Intergenerational educational mobility, discrimination, and hypertension in adults from Southern Brazil
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Cadernos de Saúde Pública |
Texto Completo: | https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7476 |
Resumo: | Systemic arterial hypertension (SAH) or high blood pressure a serious global public health problem marked by social inequalities. There are few studies on SAH in Brazil with a life-course theoretical perspective. The current article aims to analyze the relationship between intergenerational educational mobility (IEM) and SAH in Brazilian adults, verifying the impact of interpersonal and color/“race” discrimination on this relationship. The authors analyzed data from 1,720 adults (20-59 years) and their parents in the EpiFloripa Adult Study. Random-effects multilevel regression models were estimated. The fixed effects showed an inverse relationship between IEM and odds of SAH, with statistical significance for high IEM (paternal model: OR = 0.39, p = 0.006; maternal model: OR = 0.35, p = 0.002; and family model: OR = 0.35, p = 0.001). Meanwhile, interaction models showed that situations of discrimination can act jointly with unfavorable IEM, increasing the odds of SAH, especially among black and brown individuals. The study concludes that persistently high IEM is capable of significantly reducing the odds of SAH, while discrimination can intensify the effect of low education, especially in socially marginalized population segments. |
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Intergenerational educational mobility, discrimination, and hypertension in adults from Southern BrazilMobilidade educacional intergeracional, discriminação e hipertensão arterial em adultos do Sul do BrasilSocial InequityCardiovascular DiseasesRacismSocial MobilityMultilevel AnalysisIniquidade SocialDoenças CardiovascularesRacismoMobilidade SocialAnálise MultinívelSystemic arterial hypertension (SAH) or high blood pressure a serious global public health problem marked by social inequalities. There are few studies on SAH in Brazil with a life-course theoretical perspective. The current article aims to analyze the relationship between intergenerational educational mobility (IEM) and SAH in Brazilian adults, verifying the impact of interpersonal and color/“race” discrimination on this relationship. The authors analyzed data from 1,720 adults (20-59 years) and their parents in the EpiFloripa Adult Study. Random-effects multilevel regression models were estimated. The fixed effects showed an inverse relationship between IEM and odds of SAH, with statistical significance for high IEM (paternal model: OR = 0.39, p = 0.006; maternal model: OR = 0.35, p = 0.002; and family model: OR = 0.35, p = 0.001). Meanwhile, interaction models showed that situations of discrimination can act jointly with unfavorable IEM, increasing the odds of SAH, especially among black and brown individuals. The study concludes that persistently high IEM is capable of significantly reducing the odds of SAH, while discrimination can intensify the effect of low education, especially in socially marginalized population segments.La hipertensión arterial sistémica (HAS) es un problema relevante de salud pública mundial, marcado por desigualdades sociales. En Brasil, los estudios sobre la HAS, adoptando una perspectiva teórica de curso de vida, son escasos. El objetivo de este artículo es analizar la relación entre movilidad educacional intergeneracional (MEI) y HAS en adultos brasileños, verificando el impacto de la discriminación interpersonal y del color/“raza” en esa relación. Se analizaron datos de los padres y de 1.720 adultos, entre 20 y 59 años, del Estudio EpiFloripa Adulto. Se estimaron modelos de regresión multinivel con efectos aleatorios. Los efectos fijos mostraron una relación inversa entre MEI y odds de HAS, con significancia estadística para MEI alta (modelo paterno: OR [odds ratio] = 0,39, p = 0,006; modelo materno: OR = 0,35, p = 0,002; y modelo familiar: OR = 0,35, p = 0,001). Los análisis de interacción demostraron, a su vez, que situaciones de discriminación pueden actuar conjuntamente con la MEI desfavorable, elevando la odds de HAS, especialmente entre negros y mulatos/mestizos. Se concluye que una MEI constantemente alta es capaz de reducir significativamente la odds de HAS, sin embargo, la discriminación puede intensificar el efecto de bajos niveles de educación, especialmente en segmentos de la población socialmente marginados.A hipertensão arterial sistêmica (HAS) é um relevante problema de saúde pública mundial, marcado por desigualdades sociais. No Brasil, estudos sobre a HAS adotando uma perspectiva teórica de curso de vida são escassos. O presente artigo visa a analisar a relação entre mobilidade educacional intergeracional (MEI) e HAS em adultos brasileiros, verificando o impacto da discriminação interpessoal e da cor/“raça” nesta relação. Foram analisados dados dos pais e de 1.720 adultos, entre 20 e 59 anos, do Estudo EpiFloripa Adulto. Modelos de regressão multinível com efeitos aleatórios foram estimados. Os efeitos fixos mostraram relação inversa entre MEI e odds de HAS, com significância estatística para MEI alta (modelo paterno: OR [odds ratio] = 0,39, p = 0,006; modelo materno: OR = 0,35, p = 0,002; e modelo familiar: OR = 0,35, p = 0,001). Análises de interação demonstraram, por sua vez, que situações de discriminação podem atuar conjuntamente com a MEI desfavorável, elevando a odds de HAS, especialmente entre negros e pardos. Conclui-se que a MEI constantemente alta é capaz de reduzir significativamente a odds de HAS, mas que a discriminação pode intensificar o efeito de baixos níveis de educação, especialmente em segmentos da população socialmente marginalizados.Reports in Public HealthCadernos de Saúde Pública2020-05-08info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmltext/htmlapplication/pdfapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7476Reports in Public Health; Vol. 36 No. 5 (2020): MayCadernos de Saúde Pública; v. 36 n. 5 (2020): Maio1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZengporhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7476/16558https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7476/16559https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7476/16560https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7476/16561Waleska NishidaEmil KupekCarla ZanelattoJoão Luiz Bastosinfo:eu-repo/semantics/openAccess2024-03-06T15:29:58Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/7476Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:08:35.689207Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true |
dc.title.none.fl_str_mv |
Intergenerational educational mobility, discrimination, and hypertension in adults from Southern Brazil Mobilidade educacional intergeracional, discriminação e hipertensão arterial em adultos do Sul do Brasil |
title |
Intergenerational educational mobility, discrimination, and hypertension in adults from Southern Brazil |
spellingShingle |
Intergenerational educational mobility, discrimination, and hypertension in adults from Southern Brazil Waleska Nishida Social Inequity Cardiovascular Diseases Racism Social Mobility Multilevel Analysis Iniquidade Social Doenças Cardiovasculares Racismo Mobilidade Social Análise Multinível |
title_short |
Intergenerational educational mobility, discrimination, and hypertension in adults from Southern Brazil |
title_full |
Intergenerational educational mobility, discrimination, and hypertension in adults from Southern Brazil |
title_fullStr |
Intergenerational educational mobility, discrimination, and hypertension in adults from Southern Brazil |
title_full_unstemmed |
Intergenerational educational mobility, discrimination, and hypertension in adults from Southern Brazil |
title_sort |
Intergenerational educational mobility, discrimination, and hypertension in adults from Southern Brazil |
author |
Waleska Nishida |
author_facet |
Waleska Nishida Emil Kupek Carla Zanelatto João Luiz Bastos |
author_role |
author |
author2 |
Emil Kupek Carla Zanelatto João Luiz Bastos |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Waleska Nishida Emil Kupek Carla Zanelatto João Luiz Bastos |
dc.subject.por.fl_str_mv |
Social Inequity Cardiovascular Diseases Racism Social Mobility Multilevel Analysis Iniquidade Social Doenças Cardiovasculares Racismo Mobilidade Social Análise Multinível |
topic |
Social Inequity Cardiovascular Diseases Racism Social Mobility Multilevel Analysis Iniquidade Social Doenças Cardiovasculares Racismo Mobilidade Social Análise Multinível |
description |
Systemic arterial hypertension (SAH) or high blood pressure a serious global public health problem marked by social inequalities. There are few studies on SAH in Brazil with a life-course theoretical perspective. The current article aims to analyze the relationship between intergenerational educational mobility (IEM) and SAH in Brazilian adults, verifying the impact of interpersonal and color/“race” discrimination on this relationship. The authors analyzed data from 1,720 adults (20-59 years) and their parents in the EpiFloripa Adult Study. Random-effects multilevel regression models were estimated. The fixed effects showed an inverse relationship between IEM and odds of SAH, with statistical significance for high IEM (paternal model: OR = 0.39, p = 0.006; maternal model: OR = 0.35, p = 0.002; and family model: OR = 0.35, p = 0.001). Meanwhile, interaction models showed that situations of discrimination can act jointly with unfavorable IEM, increasing the odds of SAH, especially among black and brown individuals. The study concludes that persistently high IEM is capable of significantly reducing the odds of SAH, while discrimination can intensify the effect of low education, especially in socially marginalized population segments. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-05-08 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7476 |
url |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7476 |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7476/16558 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7476/16559 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7476/16560 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7476/16561 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html text/html application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
dc.source.none.fl_str_mv |
Reports in Public Health; Vol. 36 No. 5 (2020): May Cadernos de Saúde Pública; v. 36 n. 5 (2020): Maio 1678-4464 0102-311X reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Cadernos de Saúde Pública |
collection |
Cadernos de Saúde Pública |
repository.name.fl_str_mv |
Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br |
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1798943392442351616 |