scholarly journals Muscle Exercise Mitigates the Negative Influence of Low Socioeconomic Status on the Lack of Muscle Strength: A Cross-Sectional Study

Healthcare ◽  
2021 ◽  
Vol 9 (10) ◽  
pp. 1244
Author(s):  
Hanna Lee ◽  
Mi-Ji Kim ◽  
Junhee Lee ◽  
Mingyo Kim ◽  
Young Sun Suh ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Muscle Strength ◽  
Low Socioeconomic Status ◽  
Household Income ◽  
Handgrip Strength ◽  
Multivariable Analysis ◽  
Education Level ◽  
Muscle Exercise ◽  
Low Education ◽  
Education Status

Socioeconomic status (SES), which takes into account household income and education level, is an important factor in the role of muscle strength as a discriminator of sarcopenia. Although the benefits of exercise on muscle strength are well recognized, its influence on people of different SES has not been fully elucidated, informing the aim of this study. A total of 6081 subjects, for which we had complete data on measurements of handgrip strength (HGS) and other relevant variables, were included from the Korea National Health and Nutrition Examination Surveys (KNHANES) VII-3. A multivariable analysis showed that people with a low household income (odds ratio (OR) 1.637, p = 0.005) and low education status (OR 2.351, p < 0.001) had a poor HGS compared to those with a high SES, and that the difference in HGS made by muscle exercise was greater for people with a low household income (OR 7.082 vs. 3.619, p < 0.001) and low education status (OR 14.711 vs. 6.383, p < 0.001). Three-step logistic regression analysis showed that muscle exercise mediated the relationship between muscle strength and low household income (OR from 1.772 to 1.736, z = 2.373, p = 0.017) and low education level (OR from 2.368 to 2.309, z = 2.489, p = 0.012). This study confirmed that exercise improves the negative effect of SES on muscle strength, suggesting the greater importance of muscle exercise for people with a low SES.

Abstract MP20: Cardiovascular Protection by the Mediterranean Diet Differs Across Socioeconomic Groups: Prospective Findings From The MOLI-SANI Study

Circulation ◽  
2016 ◽  
Vol 133 (suppl_1) ◽  
Author(s):  
Marialaura Bonaccio ◽  
Augusto Di Castelnuovo ◽  
George Pounis ◽  
Simona Costanzo ◽  
Mariarosaria Persichillo ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Protective Effect ◽  
Mediterranean Diet ◽  
Low Socioeconomic Status ◽  
Household Income ◽  
Multivariable Analysis ◽  
Population Based ◽  
Cvd Risk ◽  
Educational Levels ◽  
Reduced Risk

Introduction: Low socioeconomic status is associated with poor health outcomes and unhealthy behaviors. The traditional Mediterranean diet (MD) has been related to reduced risk of major chronic diseases and mortality and exhibits a socioeconomic gradient. Hypothesis: The association of the MD with cardiovascular risk (CVD) may differ across different socioeconomic status groups. Methods: Population-based cohort study on 18,710 individuals apparently free at enrollment from CVD and diabetes, randomly recruited from the general population of the MOLI-SANI study (Italy). The cohort was followed up for a median of 4.3 years (81,367 person-years). Food intake was recorded by the EPIC food frequency questionnaire. Adherence to the MD was appraised by the Greek Mediterranean diet score. Household income (Euros/year) and educational levels were used as socioeconomic status indicators. Incident CVD events were identified from the hospital discharge records based on ICD-9 codes. Results: We identified 252 CVD events (CHD n=207, stroke n=45). A 2-point increase in the MD score was associated with 16% reduced risk (2% to 28%). The protective effect of the MD differed across educational levels and household income categories (p for interaction=0.042 and 0.0081 respectively) with subjects in the highest category of either education or income reporting a significant reduction of CVD risk in respect to the lowest (HR=0.40;0.23-0.69 and HR=0.38; 0.22-0.64 respectively). In multivariable analysis further controlled for adherence to the MD, nutrient intake varied across socioeconomic strata with those with higher status reporting higher intake of antioxidants and polyphenols (see Table). Conclusions: The protective effect of the MD on CVD risk was only evident within high socioeconomic status groups. At comparable levels of adherence to the MD, differences in dietary antioxidant and polyphenol intakes were apparent across population strata. These nutritional gaps may partly explain the observed socioeconomic pattern of protection.

scholarly journals Relationships between Socioeconomic Status, Handgrip Strength, and Non-Alcoholic Fatty Liver Disease in Middle-Aged Adults

2021 ◽  
Vol 18 (4) ◽  
pp. 1892
Author(s):  
Jinkyung Cho ◽  
Inhwan Lee ◽  
Dong-Ho Park ◽  
Hyo-Bum Kwak ◽  
Kisuk Min
Keyword(s):  
Socioeconomic Status ◽  
Liver Disease ◽  
Muscle Strength ◽  
Fatty Liver Disease ◽  
Handgrip Strength ◽  
Low Ses ◽  
Middle Aged ◽  
Alcoholic Fatty Liver ◽  
Middle Aged Adults ◽  
Alcoholic Fatty Liver Disease

Although low socioeconomic status (SES) and decreased muscle strength have been found to be associated with the risk factors of non-alcoholic fatty liver disease (NAFLD), including insulin resistance, obesity, and metabolic syndrome, the associations among SES, muscle strength, and NAFLD are still unclear. We aimed to investigate the combined effect of SES and relative handgrip strength (HGS) on the risk of NAFLD in middle-aged adults. Data from 5272 middle-aged adults who participated in the Korea National Health and Nutrition Examination Surveys (KNHANES) from 2014–2018 were analyzed. NAFLD was defined using the hepatic steatosis index (HSI) > 36 and the comprehensive NAFLD score (CNS) ≥ 40 in the absence of other causes of liver disease. SES was based on a self-reported questionnaire. Overall, individuals with low SES (odds ratio (OR) = 1.703, 95% confidence interval (CI): 1.424–2.037, p < 0.001) or low HGS (OR = 12.161, 95% CI: 9.548–15.488, p < 0.001) had a significantly higher risk of NAFLD. The joint association analysis showed that a low SES combined with a low HGS (OR = 2.479, 95% CI: 1.351–4.549, p = 0.003) further significantly increased the risk of NAFLD when adjusted for all the covariates, compared with individuals with a high SES and a high HGS (OR = 1). The current findings suggest that both low SES and low HGS were independently and synergistically associated with an increased risk of NAFLD in middle-aged Korean adults.

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.

scholarly journals Association between depression and the combination of lower socioeconomic status and metabolic syndrome: the Korean National Health and Nutrition Examination Survey (KNHANES)

2020 ◽  
Author(s):  
Byungmi Kim ◽  
Eun Young Park
Keyword(s):  
Metabolic Syndrome ◽  
Socioeconomic Status ◽  
National Health ◽  
Household Income ◽  
Education Level ◽  
Nutrition Examination Survey ◽  
Lower Socioeconomic Status ◽  
Health And Nutrition ◽  
Lower Socioeconomic ◽  
Prevalence Of Depression

Abstract Background: Accumulating evidence supports the existence of a metabolic–mood syndrome. Lower socioeconomic status (SES) is correlated with a higher prevalence of both depression and metabolic syndrome (MS). However, the nature of this association remains poorly understood. The objective of this study was to examine whether the combination of MS and lower SES was associated with the prevalence of depression. Methods: We conducted a cross-sectional study of 24,102 adults (>19 years of age) who participated in the 2008–2013 Korean National Health and Nutrition Examination Survey and for whom MS and depression data were available. MS was defined using the diagnostic criteria of the modified National Cholesterol Education Program Adult Treatment Panel III. Depression was assessed using a questionnaire. Multiple logistic regression analysis was used to evaluate the association between depression and MS as well as SES (alone and in combination). Results: Overall, 622 of the 24,102 subjects (2.2%) met the criteria for depression. The prevalence of depression was associated with MS, a lower high-density lipoprotein cholesterol level, an elevated triglyceride level, a lower education level, and a lower household income. Participants with MS and a low SES had a higher likelihood of depression than those without MS and a high SES (odds ratio [OR]=4.180 for low education level and OR=3.994 for low household income level). Conclusions: This study suggests that the combination of SES and MS may play an important role in depression, which has implications for healthcare policy and depression management.

scholarly journals Relationship of Socioeconomic Status to Arterial Stiffness: Comparison Between Medical Aid Beneficiaries and National Health Insurance Beneficiaries

2020 ◽  
Vol 33 (8) ◽  
pp. 718-725
Author(s):  
Hack-Lyoung Kim ◽  
Jin Yong Lee ◽  
Woo-Hyun Lim ◽  
Jae-Bin Seo ◽  
Sang-Hyun Kim ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Health Insurance ◽  
Arterial Stiffness ◽  
National Health Insurance ◽  
National Health ◽  
Low Socioeconomic Status ◽  
Multivariable Analysis ◽  
Laboratory Findings ◽  
Low Socioeconomic ◽  
Medical Aid

Abstract Background There is no general agreement on underlying pathophysiology explaining the high burden of cardiovascular disease on people at low socioeconomic status (SES). This study was conducted to investigate the association between healthcare systems and arterial stiffness. Methods A total of 8,929 subjects (60 years old and 55% were male) who underwent brachial-ankle pulse wave velocity (baPWV) measurement were retrospectively analyzed. There were 8,237 National Health Insurance (NHI) beneficiaries (92.2%) and 692 medical aid (MA) beneficiaries (7.8%). The median value of baPWV was 1,540 cm/s. Results Subjects with higher baPWV values (≥1,540 cm/s) were older, and more frequently had cardiovascular risk factors and unfavorable laboratory findings than those with lower values baPWV (&lt;1,540 cm/s). The baPWV values were significantly higher in MA beneficiaries than in NHI beneficiaries (1,966 ± 495 vs. 1,582 ± 346 cm/s, P &lt; 0.001). The proportion of MA beneficiaries was significantly higher in subjects with higher baPWV than those with lower baPWV (13.1% vs. 2.3%, P &lt; 0.001). In multivariable analysis, MA beneficiaries were significantly associated with higher baPWV values even after controlling for potential confounders (odds ratio, 5.41; 95% confidence intervals, 4.02–7.27; P &lt; 0.001). Conclusions The baPWV values were significantly higher in MA beneficiaries than in NHI beneficiaries. The result of this study provides additional evidence on the association between low SES and arterial stiffening.

scholarly journals Association of Household Income Level and In-Hospital Mortality in Patients With Sepsis: A Nationwide Retrospective Cohort Analysis

2017 ◽  
Vol 33 (10) ◽  
pp. 551-556 ◽  
Author(s):  
Barret Rush ◽  
Katie Wiskar ◽  
Leo Anthony Celi ◽  
Keith R. Walley ◽  
James A. Russell ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Hospital Mortality ◽  
Low Socioeconomic Status ◽  
Household Income ◽  
Cohort Analysis ◽  
Severity Of Illness ◽  
The United States ◽  
Median Income ◽  
Risk Of Mortality ◽  
Income Quartile

Objective: Associations between low socioeconomic status (SES) and poor health outcomes have been demonstrated in a variety of conditions. However, the relationship in patients with sepsis is not well described. We investigated the association of lower household income with in-hospital mortality in patients with sepsis across the United States. Methods: Retrospective nationwide cohort analysis utilizing the Nationwide Inpatient Sample (NIS) from 2011. Patients aged 18 years or older with sepsis were included. Socioeconomic status was approximated by the median household income of the zip code in which the patient resided. Multivariate logistic modeling incorporating a validated illness severity score for sepsis in administrative data was performed. Results: A total of 8 023 590 admissions from the 2011 NIS were examined. A total of 671 858 patients with sepsis were included in the analysis. The lowest income residents compared to the highest were younger (66.9 years, standard deviation [SD] = 16.5 vs 71.4 years, SD = 16.1, P < .01), more likely to be female (53.5% vs 51.9%, P < .01), less likely to be white (54.6% vs 76.6%, P < .01), as well as less likely to have health insurance coverage (92.8% vs 95.9%, P < .01). After controlling for severity of sepsis, residing in the lowest income quartile compared to the highest quartile was associated with a higher risk of mortality (odds ratio [OR]: 1.06, 95% confidence interval [CI]: 1.03-1.08, P < .01). There was no association seen between the second (OR: 1.02, 95% CI: 0.99-1.05, P = .14) and third (OR: 0.99, 95% CI: 0.97-1.01, P = .40) quartiles compared to the highest. Conclusion: After adjustment for severity of illness, patients with sepsis who live in the lowest median income quartile had a higher risk of mortality compared to residents of the highest income quartile. The association between SES and mortality in sepsis warrants further investigation with more comprehensive measures of SES.

scholarly journals 967. The Association between PrEP Awareness and Behavioral, Demographic, and Socioeconomic Factors in NYC

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S513-S513
Author(s):  
Adewumi Adekunle ◽  
Gerald Fletcher ◽  
Marwa Fagir ◽  
Idayat Brimah ◽  
Sulaiman Tijani ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Household Income ◽  
The United States ◽  
Education Level ◽  
Multivariate Logistic Regression Model ◽  
Age Group ◽  
Poverty Level ◽  
Cross Sectional ◽  
Hiv Test ◽  
Prep Awareness

Abstract Background Despite significant gains in the treatment of Human Immunodeficiency Virus (HIV), there are still over 38,000 newly diagnosed with the illness annually in the United States. One strategy to reduce HIV infections is Pre-Exposure Prophylaxis (PrEP) for HIV infection. PrEP involves daily oral emtricitabine/tenofovir disoproxil fumarate (FTC/TDF or Truvada®) to reduce infections in those with exposure(s) to HIV or high-risk groups. Studies have shown reduction in HIV transmission with PrEP treatment. The objective of the study is to investigate how behavioral, demographic, and socioeconomic status (SES) influences the awareness of PrEP treatment in NYC. Methods Data on economic, behavioral, PrEP awareness at the UHF neighborhood level was collected by the Community Health Survey (CHS) from the New York City Department of Health and Mental Hygiene and the American Community Survey from the U.S. Census. The population is a cross-sectional telephone survey of NYC residents with landlines and mobile phones for 2016 and 2017. Household income and neighborhood poverty level were used as proxies for SES. Sex-stratified, multivariate logistic regression model was constructed to estimate adjusted associations and determine differences in awareness of PrEP. The model controlled for age group, race, education level, men sex with men status (MSM), and having had an HIV test in the preceding 12 months. Results The final study sample was 5,515 and 5,761 in 2016 and 2017, respectively. In 2016 crude PrEP awareness rate was 24.3% and in 2017 it was 35.4%. In the multivariate analysis for both 2016 and 2017, PrEP awareness was independently associated with age group, education level, male MSM, and having had an HIV test in the preceding 12 months (p &lt; 0.01). The strongest predictors of PrEP awareness were participants with a preceding HIV test in the past 12 months and males who are MSM. PrEP awareness was associated with race for males in 2016 and 2017. PrEP awareness was associated with race for women in 2016, but not 2017. Figure 1: (left) Median household income in NYC (right) HIV diagnoses and PrEP awareness for 2016 and 2017 Conclusion Understanding the relationship of neighborhood socioeconomic status and PrEP awareness is essential for HIV epidemiology. By monitoring PrEP awareness, HIV diagnoses, and risk factors associated with the two, public health officials better target interventions and health policy. Disclosures All Authors: No reported disclosures

scholarly journals Changes in Health Care Access and Utilization for Low-SES Adults Aged 51–64 Years After Medicaid Expansion

2020 ◽  
Author(s):  
Renuka Tipirneni ◽  
Helen G Levy ◽  
Kenneth M Langa ◽  
Ryan J McCammon ◽  
Kara Zivin ◽  
...  
Keyword(s):  
Low Socioeconomic Status ◽  
Health Care Access ◽  
Medicaid Expansion ◽  
Health Trends ◽  
Care Access ◽  
Low Education ◽  
Before And After ◽  
Education Status ◽  
Source Of Care ◽  
Nationally Representative

Abstract Objectives Whether the Affordable Care Act (ACA) insurance expansions improved access to care and health for adults aged 51–64 years has not been closely examined. This study examined longitudinal changes in access, utilization, and health for low-socioeconomic status adults aged 51–64 years before and after the ACA Medicaid expansion. Methods Longitudinal difference-in-differences (DID) study before (2010–2014) and after (2016) Medicaid expansion, including N = 2,088 noninstitutionalized low-education adults aged 51–64 years (n = 633 in Medicaid expansion states, n = 1,455 in nonexpansion states) from the nationally representative biennial Health and Retirement Study. Outcomes included coverage (any, Medicaid, and private), access (usual source of care, difficulty finding a physician, foregone care, cost-related medication nonadherence, and out-of-pocket costs), utilization (outpatient visit and hospitalization), and health status. Results Low-education adults aged 51–64 years had increased rates of Medicaid coverage (+10.6 percentage points [pp] in expansion states, +3.2 pp in nonexpansion states, DID +7.4 pp, p = .001) and increased likelihood of hospitalizations (+9.2 pp in expansion states, −1.1 pp in nonexpansion states, DID +10.4 pp, p = .003) in Medicaid expansion compared with nonexpansion states after 2014. Those in expansion states also had a smaller increase in limitations in paid work/housework over time, compared to those in nonexpansion states (+3.6 pp in expansion states, +11.0 pp in nonexpansion states, DID −7.5 pp, p = .006). There were no other significant differences in access, utilization, or health trends between expansion and nonexpansion states. Discussion After Medicaid expansion, low-education status adults aged 51–64 years were more likely to be hospitalized, suggesting poor baseline access to chronic disease management and pent-up demand for hospital services.

scholarly journals Neighbourhood characteristics and health outcomes: evaluating the association between socioeconomic status, tobacco store density and health outcomes in Baltimore City

2017 ◽  
Vol 27 (e1) ◽  
pp. e19-e24 ◽  
Author(s):  
Panagis Galiatsatos ◽  
Cynthia Kineza ◽  
Seungyoun Hwang ◽  
Juliana Pietri ◽  
Emily Brigham ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Life Expectancy ◽  
Health Outcomes ◽  
Low Income ◽  
Household Income ◽  
Spatial Regression ◽  
Median Household Income ◽  
Baltimore City ◽  
Education Status ◽  
The Relationship

IntroductionSeveral studies suggest that the health of an individual is influenced by the socioeconomic status (SES) of the community in which he or she lives. This analysis seeks to understand the relationship between SES, tobacco store density and health outcomes at the neighbourhood level in a large urban community.MethodsData from the 55 neighbourhoods of Baltimore City were reviewed and parametric tests compared demographics and health outcomes for low-income and high-income neighbourhoods, defined by the 50th percentile in median household income. Summary statistics are expressed as median. Tobacco store density was evaluated as both an outcome and a predictor. Association between tobacco store densities and health outcomes was determined using Moran’s I and spatial regression analyses to account for autocorrelation.ResultsCompared with higher-income neighbourhoods, lower-income neighbourhoods had higher tobacco store densities (30.5 vs 16.5 stores per 10 000 persons, P=0.01), lower life expectancy (68.5 vs 74.9 years, P<0.001) and higher age-adjusted mortality (130.8 vs 102.1 deaths per 10 000 persons, P<0.001), even when controlling for other store densities, median household income, race, education status and age of residents.ConclusionIn Baltimore City, median household income is inversely associated with tobacco store density, indicating poorer neighbourhoods in Baltimore City have greater accessibility to tobacco. Additionally, tobacco store density was linked to lower life expectancy, which underscores the necessity for interventions to reduce tobacco store densities.

scholarly journals Seroprevalence of Subclinical HEV Infection in Healthy Pregnant Urban Dwellers of Bangladesh: Identification of Possible Risk Factors

2018 ◽  
Vol 8 (2) ◽  
pp. 85-89
Author(s):  
Gazi Zakia Sultana ◽  
Md Moniruzzaman ◽  
Tania Mannan ◽  
Rosy Sultana
Keyword(s):  
Risk Factors ◽  
Socioeconomic Status ◽  
Pregnant Women ◽  
Low Socioeconomic Status ◽  
Economic Status ◽  
Education Level ◽  
Enzyme Linked Immunosorbent Assay ◽  
Igg Antibody ◽  
Cross Sectional ◽  
History Of

Background: Hepatitis caused by hepatitis E Virus (HEV) is not uncommon in developing countries. It is usually a self-limiting conferring immunity against subsequent infection. However, HEV infection during pregnancy results in varying degree of morbidity, often fatal. The present study was designed to find out the seroprevalence of subclinical HEV infection during pregnancy at different trimesters without history of hepatitis.Materials and Methods: A total 255 asymptomatic healthy pregnant women of three trimesters (85×3=255) with no history of jaundice were included in this cross-sectional study. The subjects were sub-grouped according to socioeconomic status and education level. HEV IgG antibody in serum was determined by enzyme linked immunosorbent assay (ELISA). Results were expressed as number (percent). Chi-square, Odds Ratio and 95% CI were calculated as applicable. Data analyses were carried out using statistical package for social science for Windows Version 15.0. A p<0.05 was taken as level of significance.Results: Seropositivity for HEV IgG was 38% (96/255) in pregnant women; the higher percentages were recorded in the 2nd and 3rd trimesters − 41% and 46% respectively. The seropositivity of HEV IgG was significantly high in pregnant women with low education level ((p=0.001; OR=2.70, 95% CI=1.602−4.575) and low socioeconomic status (OR=7.54, 95% CI=4.118−13.029) having monthly income below 27,000 taka (p=0.001).Conclusion: Data concluded that seroprevalence of anti-HEV IgG is higher at third trimester in pregnant women in Bangladesh where low socio-economic status and less education level were identified as possible risk factors. Appropriate measures may diminish the possible exposure to infection and reduce maternal mortality.J Enam Med Col 2018; 8(2): 85-89

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