Life Course Socioeconomic Position, Intergenerational Social Mobility, and Hypertension Incidence in ELSA-Brasil

Detalhes bibliográficos
Autor(a) principal: Lopes, José Aparecido Soares
Data de Publicação: 2021
Outros Autores: Giatti, Luana, Griep, Rosane Harter, Lopes, Antonio Alberto da Silva, Matos, Sheila Maria Alvim, Chor, Dóra, Fonseca, Maria de Jesus M., Barreto, Sandhi Maria
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/47000
Resumo: 2023
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spelling Lopes, José Aparecido SoaresGiatti, LuanaGriep, Rosane HarterLopes, Antonio Alberto da SilvaMatos, Sheila Maria AlvimChor, DóraFonseca, Maria de Jesus M.Barreto, Sandhi Maria2021-05-02T18:24:57Z2021-05-02T18:24:57Z2021LOPES, José Aparecido Soares et al. Life Course Socioeconomic Position, Intergenerational Social Mobility, and Hypertension Incidence in ELSA-Brasil. American Journal of Hypertension, Online, 9p, Feb. 2021.0895-7061https://www.arca.fiocruz.br/handle/icict/4700010.1093/ajh/hpab029engAmerican Journal of HypertensionELSA-BrasilPosição socioeconômicaMobilidade social intergeracionalIncidência de hipertensãoELSA-BrasilSocioeconomic PositionIntergenerational Social MobilityHypertension IncidenceLife Course Socioeconomic Position, Intergenerational Social Mobility, and Hypertension Incidence in ELSA-Brasilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article2023Instituto Federal do Norte de Minas Gerais. Departamento de Assuntos Estudantis e Comunitários. Januária, MG, Brasil / Universidade Federal de Minas Gerais. Faculdade de Medicina & Hospital de Clínicas. Departamento de Preventivo e Social. Belo Horizonte, MG, Brasil.Universidade Federal de Minas Gerais. Faculdade de Medicina & Hospital de Clínicas. Departamento de Preventivo e Social. Belo Horizonte, MG, Brasil.Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Educação em Ambiente e Saúde. Rio de Janeiro, RJ, Brasil.Universidade Federal da Bahia. Faculdade de Medicina. Departamento de Medicina Social. Salvador, BA, Brasil.Universidade Federal da Bahia. Instituto de Saude Coletiva. Departamento de Saúde Coletiva. Salvador, BA, Brasil.Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Departamento de Epidemiologia e Métodos Quantitativos em Saúde. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Departamento de Epidemiologia e Métodos Quantitativos em Saúde. Rio de Janeiro, RJ, Brasil.Universidade Federal de Minas Gerais. Faculdade de Medicina & Hospital de Clínicas. Departamento de Preventivo e Social. Belo Horizonte, MG, Brasil.Background Life course epidemiology is a powerful framework to unravel the role of socioeconomic position (SEP) disparities in hypertension (HTN). This study investigated whether life course SEP is associated with HTN incidence. Specifically, to test whether cumulative low SEP throughout life and unfavorable intergenerational social mobility increased HTN incidence. METHODS Longitudinal analysis of 8,754 ELSA-Brasil participants without HTN or cardiovascular in visit 1 (2008–2010). The response variable was the incidence of HTN between visits 1 and 2 (2012–2014). The explanatory variables were childhood, youth, and adulthood SEP, cumulative low SEP, and intergenerational social mobility. Associations were estimated by incidence rate ratios (IRRs) obtained by generalized linear models, with Poisson distribution and logarithmic link function, after adjustment for sociodemographic, behavioral, and health factors. RESULTS The incidence of HTN was 43.2/1,000 person-years, being higher in males, elderly (70–74 years), self-declared black, and low SEP individuals. After considering sociodemographic factors, low SEP in childhood, youth, and adulthood remained statistically associated with increased HTN incidence. Individuals in the third (IRR: 1.26; 95% confidence interval (CI): 1.11–1.44) and fourth top quartiles (IRR: 1.29; 95% CI: 1.11–1.49) of cumulative low SEP, vs. first, as well as those with low stable intergenerational trajectory (IRR: 1.29; 95% CI: 1.16–1.43), vs. high stable, also had increased HTN incidence rates. Conclusions Socioeconomic disparities at all phases of the life cycle appear to raise HTN incidence rates, being the individuals with greater accumulation of exposure to low SEP and with more unfavorable intergenerational mobility at greatest risk, even in a short follow-up time.info:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/47000/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALRosaneHGriep_DoraSchor_etal_IOC_2021.pdfRosaneHGriep_DoraSchor_etal_IOC_2021.pdfapplication/pdf365745https://www.arca.fiocruz.br/bitstream/icict/47000/2/RosaneHGriep_DoraSchor_etal_IOC_2021.pdfbf6cf0e82aa9bfe028eef97e15f89b41MD52TEXTRosaneHGriep_DoraSchor_etal_IOC_2021.pdf.txtRosaneHGriep_DoraSchor_etal_IOC_2021.pdf.txtExtracted 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dc.title.pt_BR.fl_str_mv Life Course Socioeconomic Position, Intergenerational Social Mobility, and Hypertension Incidence in ELSA-Brasil
title Life Course Socioeconomic Position, Intergenerational Social Mobility, and Hypertension Incidence in ELSA-Brasil
spellingShingle Life Course Socioeconomic Position, Intergenerational Social Mobility, and Hypertension Incidence in ELSA-Brasil
Lopes, José Aparecido Soares
ELSA-Brasil
Posição socioeconômica
Mobilidade social intergeracional
Incidência de hipertensão
ELSA-Brasil
Socioeconomic Position
Intergenerational Social Mobility
Hypertension Incidence
title_short Life Course Socioeconomic Position, Intergenerational Social Mobility, and Hypertension Incidence in ELSA-Brasil
title_full Life Course Socioeconomic Position, Intergenerational Social Mobility, and Hypertension Incidence in ELSA-Brasil
title_fullStr Life Course Socioeconomic Position, Intergenerational Social Mobility, and Hypertension Incidence in ELSA-Brasil
title_full_unstemmed Life Course Socioeconomic Position, Intergenerational Social Mobility, and Hypertension Incidence in ELSA-Brasil
title_sort Life Course Socioeconomic Position, Intergenerational Social Mobility, and Hypertension Incidence in ELSA-Brasil
author Lopes, José Aparecido Soares
author_facet Lopes, José Aparecido Soares
Giatti, Luana
Griep, Rosane Harter
Lopes, Antonio Alberto da Silva
Matos, Sheila Maria Alvim
Chor, Dóra
Fonseca, Maria de Jesus M.
Barreto, Sandhi Maria
author_role author
author2 Giatti, Luana
Griep, Rosane Harter
Lopes, Antonio Alberto da Silva
Matos, Sheila Maria Alvim
Chor, Dóra
Fonseca, Maria de Jesus M.
Barreto, Sandhi Maria
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Lopes, José Aparecido Soares
Giatti, Luana
Griep, Rosane Harter
Lopes, Antonio Alberto da Silva
Matos, Sheila Maria Alvim
Chor, Dóra
Fonseca, Maria de Jesus M.
Barreto, Sandhi Maria
dc.subject.other.pt_BR.fl_str_mv ELSA-Brasil
Posição socioeconômica
Mobilidade social intergeracional
Incidência de hipertensão
topic ELSA-Brasil
Posição socioeconômica
Mobilidade social intergeracional
Incidência de hipertensão
ELSA-Brasil
Socioeconomic Position
Intergenerational Social Mobility
Hypertension Incidence
dc.subject.en.pt_BR.fl_str_mv ELSA-Brasil
Socioeconomic Position
Intergenerational Social Mobility
Hypertension Incidence
description 2023
publishDate 2021
dc.date.accessioned.fl_str_mv 2021-05-02T18:24:57Z
dc.date.available.fl_str_mv 2021-05-02T18:24:57Z
dc.date.issued.fl_str_mv 2021
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv LOPES, José Aparecido Soares et al. Life Course Socioeconomic Position, Intergenerational Social Mobility, and Hypertension Incidence in ELSA-Brasil. American Journal of Hypertension, Online, 9p, Feb. 2021.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/47000
dc.identifier.issn.pt_BR.fl_str_mv 0895-7061
dc.identifier.doi.none.fl_str_mv 10.1093/ajh/hpab029
identifier_str_mv LOPES, José Aparecido Soares et al. Life Course Socioeconomic Position, Intergenerational Social Mobility, and Hypertension Incidence in ELSA-Brasil. American Journal of Hypertension, Online, 9p, Feb. 2021.
0895-7061
10.1093/ajh/hpab029
url https://www.arca.fiocruz.br/handle/icict/47000
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv American Journal of Hypertension
publisher.none.fl_str_mv American Journal of Hypertension
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
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