Socio-economic patterning of cardiometabolic risk factors in rural and peri-urban India: Andhra Pradesh children and parents study APCAPSReport as inadecuate




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Journal of Public Health

, Volume 23, Issue 3, pp 129–136

First Online: 11 March 2015Received: 21 September 2014Accepted: 24 February 2015DOI: 10.1007-s10389-015-0662-y

Cite this article as: Gupta, V., Millett, C., Walia, G.K. et al. J Public Health 2015 23: 129. doi:10.1007-s10389-015-0662-y

Abstract

AimTo assess the prevalence of cardiometabolic risk factors by socio-economic position SEP in rural and peri-urban Indian population.

Subjects and methodsCross-sectional survey of 3,948 adults 1,154 households from Telangana 2010–2012 was conducted to collect questionnaire-based data, physical measurements and fasting blood samples. We compared the prevalence of risk factors and their clustering by SEP adjusting for age using the Mantel Hansel test.

ResultsMen and women with no education had higher prevalence of increased waist circumference men: 8 vs. 6.4 %, P < 0.001; women: 20.9 vs. 12.0 %, P = 0.01, waist-hip ratio men: 46.5 vs. 25.8 %, P = 0.003; women: 58.8 vs. 29.2 %, P = 0.04 and regular alcohol intake 61.7 vs. 32.5 %, P < 0.001; women: 25.7 vs. 3.8 %, P < 0.001 than educated participants. Unskilled participants had higher prevalence of regular alcohol intake men: 57.7 vs. 38.7 %, P = 0.001; women: 28.3 vs. 7.3 %, P < 0.001. In contrast, participants with a higher standard of living index had higher prevalence of diabetes top third vs. bottom third: men 5.2 vs. 3.5 %, P = 0.004; women 5.5 vs. 2.4 %, P = 0.003, hyperinsulinemia men 29.5 vs. 16.3 %, P = 0.002; women 31.1 vs. 14.3 %, P < 0.001, obesity men 23.3 vs. 10.6 %, P < 0.001; women 25.9 vs. 12.8 %, P < 0.001, and raised LDL men 16.8 vs. 11.4 %, P = 0.001; women 21.3 vs. 14.0 %, P < 0.001.

ConclusionsCardiometabolic risk factors are common in rural India but do not show a consistent association with SEP except for higher prevalence of smoking and regular alcohol intake in lower SEP group. Strategies to address the growing burden of cardiometabolic diseases in urbanizing rural India should be assessed for their potential impact on social inequalities in health.

KeywordsSocioeconomic position Status Cardiovascular Metabolic disease Risk factors  Download fulltext PDF



Author: Vipin Gupta - Christopher Millett - Gagandeep Kaur Walia - Sanjay Kinra - Aastha Aggarwal - Poornima Prabhakaran - Santhi 

Source: https://link.springer.com/







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