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Incidence of cardiovascular risk factors by education level 2000-2005 : the Australian diabetes, obesity and lifestyle (AusDiab) cohort study

Beauchamp, Alison, Wolfe, Rory, Magliano, Dianna J., Turrell, Gavin, Tonkin, Andrew, Shaw, Jonathan and Peeters, Anna 2011, Incidence of cardiovascular risk factors by education level 2000-2005 : the Australian diabetes, obesity and lifestyle (AusDiab) cohort study, Longitudinal and life course studies, vol. 2, no. 3, pp. 331-345.

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Title Incidence of cardiovascular risk factors by education level 2000-2005 : the Australian diabetes, obesity and lifestyle (AusDiab) cohort study
Author(s) Beauchamp, Alison
Wolfe, Rory
Magliano, Dianna J.
Turrell, Gavin
Tonkin, Andrew
Shaw, Jonathan
Peeters, Anna
Journal name Longitudinal and life course studies
Volume number 2
Issue number 3
Start page 331
End page 345
Total pages 15
Publisher Society for Longitudinal and Life Course Studies
Place of publication London, England
Publication date 2011
ISSN 1757-9597
Keyword(s) socioeconomic status
risk factor incidence
cardiovascular disease
diabetes
obesity
Summary Lower socioeconomic status (SES) is associated with a higher prevalence of major risk factors for cardiovascular disease (CVD). However, few longitudinal studies have examined the association between SES and CVD risk factors over time. We aimed to determine whether SES, using education as a proxy, is associated with the onset of CVD risk factors over 5 years in an Australian adult cohort study.

Participants in the Australian Diabetes, Obesity and Lifestyle study (AusDiab) study aged 25 years and over who attended both baseline and 5-year follow-up examinations (n=5 967) were categorised according to educational attainment. Cardiovascular risk factor data at both time points were ascertained through questionnaire and physical measurement.

Women with lower education had a greater risk of progressing from normal weight to overweight or obesity than those with higher education (age-adjusted OR 1.57, 95% CI 1.06-2.31). Both men and women with lower education were more likely to develop diabetes (age-adjusted OR from higher education 1.75, 95% CI 1.14-2.71 and 3.01, 95% CI 1.26-7.20, respectively). A lower level of education was associated with a greater number of risk factors accumulated over time in women (OR of progressing from having two or less risk factors at baseline to three or more at follow up, 2.04, 95% 1.32-3.14).

In this Australian population-based study, lower educational attainment was associated with an increased risk of developing both individual and total CVD risk factors over a 5-year period. These findings suggest that SES inequalities in CVD will persist into the future.
Language eng
Field of Research 119999 Medical and Health Sciences not elsewhere classified
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2011, Society for Longitudinal and Life Course Studies
Persistent URL http://hdl.handle.net/10536/DRO/DU:30046462

Document type: Journal Article
Collections: Population Health
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