J
2023
Socioeconomic position over the life course and impaired lung function of older adults in Central and Eastern Europe: the HAPIEE study
QUISPE HARO, Consuelo, Andrzej PAJAK, Abdonas TAMOSIUNAS, Nadezda CAPKOVA, Martin BOBÁK et. al.
Základní údaje
Originální název
Socioeconomic position over the life course and impaired lung function of older adults in Central and Eastern Europe: the HAPIEE study
Autoři
QUISPE HARO, Consuelo, Andrzej PAJAK, Abdonas TAMOSIUNAS, Nadezda CAPKOVA, Martin BOBÁK a Hynek PIKHART
Vydání
Journal of Epidemiology and Community Health, LONDON, BMJ PUBLISHING GROUP, 2023, 0143-005X
Další údaje
Typ výsledku
Článek v odborném periodiku
Stát vydavatele
Velká Británie a Severní Irsko
Utajení
není předmětem státního či obchodního tajemství
Organizace
Přírodovědecká fakulta – Masarykova univerzita – Repozitář
EID Scopus
2-s2.0-85142326438
Klíčová slova anglicky
socioeconomic position; lung function; psychological stress; risk factors
Návaznosti
EF17_043/0009632, projekt VaV. LX22NPO5101, projekt VaV. 857487, interní kód Repo. 857560, interní kód Repo. RECETOX RI, velká výzkumná infrastruktura.
V originále
Background Social differences in lung functioning have been reported, but the role of socioeconomic position (SEP) at different stages of life is less well understood, particularly in Central and Eastern Europe. This study addressed this question. Methods The analysis included 10 160 individuals aged 45–70 years from the Czech Republic, Poland and Lithuania. Lung function was either normal if values of forced expiratory volume in the first second divided by forced vital capacity (FEV1/FVC) and FVC were higher than the lower limit of normality or impaired if otherwise. SEP at three stages of life was assessed using maternal education (childhood), participant’s education (young adulthood), and current ability to pay for food, clothes and bills (late adulthood). SEP measures were dichotomised as advantaged versus disadvantaged. The associations between impaired lung function and life-course SEP were estimated by logistic regression. Results Disadvantaged SEP in young and late adulthood had higher odds of impaired lung function. In young adulthood, age-adjusted ORs were 1.26 (95% CI 1.06 to 1.49) in men and 1.56 (95% CI 1.29 to 1.88) in women, while in late adulthood, the ORs were 1.15 (95% CI 0.99 to 1.34) in men and 1.26 (95% CI 1.09 to 1.46) in women. Men and women disadvantaged at all three stages of life had ORs of 1.42 (95% CI 1.06 to 1.91) and 1.83 (95% CI 1.32 to 2.52), respectively, compared with those always advantaged. Smoking substantially attenuated the ORs in men but not in women. Conclusion Reducing socioeconomic inequalities in young and late adulthood may contribute to reducing the risk of impaired lung function in late adulthood.
Zobrazeno: 19. 6. 2025 08:30