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The influence of multiple indicies of socioeconomic disadvantage across the adult life course on the metabolic syndrome: the Vietnam experience study

The influence of multiple indicies of socioeconomic disadvantage across the adult life course on the metabolic syndrome: the Vietnam experience study
The influence of multiple indicies of socioeconomic disadvantage across the adult life course on the metabolic syndrome: the Vietnam experience study
Few studies have explored the relationship between individual and combined multiple indicators of socioeconomic status across the life course and the metabolic syndrome, or attempted to understand the mechanisms underlying any associations. The present study examined the associations between 4 indicators of socioeconomic status, individually and in combination, and metabolic syndrome risk in a study of male US veterans and examined the influence of health behaviors, intelligence, and psychologic distress on these associations. Participants (N = 4253) were drawn from the Vietnam Experience Study. From military service files, telephone interviews, and a medical examination, occupational, sociodemographic, health behavior, intelligence, psychologic, and health data were collected. The 4 indices of socioeconomic status were as follows: education achieved, early adulthood income, household income in midlife, and occupational prestige in midlife. Metabolic syndrome was diagnosed from the following: body mass index, fasting blood glucose or a diagnosis of diabetes, blood pressure—a diagnosis of hypertension or taking antihypertensives, high-density lipoprotein cholesterol, and triglyceride levels. In models that adjusted for age, men in the lower 2 groups on the combined measure of socioeconomic status experienced a higher risk of metabolic syndrome. This association was accounted for mainly by education achieved, household income in midlife, and occupational prestige in midlife. Intelligence appeared to explain much of this association. Combined socioeconomic status measures across the life course were related to metabolic syndrome but in a threshold rather than dose-response manner. Intelligence appeared to mediate this relationship.
0026-0495
1164-1171
Phillips, Anna C.
d007c34d-e3b8-4a33-9608-841383e54e47
Carroll, Douglas
713a28c3-4e36-4dd8-aabe-1b5e93de8045
Thomas, G. Neil
235880ad-12bf-4123-bd5d-039503294cce
Gale, Catharine R.
5bb2abb3-7b53-42d6-8aa7-817e193140c8
Deary, Ian
7be535ea-a665-4f0a-aecb-622505bd1045
Batty, David
3e04ecc0-cced-47b2-9995-1355f3af1ff8
Phillips, Anna C.
d007c34d-e3b8-4a33-9608-841383e54e47
Carroll, Douglas
713a28c3-4e36-4dd8-aabe-1b5e93de8045
Thomas, G. Neil
235880ad-12bf-4123-bd5d-039503294cce
Gale, Catharine R.
5bb2abb3-7b53-42d6-8aa7-817e193140c8
Deary, Ian
7be535ea-a665-4f0a-aecb-622505bd1045
Batty, David
3e04ecc0-cced-47b2-9995-1355f3af1ff8

Phillips, Anna C., Carroll, Douglas, Thomas, G. Neil, Gale, Catharine R., Deary, Ian and Batty, David (2010) The influence of multiple indicies of socioeconomic disadvantage across the adult life course on the metabolic syndrome: the Vietnam experience study. Metabolism, 59 (8), 1164-1171. (doi:10.1016/j.metabol.2009.11.009). (PMID:20045139)

Record type: Article

Abstract

Few studies have explored the relationship between individual and combined multiple indicators of socioeconomic status across the life course and the metabolic syndrome, or attempted to understand the mechanisms underlying any associations. The present study examined the associations between 4 indicators of socioeconomic status, individually and in combination, and metabolic syndrome risk in a study of male US veterans and examined the influence of health behaviors, intelligence, and psychologic distress on these associations. Participants (N = 4253) were drawn from the Vietnam Experience Study. From military service files, telephone interviews, and a medical examination, occupational, sociodemographic, health behavior, intelligence, psychologic, and health data were collected. The 4 indices of socioeconomic status were as follows: education achieved, early adulthood income, household income in midlife, and occupational prestige in midlife. Metabolic syndrome was diagnosed from the following: body mass index, fasting blood glucose or a diagnosis of diabetes, blood pressure—a diagnosis of hypertension or taking antihypertensives, high-density lipoprotein cholesterol, and triglyceride levels. In models that adjusted for age, men in the lower 2 groups on the combined measure of socioeconomic status experienced a higher risk of metabolic syndrome. This association was accounted for mainly by education achieved, household income in midlife, and occupational prestige in midlife. Intelligence appeared to explain much of this association. Combined socioeconomic status measures across the life course were related to metabolic syndrome but in a threshold rather than dose-response manner. Intelligence appeared to mediate this relationship.

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Published date: August 2010

Identifiers

Local EPrints ID: 174817
URI: http://eprints.soton.ac.uk/id/eprint/174817
ISSN: 0026-0495
PURE UUID: d0c0f538-2777-43f6-8de7-9a64133ef6f8
ORCID for Catharine R. Gale: ORCID iD orcid.org/0000-0002-3361-8638

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Date deposited: 17 Feb 2011 11:27
Last modified: 14 Mar 2024 02:38

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Contributors

Author: Anna C. Phillips
Author: Douglas Carroll
Author: G. Neil Thomas
Author: Ian Deary
Author: David Batty

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