Desigualdad educacional y socioeconómica como determinante de mortalidad en Chile: análisis de sobrevida en la cohorte del proyecto San Francisco / Socioeconomic and educational inequities as independent predictors for mortality in a developing country: A cohort study in San Francisco, Chile
Rev. méd. Chile
;
135(11): 1370-1379, nov. 2007. graf, tab
Artículo
en Español
| LILACS
| ID: lil-472836
ABSTRACT
Background:
The socioeconomic position (SEP) and educational level of individuals have an inverse correlation with mortality in developed societies. Aim To assess in a society undergoing a socioeconomic transition, the mortality risk associated to a low SEP (combination of education and income, scale 0-25 points, reference > 10 points) and low education (education years, reference > 8 years), adjusting for other known risk factors. Material andmethods:
In this prospective cohort study, a random sample of 920 subjects, living in San Francisco de Mostazal, Chile, aged more than 20years (395 males) was examined for the first time in 1997-1999 and re-examined in 2005-2006. All had information about economic household income and level of education. A Cox regression model was used to evaluate the association between mortality and socioeconomic measures.Results:
The crude mortality hazard ratio (HR) was 3.34 (95 percent confidence interval (CI) 2.88-3.87) and 6.05 (95 percent CI 5.04-7.26) for low SEP and low educational level, respectively. After adjusting for age, gender, hypertension, diabetes, dyslipidemia, abdominal obesity, smoking, alcohol intake and family history of cardiovascular disease, the figures were 1.23 (95 percent CI 1.04-1.43) and 1.54 (95 percent CI 1.23-1.85) for low SEP and low educational level, respectively.Conclusions:
In a society in socioeconomic transition, low SEP and especially low educational level are risk factors for mortality even after adjusting for known mortality risk factors.
Texto completo:
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Índice:
LILACS (Américas)
Asunto principal:
Factores Socioeconómicos
/
Mortalidad
/
Escolaridad
Tipo de estudio:
Estudio de etiología
/
Estudio observacional
/
Estudio pronóstico
/
Factores de riesgo
Límite:
Adulto
/
Anciano
/
Aged80
/
Femenino
/
Humanos
/
Masculino
País/Región como asunto:
America del Sur
/
Chile
Idioma:
Español
Revista:
Rev. méd. Chile
Asunto de la revista:
Medicina
Año:
2007
Tipo del documento:
Artículo
/
Documento de proyecto
País de afiliación:
Chile
/
Estados Unidos
Institución/País de afiliación:
Consultorio San Francisco de Mostazal/CL
/
Hospital Regional de Rancagua/CL
/
Sharp CV Medical Center/US
/
Universidad de Chile/CL
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