scholarly journals Association of education levels with the risk of hypertension and hypertension control: a nationwide cohort study in Chinese adults

2022 ◽  
pp. jech-2021-217006
Author(s):  
Kan Sun ◽  
Diaozhu Lin ◽  
Mian Li ◽  
Yiming Mu ◽  
Jiajun Zhao ◽  
...  
Keyword(s):  
High School ◽  
Middle School ◽  
Cohort Study ◽  
Education Level ◽  
Middle School Education ◽  
Uncontrolled Hypertension ◽  
Education Attainment ◽  
High School Degree ◽  
Education Levels

BackgroundEducation attainment can improve life expectancy and guide healthy behaviours throughout an entire lifetime. A nationwide longitudinal study of the association of education status with the risk of hypertension and its control in China is lacking.MethodsThe China Cardiometabolic Disease and Cancer Cohort Study is a multicentre, population-based, prospective cohort study. We performed the baseline survey from 2011 to 2012. A follow-up visit was conducted during 2014–2016. 101 959 subjects were included in the final data analyses. Cox proportional hazards regression was used to examine the associations of education levels with the risk of hypertension and uncontrolled hypertension.ResultsDuring follow-up, 11 189 (19.9%) participants had developed hypertension among subjects without hypertension at baseline. Among the participants with hypertension at baseline, only 40.6% had controlled hypertension. Compared with the participants’ education level at elementary school and below, the multivariable-adjusted HR for incident hypertension was 0.76 (95% CI, 0.72 to 0.80) in those with a middle school education level and 0.67 (95% CI, 0.63 to 0.70) in those with a high school degree or above. Correspondingly, multivariable-adjusted HRs associated with uncontrolled hypertension were 0.90 (95% CI, 0.87 to 0.92) in participants with a middle school education level and 0.85 (95% CI, 0.82 to 0.88) in participants with a high school degree or above level.ConclusionParticipants with education attainment at elementary school and below exhibited excess risks of newly diagnosed hypertension and worse blood pressure control compared with individuals with education attainment at middle school or above.

scholarly journals Association between parental socioeconomic status and offspring overweight/obesity from the China Family Panel Studies: a longitudinal survey

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e045433
Author(s):  
Suqin Ding ◽  
Jingqi Chen ◽  
Bin Dong ◽  
Jie Hu
Keyword(s):  
High School ◽  
Socioeconomic Status ◽  
Regression Model ◽  
Household Income ◽  
Parental Education ◽  
Education Level ◽  
Longitudinal Survey ◽  
Average Household Income ◽  
Education Levels ◽  
Parental Socioeconomic Status

ObjectiveTo examine the association between parental socioeconomic status (SES) and the risk of offspring overweight/obesity and the changes of the association that occur as children grow older.DesignWe used data from the nationally representative longitudinal survey of the China Family Panel Studies of 2010 and its three follow-up waves in 2012, 2014 and 2016.ParticipantsA total of 6724 children aged 0–15 years old were included.Primary and secondary outcome measuresAverage household income and paternal and maternal education levels were used as SES indicators. Logistic regression model for panel data was used to examine the associations between SES indicators and child overweight/obesity. A restricted cubic spline linear regression model was used to estimate body mass index (BMI) trajectories with child growth across parental SES levels.ResultsCompared with the lowest education level (primary school or less), the ORs for fathers who had completed junior high school, senior high school and junior college or higher were 0.85 (95% CI 0.75 to 0.97), 0.77 (95% CI 0.64 to 0.92) and 0.72 (95% CI 0.55 to 0.93), respectively. The corresponding ORs for mothers were 0.76 (95% CI 0.67 to 0.86), 0.59 (95% CI 0.47 to 0.72) and 0.45 (95% CI 0.34 to 0.60), respectively. A negative association between parental education and offspring overweight/obesity was observed in the first 10 years but not in children 11–15 years old. BMI differences across parental education levels emerged from birth and widened before 6–7 years old, but decreased before adolescence. High average household income was related to a low risk of offspring overweight/obesity but not when parental education level was adjusted for.ConclusionHigh parental education levels were associated with a low risk of offspring overweight/obesity, especially before adolescence. Effective approaches need to be adopted in early childhood to reduce socioeconomic differences in overweight/obesity.

P5479Educational attainment is an independent predictor of adverse outcomes in patients with coronary artery disease

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
B Z Ghazzal ◽  
H M Kelli ◽  
A Mehta ◽  
A S Tahhan ◽  
J H Kim ◽  
...  
Keyword(s):  
High School ◽  
Middle School ◽  
Educational Attainment ◽  
Graduate Education ◽  
College Education ◽  
Hazard Ratio ◽  
Adverse Outcomes ◽  
All Cause Mortality ◽  
Artery Disease

Abstract Background Educational attainment is an indicator of socioeconomic status and is inversely associated with cardiovascular risk factors and risk for incident coronary artery disease (CAD). Whether the level of educational attainment (EL) in patients with CAD influences outcomes remains understudied. Purpose To ascertain the relationship between EL and adverse outcomes in patients with CAD. We hypothesize that EL will be inversely associated with adverse outcomes in this high-risk patient population. Methods Subjects undergoing cardiac catheterization for known or suspected CAD were recruited in a cardiovascular biobank and had their highest level of educational attainment assessed using predefined options of elementary/middle school, high school, college, or graduate education. The primary outcome of interest was all-cause mortality and secondary outcomes included a composite of cardiovascular deaths and nonfatal myocardial infarction (MI) events, and nonfatal MI events during follow-up. Cox proportional hazards regression models were used to analyze the association between EL and adverse outcomes after adjustment for demographic characteristics, cardiovascular risk factors, cardiovascular medication use, and estimated zip code-based annual family income. Results Among the 6,318 subjects (mean age 64 years, 63% male, 23% black) enrolled, 998 (16%) had received graduate or a higher qualification, 2,689 (43%) had received a college education, 2,403 (38%) had received a high school education, and 228 (3%) had received elementary/middle school education. During a median follow-up of 3 years,there were 1,110 deaths from all causes, 851 cardiovascular deaths/nonfatal MI, and 286 nonfatal MI events. After adjusting for covariates and compared to patients with graduate education or higher, those with lower EL (elementary/middle school, high school, or college education) had a higher risk of all-cause mortality [hazard ratio 1.66, (95% CI 1.08, 2.54), 1.58 (95% CI 1.22, 2.04), and 1.45 (95% CI 1.13, 1.57), respectively]. Similar findings were observed for secondary outcomes. EL dichotomized at graduate education was associated with all-cause mortality (hazard ratio 1.48, 95% CI 1.16, 1.88), but this relationship was significantly modified by sex (p-interaction 0.023) and the association was attenuated among male patients (hazard ratio 1.23, 95% CI 0.94, 1.61) but not female patients (hazard ratio 2.70, 95% CI 1.53, 4.77). Conclusions Lower educational attainment is an independent predictor of adverse outcomes in patients with CAD. The causal link between low education level and increased CV risk needs further investigation. Acknowledgement/Funding Dr. Quyyumi is supported by NIH grants 5P01HL101398-02, 1P20HL113451-01, 1R56HL126558-01, 1RF1AG051633-01, R01 NS064162-01, R01 HL89650-01, HL095479-0

scholarly journals Implications of parental lifestyle changes and education level on adolescent offspring weight: a population based cohort study - The HUNT Study, Norway

BMJ Open ◽  
2018 ◽  
Vol 8 (8) ◽  
pp. e023406 ◽  
Author(s):  
Marit Naess ◽  
Erik R Sund ◽  
Turid Lingaas Holmen ◽  
Kirsti Kvaløy
Keyword(s):  
Physical Activity ◽  
Cohort Study ◽  
Parental Education ◽  
Population Based ◽  
Education Level ◽  
Lifestyle Changes ◽  
Education Levels ◽  
Reduced Physical Activity ◽  
Z Scores ◽  
Over Time

ObjectiveObesity tends to cluster in families reflecting both common genetics and shared lifestyle patterns within the family environment. The aim of this study was to examine whether parental lifestyle changes over time, exemplified by changes in weight and physical activity, could affect offspring weight in adolescents and if parental education level influenced the relationship.Design, setting and participantsThe population-based cohort study included 4424 parent-offspring participants from the Nord-Trøndelag Health Study, Norway. Exposition was parental change in weight and physical activity over 11 years, and outcome was offspring weight measured in z-scores of body mass index (BMI) in mixed linear models.ResultsMaternal weight reduction by 2–6 kg was significantly associated with lower offspring BMI z-scores: −0.132 (95% CI −0.259 to −0.004) in the model adjusted for education. Parental weight change displayed similar effect patterns on offspring weight regardless of parents’ education level. Further, BMI was consistently lower in families of high education compared with low education in the fully adjusted models. In mothers, reduced physical activity level over time was associated with higher BMI z-scores in offspring: 0.159 (95% CI 0.030 to 0.288). Associations between physical activity change and adolescent BMI was not moderated by parental education levels.ConclusionLifestyle changes in mothers were associated with offspring BMI; reduced weight with lower—and reduced physical activity with higher BMI. Father’s lifestyle changes, however, did not significantly affect adolescent offspring’s weight. Overall, patterns of association between parental changes and offspring’s BMI were independent of parental education levels, though adolescents with parents with high education had lower weight in general.

scholarly journals Causes of premature death and their associated risk factors in the Golestan Cohort Study, Iran

BMJ Open ◽  
2018 ◽  
Vol 8 (7) ◽  
pp. e021479 ◽  
Author(s):  
Mahdi Nalini ◽  
Ebele Oranuba ◽  
Hossein Poustchi ◽  
Sadaf G Sepanlou ◽  
Akram Pourshams ◽  
...  
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Middle School ◽  
Cohort Study ◽  
Tobacco Use ◽  
Premature Mortality ◽  
Premature Death ◽  
Fruit Consumption ◽  
Associated Risk Factors

ObjectivesTo examine the causes of premature mortality (<70 years) and associated risk factors in the Golestan Cohort Study.DesignProspective.SettingThe Golestan Cohort Study in northeastern Iran.Participants50 045 people aged 40 or more participated in this population-based study from baseline (2004–2008) to August 2017, with over 99% success follow-up rate.Main outcome measuresThe top causes of premature death, HR and their 95% CI and population attributable fraction (PAF) for risk factors.ResultsAfter 444 168 person-years of follow-up (median of 10 years), 6347 deaths were reported, of which 4018 (63.3%) occurred prematurely. Ischaemic heart disease (IHD) accounted for 33.9% of premature death, followed by stroke (14.0%), road injuries (4.7%), stomach cancer (4.6%) and oesophageal cancer (4.6%). Significant risk/protective factors were: wealth score (HR for highest vs lowest quintile: 0.57, PAF for lowest four quintiles vs top quintile: 28%), physical activity (highest vs lowest tertile: 0.67, lowest two tertiles vs top tertile: 22%), hypertension (1.50, 19%), opium use (1.69, 14%), education (middle school or higher vs illiterate: 0.84, illiterate or primary vs middle school or higher: 13%), tobacco use (1.38, 11%), diabetes (2.39, 8%) and vegetable/fruit consumption (highest vs lowest tertile: 0.87, lowest two tertiles vs top tertile: 8%). Collectively, these factors accounted for 76% of PAF in men and 69% in women.ConclusionIHD and stroke are the leading causes of premature mortality in the Golestan Cohort Study. Enhancing socioeconomic status and physical activity, reducing opium and tobacco use, increasing vegetable/fruit consumption and controlling hypertension and diabetes are recommended to reduce premature deaths.

scholarly journals Maternal Education Level and Child's Anxiety on Dental Extraction

2018 ◽  
Vol 2 (1) ◽  
Author(s):  
Jeffrey Jeffrey ◽  
Florence Meliawaty ◽  
Asih Rahaju
Keyword(s):  
High School ◽  
Junior High School ◽  
Parental Education ◽  
Maternal Education ◽  
Dental Treatment ◽  
Vital Signs ◽  
Education Level ◽  
Dental Extraction ◽  
Respiration Frequency ◽  
Education Levels

Dental extraction can cause anxiety in children, observed in vital signs changes. If occursexcessively, it can be regarded as an obstacle and may affect a child's behavior that can furtherdetermine the success of dental treatment. Anxiety that occurs in children can usually be influencedby various factors, including the level of parental education. This study aimed to observe maternaleducation level and anxiety in children receiving dental extraction treatments. This is a descriptivestudy, involving 60 subjects aged 7-12 that went for dental extraction at Rumah Sakit Gigi MulutPendidikan Universitas Jenderal Achmad Yani (RSGMP UNJANI) Cimahi Juli-Desember 2016. Theparameters examined for measuring anxiety are body temperature, respiration frequency, and pulsebefore and after the procedure. This study found that 63.3% of mother of the subject had high schooleducation, 16.7% of junior high school, 8.3% S1, 6.7% D1/D3, and 5% SD. Increased bodytemperature was obtained in 36 subjects, increased respiration frequency in 46 subjects, andincreased pulse in 34 subjects. We concluded that the majority of maternal education levels in thisstudy are high school graduates and the anxiety parameters in the majority of subjects increase whenreceiving dental extraction procedure.Keywords: child's anxiety, dental extraction, mother education level

scholarly journals Risk Factors for Loss to Follow-up in 3202 Patients at 2 Years After Anterior Cruciate Ligament Reconstruction: Implications for Identifying Health Disparities in the MOON Prospective Cohort Study

2019 ◽  
Vol 47 (13) ◽  
pp. 3173-3180 ◽  
Author(s):  
Prem N. Ramkumar ◽  
Muhammad B. Tariq ◽  
Annunziato Amendola ◽  
Jack T. Andrish ◽  
Robert H. Brophy ◽  
...  
Keyword(s):  
Risk Factors ◽  
Anterior Cruciate Ligament ◽  
Cohort Study ◽  
Ligament Reconstruction ◽  
Cruciate Ligament ◽  
Education Level ◽  
Loss To Follow Up ◽  
Cruciate Ligament Reconstruction ◽  
Anterior Cruciate

Background: Understanding the risk factors for loss to follow-up in prospective clinical studies may allow for a targeted approach to minimizing follow-up bias and improving the generalizability of conclusions in anterior cruciate ligament reconstruction (ACLR) and other sports-related interventions. Purpose: To identify independent risk factors associated with failure to complete (ie, loss to follow-up) patient-reported outcome measures (PROMs) at 2 years after ACLR within a well-funded prospective longitudinal cohort. Study Design: Cohort study (prognosis); Level of evidence, 2. Methods: All patients undergoing primary or revision ACLR enrolled in the prospectively collected database of the multicenter consortium between 2002 and 2008 were included. Multivariate regression analyses were conducted to determine which baseline risk factors were significantly associated with loss to follow-up at a minimum of 2 years after surgery. Predictors assessed for loss to follow-up were as follows: consortium site, sex, race, marital status, smoking status, phone number provided (home or cell), email address provided (primary or secondary), years of school completed, average hours worked per week, working status (full-time, part-time, homemaker, retired, student, or disabled), number of people living at home, and preoperative PROMs (Knee injury and Osteoarthritis Outcome Score, Marx Activity Rating Scale, and International Knee Documentation Committee). Results: A total of 3202 patients who underwent ACLR were enrolled. The 2-year PROM follow-up rate for this cohort was 88% (2821 of 3202). Multivariate analyses showed that patient sex (male: odds ratio [OR], 1.80) and race (black: OR, 3.64; other nonwhite: OR, 1.81) were independent predictors of 2-year loss to follow-up of PROMs. Education level was a nonconfounder. Conclusion: While education level did not predict loss to follow-up, patients who are male and nonwhite are at increased risk of loss to follow-up of PROM at 2 years. Capturing patient outcomes with minimal loss depends on equitable, not equal, opportunity to maximize generalizability and mitigate potential population-level health disparities. Registration: NCT00478894 (ClinicalTrials.gov identifier).

scholarly journals Atorvastatin and growth, rupture of small unruptured intracranial aneurysm: results of a prospective cohort study

2021 ◽  
Vol 14 ◽  
pp. 175628642098793
Author(s):  
Jie Wang ◽  
Jiancong Weng ◽  
Hao Li ◽  
Yuming Jiao ◽  
Weilun Fu ◽  
...  
Keyword(s):  
Growth Rate ◽  
Cohort Study ◽  
Intracranial Aneurysm ◽  
Aneurysm Rupture ◽  
Uncontrolled Hypertension ◽  
Unruptured Intracranial Aneurysm ◽  
Multicenter Cohort Study ◽  
Aneurysm Growth ◽  
Cox Analysis

Background and aims: The role of statins in unruptured intracranial aneurysm (UIA) growth and rupture remains ambiguous. This study sought to determine whether atorvastatin is associated with aneurysm growth and rupture in patients harboring UIA <7 mm. Methods: This prospective, multicenter cohort study consecutively enrolled patients with concurrent UIA <7 mm and ischemic cerebrovascular disease from four hospitals between 2016 and 2019. Baseline and follow-up patient information was recorded. Because of the strong anti-inflammatory effect of aspirin, patients using aspirin were excluded. Patients taking atorvastatin 20 mg daily were atorvastatin users. The primary and exploratory endpoints were aneurysm rupture and growth, respectively. Results: Among the 1087 enrolled patients, 489 (45.0%) took atorvastatin, and 598 (55%) took no atorvastatin. After a mean follow-up duration of 33.0 ± 12.5 months, six (1.2%) and five (0.8%) aneurysms ruptured in atorvastatin and non-atorvastatin groups, respectively. In the adjusted multivariate Cox analysis, UIA sized 5 to <7 mm, current smoker, and uncontrolled hypertension were associated with aneurysm rupture, whereas atorvastatin [adjusted hazard ratio (HR) 1.495, 95% confidence interval (CI) 0.417–5.356, p = 0.537] was not. Of 159 patients who had follow-up imaging, 34 (21.4%) took atorvastatin and 125 (78.6%) took no atorvastatin. Aneurysm growth occurred in five (14.7%) and 21 (16.8%) patients in atorvastatin and non-atorvastatin groups (mean follow-up: 20.2 ± 12.9 months), respectively. In the adjusted multivariate Cox analysis, UIAs sized 5 to <7 mm and uncontrolled hypertension were associated with a high growth rate; atorvastatin (adjusted HR 0.151, 95% CI 0.031–0.729, p = 0.019) was associated with a reduced growth rate. Conclusions: We conclude atorvastatin use is associated with a reduced risk of UIA growth, whereas atorvastatin is not associated with UIA rupture. The trial registry name: The Clinic Benefit and Risk of Oral Aspirin for Unruptured Intracranial Aneurysm Combined With Cerebral Ischemia Clinical Trial Registration-URL: http://www.clinicaltrials.gov Unique identifier: NCT02846259

scholarly journals The Relationship between Corruption and Economic Growth as a Social Issue: A Case Study on Turkey

2014 ◽  
Author(s):  
Neşe Algan ◽  
Başak Gül Aktakas ◽  
İpek Tekin
Keyword(s):  
Economic Growth ◽  
High School ◽  
Reduction Process ◽  
Educational Status ◽  
Education Level ◽  
School Level ◽  
High School Level ◽  
Education Levels ◽  
The Impact ◽  
The Relationship

The present study aims to investigate the relationship between corruption and economic growth by taking the driving force of education into account. A significant contribution of the education level to the reduction process of corruption is expected to occur. For this reason, the number of those who are convicted of corruption offenses depending on their educational status for Turkey are to be taken into account, whereas the effect of education being a separate variable on growth and corruption will not be considered. In this regard, Vector Error Correction (VECM) model will be used as a method for the years between 1980-2011 and the relationship between corruption and economic growth will be analyzed. The contribution of the study to the literature is to reveal the impact of those who cause corruption depending on their education level on growth by undertaking the education levels separately. According to the empirical findings, considering corruption convicts who are literate but not graduated from a school and those having graduated from primary and secondary education, it was observed that corruption affects growth in a negative way. In contrast, given the corruption crimes which were committed by the graduates of both high school and vocational school at high school level and higher education, it was determined that there is a positive relationship between corruption and economic growth.

scholarly journals Differences in Self-Rated Health and Physical Activity due to Education Level among Koreans: Understanding Implications of Physical Education

2021 ◽  
Author(s):  
Byung-Kweon
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Higher Education ◽  
Middle School ◽  
Physical Education ◽  
Education Level ◽  
Moderate Intensity ◽  
Self Rated Health ◽  
Education Levels

Background: We aimed to explore the effect of education levels on self-rated health and physical activity (PA) and to provide basic data for developing interventions based on physical education to improve the quality of life among Koreans. Methods: The 2019 Community Health Survey data were selected through primary and secondary phylogenetic extraction. The survey was conducted among Korean adults aged ≥19 years (n=229,099), in 2019, using an electronic questionnaire. The education levels were classified into eight groups: uneducated, Seodang/Hanhak (traditional Korean school), elementary school, middle school, high school, college (2 or 3 years), university (4 years), and post-graduate or higher. In this study, the effect of participants’ education levels on self-rated health levels and PA was investigated (the PA subdimensions were: the number of days of vigorous PA, moderate-intensity PA, walking, and flexibility exercises). Results: 1) Regarding self-rated health, significant differences according to education level were recorded (P<0.001), with higher education levels leading to higher averages. 2) Regarding PA, significant differences according to education level were revealed, and the number of days of vigorous PA, walking, and flexibility exercise (P<0.001) increased with higher education levels. Moreover, the university (4 years) group reported the highest average. However, the middle school group reported the highest average for the number of days of moderate-intensity PA (P<0.001), and the average number of days decreased as the education level increased after middle school. Conclusion: Education plays an important role in maintaining health, and practicing appropriate PA contributes to one’s quality of life.

Evaluation of Teaching Competency-Based Performance in Middle School Education

2016 ◽  
pp. 159-181
Author(s):  
María Elena Zepeda Hurtado
Keyword(s):  
Middle School ◽  
School Education ◽  
Middle School Education ◽  
Assessment Process ◽  
Evaluation Instrument ◽  
Teaching Competencies ◽  
National Education ◽  
High School Degree ◽  
Competency Based ◽  
Evaluation Of Teaching

The research analyzes the problem of teachers' evaluation of Middle School Education at the Instituto Politécnico Nacional (IPN, for its acronyms in Spanish), which has been practiced using the same instrument since the assessment process started until now. From this approach, the National Education Model of high-schools, and, consequently, of the Instituto Politécnico Nacional is competency-based. There are eight competencies assigned to teachers' development, which are included in the Comprehensive Reform of Middle School Education. The eight teaching competencies are unfolded as attributes that are displayed as performance and/or products, which make up: knowledges, skills and attitudes that are applied in the classroom in order to generate learning environments and to have students develop their own competencies to achieve the high-school degree profile. The general aim of the research is to design an evaluation instrument of middle school education at the IPN, so that students determine the teachers' development according to the model of competencies.

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