ArticleBMJ (Clinical research ed.)2004
Clustering of risk factors and social class in childhood and adulthood in British women's heart and health study: cross sectional analysis.
Article in BMJ (Clinical research ed.), 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 35 papers, 2 of them syntheses that pooled it.
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Who cites it
35 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Socio-economic status over the life course and obesity: Systematic review and meta-analysis.PloS one · 2017Pooled it
- Impact of early psychosocial factors (childhood socioeconomic factors and adversities) on future risk of type 2 diabetes, metabolic disturbances and obesity: a systematic review.BMC public health · 2010Pooled it
- Recruiting patients to medical research: double blind randomised trial of "opt-in" versus "opt-out" strategies.BMJ (Clinical research ed.) · 2005Trial
- Child socioeconomic status, childhood adversity and adult socioeconomic status in a nationally representative sample of young adults.SSM - population health · 2022Article
- Clustering of lifestyle risk behaviours and its determinants among school-going adolescents in a middle-income country: a cross-sectional study.BMC public health · 2019Article
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- Clustering and correlates of screen-time and eating behaviours among young children.BMC public health · 2018Article
- Psychosocial determinants of clustering health-compromising behaviors among Saudi male adolescents.International journal of pediatrics & adolescent medicine · 2017Article
- Multiple health behaviours among mothers and partners in England: Clustering, social patterning and intra-couple concordance.SSM - population health · 2016Article
- The Clustering of Lifestyle Behaviours in New Zealand and their Relationship with Optimal Wellbeing.International journal of behavioral medicine · 2016Article
- Population Attributable and Preventable Fractions: Cancer Risk Factor Surveillance, and Cancer Policy Projection.Current epidemiology reports · 2016Article
- Assessing abdominal aorta narrowing using computational fluid dynamics.Medical & biological engineering & computing · 2016Article
- Article
- Classification of different degrees of adiposity in sedentary rats.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2016Article
- Article
- Sociodemographic factors associated with multiple cardiovascular risk factors among Malaysian adults.BMC public health · 2015Article
- Factors associated with daily consumption of sugar-sweetened beverages among adult patients at four federally qualified health centers, Bronx, New York, 2013.Preventing chronic disease · 2015Article
- Multi-exposure and clustering of adverse childhood experiences, socioeconomic differences and psychotropic medication in young adults.PloS one · 2013Article
- An Introduction to Macro- Level Spatial Nonstationarity: a Geographically Weighted Regression Analysis of Diabetes and Poverty.Human geographies · 2012Article
- Interaction between education and household wealth on the risk of obesity in women in Egypt.PloS one · 2012Article
Corrections and comments
- Erratum issued
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine co-occurrence and clustering of risk factors used in the Framingham equation by social class in childhood and adult life.
designCross sectional study.
setting23 towns across England, Wales, and Scotland.
participants2936 women aged 60-79 years.
main outcome measuresPrevalence of risk factors (hypertension, obesity, smoking, left ventricular hypertrophy on electrocardiography, diabetes, and low concentration of high density cholesterol); ratios of observed to expected frequencies of clusters of risk factors.
resultsRisk factors were more common in women from manual social classes in either childhood or adult life, and the co-occurrence of three or four of these risk factors was greater among more disadvantaged groups. Within the four socioeconomic groups, these risk factors occurred together more than would be expected from their individual frequency distributions, indicating that they were clustered. The extent of this clustering was similar in all four social class groups.
conclusionsClustering of risk factors included in the Framingham risk function occurs in all social class groups, but the lack of social patterning makes it unlikely that clustering is an explanation of socioeconomic inequalities in cardiovascular disease. As the proportion of women with co-occurrence of risk factors is greatest in those from manual social class in childhood, this measure of socioeconomic position might prove useful in risk prediction.
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