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Gaceta Sanitaria
Print version ISSN 0213-9111
Abstract
GULLON, Pedro et al. Social inequities in cardiovascular risk factors in women and men by autonomous regions in Spain. Gac Sanit [online]. 2021, vol.35, n.4, pp.326-332. Epub Dec 27, 2021. ISSN 0213-9111. https://dx.doi.org/10.1016/j.gaceta.2020.04.014.
Objective
To describe social inequities in cardiovascular risk factors in women and men by autonomous regions in Spain.
Method
We used data from 20,406 individuals aged 18 or older from the 2017 Spanish National Health Survey. We measured socioeconomic position using occupational social class and used data on selfreported cardiovascular risk factors: high cholesterol, diabetes, hypertension, obesity, and smoking. We estimated the relative risk of inequality using Poisson regression models. Analyses were stratified by men and women and by region (autonomous communities).
Results
Overall, the relative risk of inequality was 1.02, 1.13, 1.06, 1.17 and 1.09 for high cholesterol, diabetes, hypertension, obesity, and current smoking, respectively. Ocuupational social class inequities in diabetes, hypertension, and obesity was stronger for women. Results showed a large regional heterogeneity in these inequities; some regions (e.g. Asturias and Balearic Islands) presented wider social inequities in cardiovascular risk factors than others (e.g. Galicia, Navarra or Murcia).
Conclusion
In Spain, we found marked social inequities in the prevalence of cardiovascular risk factors, with wide regional and women/men heterogeneity in these inequities. Education, social, economic and health policies at the regional level could reduce health inequities in cardiovascular risk factors and, thus, prevent cardiovascular disease.
Keywords : Epidemiology; Cardiovascular risk factors; Social determinants of health; Health inequities; Health disparities.