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The impact of a private sector living wage intervention on consumption and cardiovascular disease risk factors in a middle income country
BACKGROUND: A positive association of socioeconomic position and health is well established in high-income countries. In poorer nations, however, higher income individuals often have more cardiovascular risk factors (including obesity) than do those with less income. Our study goal was to estimate t...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5785889/ https://www.ncbi.nlm.nih.gov/pubmed/29370797 http://dx.doi.org/10.1186/s12889-018-5052-2 |
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author | Rehkopf, David H. Burmaster, Katharine Landefeld, John C. Adler-Milstein, Sarah Flynn, Emily P. Acevedo, Maria Cecilia Jones-Smith, Jessica C. Adler, Nancy Fernald, Lia C. H. |
author_facet | Rehkopf, David H. Burmaster, Katharine Landefeld, John C. Adler-Milstein, Sarah Flynn, Emily P. Acevedo, Maria Cecilia Jones-Smith, Jessica C. Adler, Nancy Fernald, Lia C. H. |
author_sort | Rehkopf, David H. |
collection | PubMed |
description | BACKGROUND: A positive association of socioeconomic position and health is well established in high-income countries. In poorer nations, however, higher income individuals often have more cardiovascular risk factors (including obesity) than do those with less income. Our study goal was to estimate the effects of receiving a living wage (340% higher income) on short-term changes in consumption and cardiovascular risk factors among low-wage workers in a middle-income country. METHODS: This cross-sectional study matched workers at an apparel factory (n=105) in the Dominican Republic with those at a similar factory (n=99) nearby, 15 months after the intervention factory introduced a substantially higher living wage. Statistical matching on non-time varying individual characteristics (childhood health, childhood living conditions, work experience, demographic factors) strengthened causal inference. Primary outcomes were blood pressure (systolic and diastolic), pulse rate, body mass index and waist circumference. Secondary outcomes were dietary consumption and spending on services, consumables and durable goods. RESULTS: Receiving the living wage was associated with increased consumption of protein, dairy, soda and juice and sugars, but not with cardiovascular risk factors. Intervention factory workers spent more on grocery items and household durable goods. CONCLUSIONS: While having a higher income in a middle-income country might be expected to increase obesity and its associated health risks, the current study found no short-term negative associations. There may be possible longer-term negative health consequences of increases in consumption of soda, juice and sugars, however. It is important to consider complementary interventions to support healthy dietary intake in areas with increasing wages. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12889-018-5052-2) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-5785889 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-57858892018-02-07 The impact of a private sector living wage intervention on consumption and cardiovascular disease risk factors in a middle income country Rehkopf, David H. Burmaster, Katharine Landefeld, John C. Adler-Milstein, Sarah Flynn, Emily P. Acevedo, Maria Cecilia Jones-Smith, Jessica C. Adler, Nancy Fernald, Lia C. H. BMC Public Health Research Article BACKGROUND: A positive association of socioeconomic position and health is well established in high-income countries. In poorer nations, however, higher income individuals often have more cardiovascular risk factors (including obesity) than do those with less income. Our study goal was to estimate the effects of receiving a living wage (340% higher income) on short-term changes in consumption and cardiovascular risk factors among low-wage workers in a middle-income country. METHODS: This cross-sectional study matched workers at an apparel factory (n=105) in the Dominican Republic with those at a similar factory (n=99) nearby, 15 months after the intervention factory introduced a substantially higher living wage. Statistical matching on non-time varying individual characteristics (childhood health, childhood living conditions, work experience, demographic factors) strengthened causal inference. Primary outcomes were blood pressure (systolic and diastolic), pulse rate, body mass index and waist circumference. Secondary outcomes were dietary consumption and spending on services, consumables and durable goods. RESULTS: Receiving the living wage was associated with increased consumption of protein, dairy, soda and juice and sugars, but not with cardiovascular risk factors. Intervention factory workers spent more on grocery items and household durable goods. CONCLUSIONS: While having a higher income in a middle-income country might be expected to increase obesity and its associated health risks, the current study found no short-term negative associations. There may be possible longer-term negative health consequences of increases in consumption of soda, juice and sugars, however. It is important to consider complementary interventions to support healthy dietary intake in areas with increasing wages. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12889-018-5052-2) contains supplementary material, which is available to authorized users. BioMed Central 2018-01-25 /pmc/articles/PMC5785889/ /pubmed/29370797 http://dx.doi.org/10.1186/s12889-018-5052-2 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Rehkopf, David H. Burmaster, Katharine Landefeld, John C. Adler-Milstein, Sarah Flynn, Emily P. Acevedo, Maria Cecilia Jones-Smith, Jessica C. Adler, Nancy Fernald, Lia C. H. The impact of a private sector living wage intervention on consumption and cardiovascular disease risk factors in a middle income country |
title | The impact of a private sector living wage intervention on consumption and cardiovascular disease risk factors in a middle income country |
title_full | The impact of a private sector living wage intervention on consumption and cardiovascular disease risk factors in a middle income country |
title_fullStr | The impact of a private sector living wage intervention on consumption and cardiovascular disease risk factors in a middle income country |
title_full_unstemmed | The impact of a private sector living wage intervention on consumption and cardiovascular disease risk factors in a middle income country |
title_short | The impact of a private sector living wage intervention on consumption and cardiovascular disease risk factors in a middle income country |
title_sort | impact of a private sector living wage intervention on consumption and cardiovascular disease risk factors in a middle income country |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5785889/ https://www.ncbi.nlm.nih.gov/pubmed/29370797 http://dx.doi.org/10.1186/s12889-018-5052-2 |
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