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Socioeconomic determinants of non-communicable-diseases among the Cypriot population: questionnaire study
OBJECTIVE: To investigate the extent to which the socioeconomic status of Cypriots is associated with the lifetime prevalence of self-reported non-communicable disease (NCDs), with emphasis on those accounting for most Death and Disability-adjusted Life Years (DALYs) among the population, including...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Royal Society of Medicine Press
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3499962/ https://www.ncbi.nlm.nih.gov/pubmed/23162684 http://dx.doi.org/10.1258/shorts.2012.012078 |
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author | Kiliari, Nitsa Theodosopoulou, Eleni Papanastasiou, Elena Charalambous, Andreas |
author_facet | Kiliari, Nitsa Theodosopoulou, Eleni Papanastasiou, Elena Charalambous, Andreas |
author_sort | Kiliari, Nitsa |
collection | PubMed |
description | OBJECTIVE: To investigate the extent to which the socioeconomic status of Cypriots is associated with the lifetime prevalence of self-reported non-communicable disease (NCDs), with emphasis on those accounting for most Death and Disability-adjusted Life Years (DALYs) among the population, including cardiovascular disease (CVD), metabolic risks and neuropsychiatric disorders. DESIGN: A nationally based survey conducted through personal interviews, using a structured questionnaire design. SETTING: Cyprus rural and urban areas (excluding Turkish-occupied areas). PARTICIPANTS: Four hundred and sixty-five Cypriot adults of an average age of 53 years. MAIN OUTCOME MEASURES: Lifetime prevalence of self-reported NCDs. RESULTS: Most self-reported NCDs were shown to have significant associations with socioeconomic status, defined for this study by level of education and family income. Education was significantly inversely associated with CVD (18.1% at elementary education level (EE); 2.7% at high school education level (HE); and 1.7% at University/College education level (UE)), hypertension (23.4% at EE; 8.6% at HE; and 2.6% at UE), hypercholesterolaemia (12.8% at EE; 7.1% at HE; and 5.2% at UE), obesity (10.7% at EE; 4.7% at HE; and 3.5% at UE), diabetes (13.8% at EE; 2.4% at HE; and 0.9% at UE), and drug addiction (7.6% at EE; 1.6% at HE; and 0.0% at UE). Depression was more frequent amongst middle level graduates (3.2% at EE; 5.1% at HE; and 2.6% at UE). Income was significantly negatively associated with CVD (r = −0.130, p = 0.005), stress (r = −0.103, p = 0.028) and drug addiction (r = −0.117, p = 0.012), and significantly positively associated with the ‘no problems’ statement (r = 0.201, p = 0.000) which was reported by almost two fifths of the population. Worth noting is stress which, demonstrating no socioeconomic discrimination, was reported by high percentages of the population (17.2% of the sample). CONCLUSIONS: Although with some limitations, this study has provided initial evidence for the existence of socioeconomically determined health inequalities, which may have potentially important implications for understanding the deeper aetiology of common NCDs and for informing public policies. More research in this area is required to reveal the magnitude of NCDS–socioeconomic relation. |
format | Online Article Text |
id | pubmed-3499962 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Royal Society of Medicine Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-34999622012-11-16 Socioeconomic determinants of non-communicable-diseases among the Cypriot population: questionnaire study Kiliari, Nitsa Theodosopoulou, Eleni Papanastasiou, Elena Charalambous, Andreas JRSM Short Rep Research OBJECTIVE: To investigate the extent to which the socioeconomic status of Cypriots is associated with the lifetime prevalence of self-reported non-communicable disease (NCDs), with emphasis on those accounting for most Death and Disability-adjusted Life Years (DALYs) among the population, including cardiovascular disease (CVD), metabolic risks and neuropsychiatric disorders. DESIGN: A nationally based survey conducted through personal interviews, using a structured questionnaire design. SETTING: Cyprus rural and urban areas (excluding Turkish-occupied areas). PARTICIPANTS: Four hundred and sixty-five Cypriot adults of an average age of 53 years. MAIN OUTCOME MEASURES: Lifetime prevalence of self-reported NCDs. RESULTS: Most self-reported NCDs were shown to have significant associations with socioeconomic status, defined for this study by level of education and family income. Education was significantly inversely associated with CVD (18.1% at elementary education level (EE); 2.7% at high school education level (HE); and 1.7% at University/College education level (UE)), hypertension (23.4% at EE; 8.6% at HE; and 2.6% at UE), hypercholesterolaemia (12.8% at EE; 7.1% at HE; and 5.2% at UE), obesity (10.7% at EE; 4.7% at HE; and 3.5% at UE), diabetes (13.8% at EE; 2.4% at HE; and 0.9% at UE), and drug addiction (7.6% at EE; 1.6% at HE; and 0.0% at UE). Depression was more frequent amongst middle level graduates (3.2% at EE; 5.1% at HE; and 2.6% at UE). Income was significantly negatively associated with CVD (r = −0.130, p = 0.005), stress (r = −0.103, p = 0.028) and drug addiction (r = −0.117, p = 0.012), and significantly positively associated with the ‘no problems’ statement (r = 0.201, p = 0.000) which was reported by almost two fifths of the population. Worth noting is stress which, demonstrating no socioeconomic discrimination, was reported by high percentages of the population (17.2% of the sample). CONCLUSIONS: Although with some limitations, this study has provided initial evidence for the existence of socioeconomically determined health inequalities, which may have potentially important implications for understanding the deeper aetiology of common NCDs and for informing public policies. More research in this area is required to reveal the magnitude of NCDS–socioeconomic relation. Royal Society of Medicine Press 2012-10-18 /pmc/articles/PMC3499962/ /pubmed/23162684 http://dx.doi.org/10.1258/shorts.2012.012078 Text en © 2012 Royal Society of Medicine Press http://creativecommons.org/licenses/by-nc/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc/2.0/), which permits non-commercial use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Kiliari, Nitsa Theodosopoulou, Eleni Papanastasiou, Elena Charalambous, Andreas Socioeconomic determinants of non-communicable-diseases among the Cypriot population: questionnaire study |
title | Socioeconomic determinants of non-communicable-diseases among the Cypriot population: questionnaire study |
title_full | Socioeconomic determinants of non-communicable-diseases among the Cypriot population: questionnaire study |
title_fullStr | Socioeconomic determinants of non-communicable-diseases among the Cypriot population: questionnaire study |
title_full_unstemmed | Socioeconomic determinants of non-communicable-diseases among the Cypriot population: questionnaire study |
title_short | Socioeconomic determinants of non-communicable-diseases among the Cypriot population: questionnaire study |
title_sort | socioeconomic determinants of non-communicable-diseases among the cypriot population: questionnaire study |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3499962/ https://www.ncbi.nlm.nih.gov/pubmed/23162684 http://dx.doi.org/10.1258/shorts.2012.012078 |
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