Abstract
In nine samples of adult populations (2707 males and 2871 females, aged 20–59 years) we studied the relationship between educational level and several lifestyle factors at risk for coronary heart disease (CHD), (i.e., smoking, alcohol consumption, dietary fat intake, sedentary behaviour at work and leisure) and the association between education and certain CHD risk factors (i.e., total cholesterol, HDL-cholesterol, triglycerides, systolic and diastolic blood pressure, body mass index). The data were analyzed separately in samples from North, Central and Southern Italy. The results show that educational level is often associated to the lifestyle factors considered here. This association was positive for both men and women for physical activity at leisure and work stress and only for women with respect to smoking. It was negative for both men and women for alcohol consumption and physical activity at work and for men only for cigarette smoking. The age-adjusted mean levels of the CHD risk factors show some significant differences among subjects with different educational levels, which were not always the same for the three geographical areas. This was with the exception of BMI in females, which appears negatively associated to education in all areas. These differences decreased after adjustments were made for daily cigarette smoking, wine consumption and dietary fat intake. Education seems to play a determining role in lifestyle, however its direct and indirect effects on some major CHD risk factors are somewhat different in areas at different socio-economic conditions.
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BerglundG. and WilhelmsenL. (1975): Factors related to blood pressure in a general population sample of Swedish men - Acta Med. Scand. 198: 291.
DobsonA.J., GibbardR.W., LeederS.R. and O ConnellD.L. (1985): Occupational differences in ischaemic heart disease. Mortality and risk factors in Australia - Am. J. Epidemiol. 2: 283–290.
DuttonD. (1986): Social class, health and illness. Applications of social science to clinical medicine and health policy. L. Aiken and D. Mechanic eds. -Rutgers Univ. Press. New Brunswick - USA.
Gruppo di Ricerca A TS - RF2 del CNR (1980): I fattori di rischio dell'arteriosclerosi in Italia - Giorn. It. Cardiol. 10 Suppl. 3.
Gruppo di Ricerca ATS-Ob 43 (1987): I fattori di rischio cardiovascolare in Italia. Aggiornamento agli anni 80 dello studio delle nove comunità - Card. Prev. Riab. 5: 75–137.
HardesG.R., DobsonA.J., LloydD.M. and LeederS.R. (1985): Coronary heart disease mortality trends and related factors in Australia - Cardiology 72: 23–28.
HolmeI., HjermannI., HegelandA., LundlarseenP.G. and LerenP. (1976): Coronary risk factors and socioeconomic status: the Oslo Study - Lancet 1: 1396–1398.
JacobsenB.K. and ThelleS.D. (1988): Risk factors for coronary heart disease and level of education (the Tromsö Heart Study) - Am. J. Epid. 127: 923–932.
KarvonenM., OrmaE., KeysA., FidanzaF, and BrozekJ. (1959): Cigarette smoking, serum cholesterol, blood pressure and body fatness. Observations in Finland - Lancet 1: 492.
Keys A. (1970): Coronary heart disease in seven countries - Circulation 41 Suppl. 1.
LambertCA. and NethertonD.R. (1982): Risk factors and life style: a statewide health interview survey -New Engl. J. Med. 306: 1048–1051.
LiuK., CedresL.B., StamlerJ. et al. (1982): Relationship of education to major risk factors and death from coronary heart disease, cardiovascular diseases and all causes: findings of three Chicago epidemiologic studies - Circulation 66: 1308–1314.
MorgensternH. (1980): The changing association between social status and coronary heart disease -Soc. Sc. Med. 14: 191–201.
MulcahyR., HickeyN., DalyL. et al. (1984): Level of education, coronary risk factors and cardiovascular disease - Ir. Med. J. 77: 316–318.
RoseG. and MarmotM.G. (1981): Social class and coronary heart disease - Brit. Heart J.45: 13–19.
RosenmanR.H., BrandR.G., JenkinsC.D. et al. (1975): Coronary heart disease in the western Collaborative Group Study: final follow up experience of 8 1/2 years - JAMA 233. 872–877.
SavdieE., GrosslightG.M. and AdenaM.A. (1984): Relation of alcohol and cigarette consumption to blood pressure and serum creatinine levels - J. Chron. Dis. 37: 617.
Schmidt M.I., Duncan B.B., Achutti A., Victora C. and Menna Barreto A. (1989): Social inequalities and the distribution of smoking, obesity, leisure time physical activity and daily alcohol consumption in Porto Alegre - Brazil. 2nd Int. Conference on Preventive Cardiology. Washington, USA, June 18–22.
SiegristJ. (1979): Sociologia Medica - Casa Ed. CEDAM - Padova.
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Tenconi, M.T., Romanelli, C., Gigli, F. et al. The relationship between education and risk factors for coronary heart disease. Eur J Epidemiol 8, 763–769 (1992). https://doi.org/10.1007/BF00145317
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DOI: https://doi.org/10.1007/BF00145317