Evidence map›Paper›PMID 39146358›Full record

ArticlePloS one2024

Sex-specific associations between socioeconomic status and ideal cardiovascular health among Korean adults: The Korea National Health and Nutrition Examination Survey, 2007-2017.

Yiyi Yang, Hokyou Lee, Kokoro Shirai, Keyang Liu, Hiroyasu Iso, Hyeon Chang Kim

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Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Yiyi YangDepartment of Public Health, Yonsei University Graduate School, Seoul, South Korea.ORCID 0000-0002-3061-7381
Hokyou LeeDepartment of Preventive Medicine, Yonsei University College of Medicine, Seoul, South Korea.
Kokoro ShiraiDivision of Public Health, Department of Social Medicine, Graduate School of Medicine Osaka University, Osaka, Japan.
Keyang LiuDivision of Public Health, Department of Social Medicine, Graduate School of Medicine Osaka University, Osaka, Japan.
Hiroyasu IsoInstitute for Global Health Policy Research (iGHP), Bureau of International Health Cooperation, National Center for Global Health and Medicine, Tokyo, Japan.
Hyeon Chang KimDepartment of Preventive Medicine, Yonsei University College of Medicine, Seoul, South Korea.ORCID 0000-0001-7867-1240

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Socioeconomic status (SES) has a considerable impact on cardiovascular health (CVH), which may differ by sex. We aimed to investigate sex-specific socioeconomic disparities in CVH among 31,141 individuals aged 25-64 years who participated in the cross-sectional 2007-2017 Korea National Health and Nutrition Survey (KNHANES) and the Life's Simple 7 metrics were used to define ideal CVH. Latent class analysis was used to estimate overall SES patterns. Logistic regression models were used to estimate sex-specific odds ratios (ORs) and 95% confidence interval (95% CI) for the likelihood of ideal CVH across SES classes, with the highest SES as the reference group. Four SES classes were identified: (1) low class with low education and material property (2.4%), (2) lower-medium class (10.1%) and (3) higher-medium class (43.7%) with increasing material affluence, and (4) high class with highest education and income (43.8%). Lower SES was associated with decreased ideal CVH among women; compared to their high SES counterparts, women with lowest SES were least likely to achieve ideal overall CVH (OR: 0.55, 95%CI: 0.43-0.71). Similar SES gradients in ideal overall CVH for men were also observed but it was less clear (OR (95%CI) for lowest SES: 0.83, 0.51-1.34). Low SES was associated with poorer achievement of ideal CVH with some sex-heterogeneities. Interventions that equalize the distribution of power and resources and targeted sex-specific approaches to empower low socioeconomic subgroups are warranted to prevent the transition from ideal to suboptimal cardiovascular health and to close socioeconomic disparities in CVH among Korean adults.

Indexed as

Cardiovascular DiseasesNutrition SurveysSocial ClassAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedRepublic of KoreaSex Factors

Identifiers

PMID39146358
PMCPMC11326625

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.