A comparison of the association between socioeconomic position and cardiovascular disease risk factors in three age cohorts of Australian women: findings from the Australian Longitudinal Study on Women's Health

Lawlor, DA, Tooth, L, Lee, C and Dobson, A. (2005) A comparison of the association between socioeconomic position and cardiovascular disease risk factors in three age cohorts of Australian women: findings from the Australian Longitudinal Study on Women's Health. Journal of Public Health, 27 4: 378-87.


Author Lawlor, DA
Tooth, L
Lee, C
Dobson, A.
Title A comparison of the association between socioeconomic position and cardiovascular disease risk factors in three age cohorts of Australian women: findings from the Australian Longitudinal Study on Women's Health
Journal name Journal of Public Health   Check publisher's open access policy
ISSN 1741-3842
Publication date 2005
Sub-type Article (original research)
DOI 10.1093/pubmed/fdi052
Volume 27
Issue 4
Start page 378
End page 87
Total pages 10
Editor E.G. Jessop
N. Vetter
Place of publication Oxford, U.K.
Publisher Oxford Univ Press
Collection year 2005
Language eng
Subject C1
321202 Epidemiology
730201 Women's health
Abstract Objectives To assess the associations between three measurements of socioeconomic position (SEP) - education, occupation and ability to cope on available income - and cardiovascular risk factors in three age cohorts of Australian women. Methods Cross-sectional analysis of three cohorts of Australian women aged 18-23, 45-50 and 70-75 years. Results In general, for all exposures and in all three cohorts, the odds of each adverse risk factor (smoking, obesity and physical inactivity) were lower in the most advantaged compared with the least advantaged. Within each of the three cohorts, the effects of each measurement of SEP on the outcomes were similar. There were, however, some notable between-cohort differences. The most marked differences were those with smoking. For women aged 70-75 (older), those with the highest educational attainment were more likely to have ever smoked than those with the lowest level of attainment. However, for the other two cohorts, this association was reversed, with a stronger association between low levels of education and ever smoking among those aged 18-23 (younger) than those aged 45-50 (mid-age). Similarly, for older women, those in the most skilled occupational classes were most likely to have ever smoked, with opposite findings for mid-age women. Education was also differently associated with physical inactivity across the three cohorts. Older women who were most educated were least likely to be physically inactive, whereas among the younger and mid-age cohorts there was little or no effect of education on physical inactivity. Conclusion These findings demonstrate the dynamic nature of the association between SEP and some health outcomes. Our findings do not appear to confirm previous suggestions that prestige-based measurements of SEP are more strongly associated with health-related behaviours than measurements that reflect material and psychosocial resources.
Keyword Public, Environmental & Occupational Health
Cardiovascular Disease
Risk Factors
Socioeconomic Position
Women
Inequalities
Mortality
Europe
Q-Index Code C1

Document type: Journal Article
Sub-type: Article (original research)
Collections: 2006 Higher Education Research Data Collection
School of Population Health Publications
 
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