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Socioeconomic position over the life course and impaired lung function of older adults in Central and Eastern Europe: the HAPIEE study

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F75010330%3A_____%2F23%3A00014137" target="_blank" >RIV/75010330:_____/23:00014137 - isvavai.cz</a>

  • Alternative codes found

    RIV/00216224:14310/23:00130066

  • Result on the web

    <a href="https://jech.bmj.com/content/77/1/49" target="_blank" >https://jech.bmj.com/content/77/1/49</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1136/jech-2022-219348" target="_blank" >10.1136/jech-2022-219348</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Socioeconomic position over the life course and impaired lung function of older adults in Central and Eastern Europe: the HAPIEE study

  • Original language description

    Background Social differences in lung functioning have been reported, but the role of socioeconomic position (SEP) at different stages of life is less well understood, particularly in Central and Eastern Europe. This study addressed this question. Methods The analysis included 10 160 individuals aged 45-70 years from the Czech Republic, Poland and Lithuania. Lung function was either normal if values of forced expiratory volume in the first second divided by forced vital capacity (FEV1/FVC) and FVC were higher than the lower limit of normality or impaired if otherwise. SEP at three stages of life was assessed using maternal education (childhood), participant's education (young adulthood), and current ability to pay for food, clothes and bills (late adulthood). SEP measures were dichotomised as advantaged versus disadvantaged. The associations between impaired lung function and life-course SEP were estimated by logistic regression. Results Disadvantaged SEP in young and late adulthood had higher odds of impaired lung function. In young adulthood, age-adjusted ORs were 1.26 (95% CI 1.06 to 1.49) in men and 1.56 (95% CI 1.29 to 1.88) in women, while in late adulthood, the ORs were 1.15 (95% CI 0.99 to 1.34) in men and 1.26 (95% CI 1.09 to 1.46) in women. Men and women disadvantaged at all three stages of life had ORs of 1.42 (95% CI 1.06 to 1.91) and 1.83 (95% CI 1.32 to 2.52), respectively, compared with those always advantaged. Smoking substantially attenuated the ORs in men but not in women. Conclusion Reducing socioeconomic inequalities in young and late adulthood may contribute to reducing the risk of impaired lung function in late adulthood.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30304 - Public and environmental health

Result continuities

  • Project

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

  • Continuities

    N - Vyzkumna aktivita podporovana z neverejnych zdroju

Others

  • Publication year

    2023

  • Confidentiality

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

Data specific for result type

  • Name of the periodical

    Journal of Epidemiology and Community Health

  • ISSN

    0143-005X

  • e-ISSN

    1470-2738

  • Volume of the periodical

    77

  • Issue of the periodical within the volume

    1

  • Country of publishing house

    GB - UNITED KINGDOM

  • Number of pages

    7

  • Pages from-to

    49-55

  • UT code for WoS article

    000880047000001

  • EID of the result in the Scopus database

    2-s2.0-85142326438