Socioeconomic Determinants of Health: An Adult Population Based Study in Shiraz, Southern Iran

[摘要] Background:Noncommunicablediseases(NCDs)arenowthemostimportantcausesofmortalityandmorbidityinIran.Objectives:Therefore,knowingaboutNCDsstatusanditssocioeconomicdeterminantsarethecornerstonefortheinterventionsthatpolicymakersandhealthprovidersapplytoimprovethehealthofcommunity.Thisresearchincludesafullexplorationoftherelevantdata.PatientsandMethods:Thiswasapopulation-basedclusterrandomizedsamplingcarriedoutinShiraz,Iran.Inthisregard,demographic,socioeconomicstatus,andmedicalhistoryofadultparticipants(atleast18yearold)werecollected.Inthenextstep,physicalexaminationandanthropometricdataweretaken.Finally,fastingbloodglucose(FBS),lipidprofile,andcompletebloodcount(CBC)measurementweredone.Results:Overall,777participants,meanageof42.6±13.8(rangingfrom18to88)year,wereincludedinthisstudywhilefemale(451;58%),middle-aged(203;26.1%),married(653;84%),andthosewithupto12yearsofeducation(470;60.5%)werethemajorities.Amongtheparticipants,453(58.3%)wereamongoverweighttoseverelyobesegroups,441(56.7%)didnothavephysicalactivity,148(19.3%)weresmokers,280(36%)hadhypercholesterolemia,239(30.8%)hadhypertriglyceridemia,54(6.9%)hadhighLDL,93(11.9%)hadlowHDL,and49(6.3%)wereanemic.Womenhadsignificantlylowerheight(Plt;0.001),weight(Plt;0.001),andwaistcircumference(Plt;0.001),buthigherBMI(Plt;0.001)comparedtothoseparametersinmen.Oftotalparticipants,240(30.9%)hadprehypertension,62(8.0%)hadstageIhypertension,and16(2.1%)hadstageIIhypertension.Overall,76(9.8%)subjectshadhypertension,whilemostofthem(57;75%)wereawareoftheirdiseaseandconsumedantihypertensivedrugs.Of777participants,148(19.1%)hadimpairedglucosetolerancetestand51(6.5%)werediabetic.However,46(5.9%)wereawareoftheirdiseaseandonly35(4.5%)consumedglucoseloweringagentstocontrolplasmaglucose.Thosewithfeweryearsofeducationhadsignificantlyhigherprevalenceofobesity(P=0.001),hypertension(Plt;0.001),andDM(P=0.02).Conclusions:Atleast1outof2adultpeopleinShirazdoesnothavephysicalactivityandhashighBMI,while1outof3hasatleastoneabnormalcomponentsintheirlipidprofile.Prediabetes,hypertensive,anddiabeticgroupscomprisedasignificantportionofpopulation.Amongdifferentgroups,womenandlesseducatedpeoplebelongedtothehighriskgroups.Thereforeamultidisciplinaryapproachisneededtocontrolthisevent,especiallyinhighriskpopulation.

[学科分类] 基础医学

[关键词] Socioeconomic Factors;Health;Life Style;Population