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Social circumstances and education: Life course origins of social inequalities in metabolic risk in a prospective national birth cohort

Langenberg, C; Kuh, D; Wadsworth, MEJ; Brunner, E; Hardy, R; (2006) Social circumstances and education: Life course origins of social inequalities in metabolic risk in a prospective national birth cohort. AM J PUBLIC HEALTH , 96 (12) 2216 - 2221. 10.2105/AJPH.2004.049429. Gold open access

Abstract

Objectives. We investigated the relative importance of education and childhood and adult social class in the risk of metabolic syndrome.Methods. We conducted a prospective birth cohort study of 1311 men and 1318 women aged 53 years in 1999, when metabolic syndrome components were measured. Logistic regression analyses were used to calculate relative index of inequality estimates.Results. Relative to men and women at the highest education levels, men (odds ratio [OR] = 2.0; 95% confidence interval [CI] = 1.2, 3.2) and women (OR =23; 95% CI = 1.5, 4.6) with the least education were at twice the risk or more of having the metabolic syndrome. Adjustment for childhood and adult social class strengthened this result among men and weakened it among women. Childhood social class was independently associated with the metabolic syndrome in women (OR = 2.0; 95% CI = 1.1, 3.6) but not in men (OR = 1.1; 95% Cl = 0.7, 1.8). Associations between adult social class and the metabolic syndrome or its components were largely accounted for by childhood socioeconomic measures.Conclusions. Educational differences should be considered in the design of interventions aimed at reducing the burden of the metabolic syndrome in socially disadvantaged groups.

Type: Article
Title: Social circumstances and education: Life course origins of social inequalities in metabolic risk in a prospective national birth cohort
Open access status: An open access publication
DOI: 10.2105/AJPH.2004.049429
Publisher version: http://www.ncbi.nlm.nih.gov/pmc/ articles/PMC16981...
Keywords: NUTRITION EXAMINATION SURVEY, MIDDLE-AGED MEN, CARDIOVASCULAR-DISEASE, SOCIOECONOMIC POSITION, INSULIN-RESISTANCE, BLOOD CHOLESTEROL, CHILDHOOD, ADULTHOOD, HEALTH, HEMOGLOBIN
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Education
UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education
UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education > IOE - Social Science
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Cardiovascular Science
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Epidemiology and Health > Behavioural Science and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Health Informatics
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Health Informatics > Clinical Epidemiology
URI: http://discovery.ucl.ac.uk/id/eprint/179923
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