, (81% urban, 19% rural), mean age 55.8±12.7 years, 49% men, were included in the final analysis. Overall prevalence of hypertension, diabetes, obesity, high total cholesterol, low HDL-c and metabolic syndrome were 27.5%, 8.7%, 26.9%, 40.6%, 66.0% and 34.8% in overall population. No clear pattern of association was observed with SES indicators except for residence in rural areas where chances of having any given cardiometabolic risk factor were much lower than urban areas (Table 1).
Rural place of residence had a negative association with all cardiometabolic risk factors studied. These results highlight the need to contextualize risk factors by socioeconomic groups in countries in transition.
Author Disclosures: R. Quispe: None. J.C. Bazo-Alvarez: None. F. Peralta-Alvarez: None. G.A. Valle: None. W. Checkley: None. R.H. Gilman: None. L. Smeeth: None. A. Bernabé-Ortiz: None. J.J. Miranda: None.
- © 2015 by American Heart Association, Inc.