The social patterning of risk factors for noncommunicable diseases in five countries: evidence from the modeling the epidemiologic transition study (METS)

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dc.contributor.authorStringhini, Silvia
dc.contributor.authorForrester, Terrence E
dc.contributor.authorPlange-Rhule, Jacob
dc.contributor.authorLambert, Estelle V
dc.contributor.authorViswanathan, Bharathi
dc.contributor.authorRiesen, Walter
dc.contributor.authorKorte, Wolfgang
dc.contributor.authorLevitt, Naomi
dc.contributor.authorTong, Liping
dc.contributor.authorDugas, Lara R
dc.contributor.authorShoham, David
dc.contributor.authorDurazo-Arvizu, Ramon A
dc.contributor.authorLuke, Amy
dc.contributor.authorBovet, Pascal
dc.date.accessioned2016-10-21T12:09:52Z
dc.date.available2016-10-21T12:09:52Z
dc.date.issued2016-09-09
dc.date.updated2016-09-09T18:03:20Z
dc.description.abstractBackground: Associations between socioeconomic status (SES) and risk factors for noncommunicable diseases (NCD-RFs) may differ in populations at different stages of the epidemiological transition. We assessed the social patterning of NCD-RFs in a study including populations with different levels of socioeconomic development. Methods: Data on SES, smoking, physical activity, body mass index, blood pressure, cholesterol and glucose were available from the Modeling the Epidemiologic Transition Study (METS), with about 500 participants aged 25–45 in each of five sites (Ghana, South Africa, Jamaica, Seychelles, United States). Results: The prevalence of NCD-RFs differed between these populations from five countries (e.g., lower prevalence of smoking, obesity and hypertension in rural Ghana) and by sex (e.g., higher prevalence of smoking and physical activity in men and of obesity in women in most populations). Smoking and physical activity were associated with low SES in most populations. The associations of SES with obesity, hypertension, cholesterol and elevated blood glucose differed by population, sex, and SES indicator. For example, the prevalence of elevated blood glucose tended to be associated with low education, but not with wealth, in Seychelles and USA. The association of SES with obesity and cholesterol was direct in some populations but inverse in others. Conclusions: In conclusion, the distribution of NCD-RFs was socially patterned in these populations at different stages of the epidemiological transition, but associations between SES and NCD-RFs differed substantially according to risk factor, population, sex, and SES indicator. These findings emphasize the need to assess and integrate the social patterning of NCD-RFs in NCD prevention and control programs in LMICs.
dc.identifier.apacitationStringhini, S., Forrester, T. E., Plange-Rhule, J., Lambert, E. V., Viswanathan, B., Riesen, W., ... Bovet, P. (2016). The social patterning of risk factors for noncommunicable diseases in five countries: evidence from the modeling the epidemiologic transition study (METS). <i>BMC Public Health</i>, http://hdl.handle.net/11427/22261en_ZA
dc.identifier.chicagocitationStringhini, Silvia, Terrence E Forrester, Jacob Plange-Rhule, Estelle V Lambert, Bharathi Viswanathan, Walter Riesen, Wolfgang Korte, et al "The social patterning of risk factors for noncommunicable diseases in five countries: evidence from the modeling the epidemiologic transition study (METS)." <i>BMC Public Health</i> (2016) http://hdl.handle.net/11427/22261en_ZA
dc.identifier.citationStringhini, S., Forrester, T. E., Plange-Rhule, J., Lambert, E. V., Viswanathan, B., Riesen, W., ... & Shoham, D. (2016). The social patterning of risk factors for noncommunicable diseases in five countries: evidence from the modeling the epidemiologic transition study (METS). BMC Public Health, 16(1), 956.
dc.identifier.issn1471-2458
dc.identifier.ris TY - Journal Article AU - Stringhini, Silvia AU - Forrester, Terrence E AU - Plange-Rhule, Jacob AU - Lambert, Estelle V AU - Viswanathan, Bharathi AU - Riesen, Walter AU - Korte, Wolfgang AU - Levitt, Naomi AU - Tong, Liping AU - Dugas, Lara R AU - Shoham, David AU - Durazo-Arvizu, Ramon A AU - Luke, Amy AU - Bovet, Pascal AB - Background: Associations between socioeconomic status (SES) and risk factors for noncommunicable diseases (NCD-RFs) may differ in populations at different stages of the epidemiological transition. We assessed the social patterning of NCD-RFs in a study including populations with different levels of socioeconomic development. Methods: Data on SES, smoking, physical activity, body mass index, blood pressure, cholesterol and glucose were available from the Modeling the Epidemiologic Transition Study (METS), with about 500 participants aged 25–45 in each of five sites (Ghana, South Africa, Jamaica, Seychelles, United States). Results: The prevalence of NCD-RFs differed between these populations from five countries (e.g., lower prevalence of smoking, obesity and hypertension in rural Ghana) and by sex (e.g., higher prevalence of smoking and physical activity in men and of obesity in women in most populations). Smoking and physical activity were associated with low SES in most populations. The associations of SES with obesity, hypertension, cholesterol and elevated blood glucose differed by population, sex, and SES indicator. For example, the prevalence of elevated blood glucose tended to be associated with low education, but not with wealth, in Seychelles and USA. The association of SES with obesity and cholesterol was direct in some populations but inverse in others. Conclusions: In conclusion, the distribution of NCD-RFs was socially patterned in these populations at different stages of the epidemiological transition, but associations between SES and NCD-RFs differed substantially according to risk factor, population, sex, and SES indicator. These findings emphasize the need to assess and integrate the social patterning of NCD-RFs in NCD prevention and control programs in LMICs. DA - 2016-09-09 DB - OpenUCT DO - 10.1186/s12889-016-3589-5 DP - University of Cape Town J1 - BMC Public Health LK - https://open.uct.ac.za PB - University of Cape Town PY - 2016 SM - 1471-2458 T1 - The social patterning of risk factors for noncommunicable diseases in five countries: evidence from the modeling the epidemiologic transition study (METS) TI - The social patterning of risk factors for noncommunicable diseases in five countries: evidence from the modeling the epidemiologic transition study (METS) UR - http://hdl.handle.net/11427/22261 ER - en_ZA
dc.identifier.urihttp://dx.doi.org/10.1186/s12889-016-3589-5
dc.identifier.urihttp://hdl.handle.net/11427/22261
dc.identifier.vancouvercitationStringhini S, Forrester TE, Plange-Rhule J, Lambert EV, Viswanathan B, Riesen W, et al. The social patterning of risk factors for noncommunicable diseases in five countries: evidence from the modeling the epidemiologic transition study (METS). BMC Public Health. 2016; http://hdl.handle.net/11427/22261.en_ZA
dc.language.rfc3066en
dc.publisherBioMed Central
dc.publisher.departmentMRC/UCT RU for Exercise and Sport Medicineen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsCreative Commons Attribution 4.0 International License
dc.rights.holderThe Author(s).
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.sourceBMC Public Health
dc.source.urihttps://bmcpublichealth.biomedcentral.com/
dc.titleThe social patterning of risk factors for noncommunicable diseases in five countries: evidence from the modeling the epidemiologic transition study (METS)
dc.typeJournal Article
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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