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American Journal of Public Health
Article . 2003 . Peer-reviewed
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Trends in Risk Factors for Lifestyle-Related Diseases by Socioeconomic Position in Geneva, Switzerland, 1993–2000: Health Inequalities Persist

Authors: Galobardes, B; Costanza, MC; Bernstein, MS; Delhumeau, C; Morabia, A;

Trends in Risk Factors for Lifestyle-Related Diseases by Socioeconomic Position in Geneva, Switzerland, 1993–2000: Health Inequalities Persist

Abstract

Objectives. We report on trends in risk factors for lifestyle-related diseases among socioeconomic position (SEP) groups. Methods. We continuously surveyed the adult population of Geneva, Switzerland, for 8 years (1993–2000) with independent, cross-sectional surveys of representative samples (4207 men and 3987 women aged 35–74 years). Age-adjusted linear regression slopes estimated annual risk factor trends. Interaction terms were tested for trend differences between SEP groups. Results. Overall, low-SEP persons had the worst risk factor profiles. Eight-year trends indicate that (1) number of pack-years smoked decreased by half a pack-year among high-SEP female current smokers only; (2) obesity prevalence more than doubled from 5% to 11% among high-SEP men only; (3) systolic and diastolic blood pressures decreased similarly in all SEP groups; (4) unsaturated-to-saturated dietary fat ratio declined in the low-SEP group only; and (5) physical inactivity and current/former cigarette smoking prevalences remained unchanged in all SEP groups. Conclusions. Smoking, obesity, high blood pressure, and physical inactivity are more prevalent among low-SEP persons. Most socioeconomic risk factor differences remained stable in the 1990s. Thus, social inequalities in chronic disease morbidity and mortality will persist in the next decades.

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Keywords

Adult, Male, Hypercholesterolemia, 613, 618, Behavioral Risk Factor Surveillance System, Risk Factors, Surveys and Questionnaires, Prevalence, Humans, Longitudinal Studies, Occupations, Life Style, Aged, Middle Aged, Social Class, Population Surveillance, Chronic Disease, Hypertension, Educational Status, Female, Switzerland

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    citations
    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    101
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 10%
    influence
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    Top 1%
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Top 10%
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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
101
Top 10%
Top 1%
Top 10%
bronze