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Socioeconomic status and pulmonary function, transition from childhood to adulthood: cross-sectional results from the polish part of the HAPIEE study

OBJECTIVE: Previous studies have reported inverse associations between socioeconomic status (SES) and lung function, but less is known about whether pulmonary function is affected by SES changes. We aimed to describe the relationship of changes of SES between childhood and adulthood with pulmonary f...

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Autores principales: Polak, Maciej, Szafraniec, Krystyna, Kozela, Magdalena, Wolfshaut-Wolak, Renata, Bobak, Martin, Pająk, Andrzej
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6340009/
https://www.ncbi.nlm.nih.gov/pubmed/30782683
http://dx.doi.org/10.1136/bmjopen-2018-022638
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author Polak, Maciej
Szafraniec, Krystyna
Kozela, Magdalena
Wolfshaut-Wolak, Renata
Bobak, Martin
Pająk, Andrzej
author_facet Polak, Maciej
Szafraniec, Krystyna
Kozela, Magdalena
Wolfshaut-Wolak, Renata
Bobak, Martin
Pająk, Andrzej
author_sort Polak, Maciej
collection PubMed
description OBJECTIVE: Previous studies have reported inverse associations between socioeconomic status (SES) and lung function, but less is known about whether pulmonary function is affected by SES changes. We aimed to describe the relationship of changes of SES between childhood and adulthood with pulmonary function. DESIGN: Cross-sectional study. PARTICIPANTS: The study sample included 4104 men and women, aged 45–69 years, residents of Krakow, participating in the Polish part of the Health, Alcohol and Psychosocial Factors in Eastern Europe Project. MAIN OUTCOME: Forced expiratory volume (FEV(1)) and forced vital capacity (FVC) were assessed by the standardised spirometry procedure. Participants were classified into three categories of SES (low, moderate or high) based on information on parent’s education, housing standard during childhood, own education, employment status, household amenities and financial status. RESULTS: The adjusted difference in mean FVC between persons with low and high adulthood SES was 100 mL (p=0.005) in men and 100 mL (p<0.001) in women; the differences in mean FEV(1) were 103 mL (p<0.001) and 80 mL (p<0.001), respectively. Upward social mobility and moderate or high SES at both childhood and adulthood were related to significantly higher FEV(1) and FVC compared with low SES at both childhood and adulthood or downward social mobility. CONCLUSIONS: Low SES over a life course was associated with the lowest lung function. Downward social mobility was associated with a poorer pulmonary function, while upward mobility or life course and moderate or high SES were associated with a better pulmonary function.
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spelling pubmed-63400092019-02-02 Socioeconomic status and pulmonary function, transition from childhood to adulthood: cross-sectional results from the polish part of the HAPIEE study Polak, Maciej Szafraniec, Krystyna Kozela, Magdalena Wolfshaut-Wolak, Renata Bobak, Martin Pająk, Andrzej BMJ Open Epidemiology OBJECTIVE: Previous studies have reported inverse associations between socioeconomic status (SES) and lung function, but less is known about whether pulmonary function is affected by SES changes. We aimed to describe the relationship of changes of SES between childhood and adulthood with pulmonary function. DESIGN: Cross-sectional study. PARTICIPANTS: The study sample included 4104 men and women, aged 45–69 years, residents of Krakow, participating in the Polish part of the Health, Alcohol and Psychosocial Factors in Eastern Europe Project. MAIN OUTCOME: Forced expiratory volume (FEV(1)) and forced vital capacity (FVC) were assessed by the standardised spirometry procedure. Participants were classified into three categories of SES (low, moderate or high) based on information on parent’s education, housing standard during childhood, own education, employment status, household amenities and financial status. RESULTS: The adjusted difference in mean FVC between persons with low and high adulthood SES was 100 mL (p=0.005) in men and 100 mL (p<0.001) in women; the differences in mean FEV(1) were 103 mL (p<0.001) and 80 mL (p<0.001), respectively. Upward social mobility and moderate or high SES at both childhood and adulthood were related to significantly higher FEV(1) and FVC compared with low SES at both childhood and adulthood or downward social mobility. CONCLUSIONS: Low SES over a life course was associated with the lowest lung function. Downward social mobility was associated with a poorer pulmonary function, while upward mobility or life course and moderate or high SES were associated with a better pulmonary function. BMJ Publishing Group 2019-01-09 /pmc/articles/PMC6340009/ /pubmed/30782683 http://dx.doi.org/10.1136/bmjopen-2018-022638 Text en © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
spellingShingle Epidemiology
Polak, Maciej
Szafraniec, Krystyna
Kozela, Magdalena
Wolfshaut-Wolak, Renata
Bobak, Martin
Pająk, Andrzej
Socioeconomic status and pulmonary function, transition from childhood to adulthood: cross-sectional results from the polish part of the HAPIEE study
title Socioeconomic status and pulmonary function, transition from childhood to adulthood: cross-sectional results from the polish part of the HAPIEE study
title_full Socioeconomic status and pulmonary function, transition from childhood to adulthood: cross-sectional results from the polish part of the HAPIEE study
title_fullStr Socioeconomic status and pulmonary function, transition from childhood to adulthood: cross-sectional results from the polish part of the HAPIEE study
title_full_unstemmed Socioeconomic status and pulmonary function, transition from childhood to adulthood: cross-sectional results from the polish part of the HAPIEE study
title_short Socioeconomic status and pulmonary function, transition from childhood to adulthood: cross-sectional results from the polish part of the HAPIEE study
title_sort socioeconomic status and pulmonary function, transition from childhood to adulthood: cross-sectional results from the polish part of the hapiee study
topic Epidemiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6340009/
https://www.ncbi.nlm.nih.gov/pubmed/30782683
http://dx.doi.org/10.1136/bmjopen-2018-022638
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