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

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00159816%3A_____%2F23%3A00079705" target="_blank" >RIV/00159816:_____/23:00079705 - isvavai.cz</a>

Alternative codes found

RIV/00216224:14310/23:00130496

Result on the web

<a href="https://bmjopen.bmj.com/content/13/3/e069077" target="_blank" >https://bmjopen.bmj.com/content/13/3/e069077</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1136/bmjopen-2022-069077" target="_blank" >10.1136/bmjopen-2022-069077</a>

Result language

angličtina

Original language name

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

Original language description

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.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

30218 - General and internal medicine

Project

Result was created during the realization of more than one project. More information in the Projects tab.

Continuities

P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)

Publication year

2023

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

BMJ OPEN

ISSN

2044-6055

e-ISSN

2044-6055

Volume of the periodical

13

Issue of the periodical within the volume

3

Country of publishing house

GB - UNITED KINGDOM

Number of pages

10

Pages from-to

"e069077"

UT code for WoS article

000991974800083

EID of the result in the Scopus database

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