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A cross-sectional study of socioeconomic status and cardiovascular disease risk among participants in the Prospective Urban Rural Epidemiological (PURE) Study

SAMJ: South African Medical Journal, 2016-09, Vol.106 (9), p.900-906 [Peer Reviewed Journal]

COPYRIGHT 2016 Health & Medical Publishing Group ;This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. ;ISSN: 0256-9574 ;ISSN: 2078-5135 ;EISSN: 2078-5135 ;DOI: 10.7196/SAMJ.2016.v106i9.10456 ;PMID: 27601117

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  • Title:
    A cross-sectional study of socioeconomic status and cardiovascular disease risk among participants in the Prospective Urban Rural Epidemiological (PURE) Study
  • Author: Egbujie, Bonaventure Amandi ; Igumbor, Ehimario Uche ; Puoane, Thandi
  • Subjects: Cardiovascular diseases ; Forecasts and trends ; Health care disparities ; Health Care Sciences & Services ; Health Policy & Services ; Influence ; Medical Ethics ; Medicine, General & Internal ; Medicine, Legal ; Medicine, Research & Experimental ; Public health administration ; Risk factors ; Social classes
  • Is Part Of: SAMJ: South African Medical Journal, 2016-09, Vol.106 (9), p.900-906
  • Description: Cardiovascular diseases (CVDs) are a challenge to populations and health systems worldwide. It is projected that by 2020 about a third of all deaths globally will be caused by CVDs, and that they will become the single leading cause of death by 2030. Empirical evidence suggests that there is socioeconomic patterning in the distribution and prevalence of risk factors for CVD, but the exact nature of this relationship in South Africa remains unclear. To examine the association between socioeconomic status (SES) and risk factors for CVD in a cohort of adult South Africans living in rural and urban communities. This was a cross-sectional analytical study of baseline data on a population-based cohort of 1 976 SA men and women aged 35 - 70 years who were part of the Cape Town arm of the Prospective Urban and Rural Epidemiology (PURE) Study. We found a complex association between SES and CVD risk factors, its pattern differing between urban and rural participants. Marital status showed the most consistent association with CVD risk in both groups: widowed participants living in urban communities were more likely to be hypertensive as well as diabetic, while single participants in both locations were more likely to use alcohol and tobacco products. Level of education was the only SES variable that had no significant association with any CVD risk factor in either study group. All measured SES variables were significantly different between urban and rural participants (p<0.05), with diabetes, obesity and alcohol use significantly more prevalent in urban than in rural participants (p<0.05) while hypertension and tobacco use were not (p≥0.05). In this cohort of South Africans, there were significant associations between SES and CVD risk, with marked differences in these associations between rural and urban locations. These findings highlight the need to consider SES and area of residence when designing interventions for CVD prevention and control.
  • Publisher: South Africa: Health & Medical Publishing Group
  • Language: English;Portuguese
  • Identifier: ISSN: 0256-9574
    ISSN: 2078-5135
    EISSN: 2078-5135
    DOI: 10.7196/SAMJ.2016.v106i9.10456
    PMID: 27601117
  • Source: SciELO
    African Journals Online (Open Access)
    GFMER Free Medical Journals
    Alma/SFX Local Collection
    DOAJ Directory of Open Access Journals
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