Cardiovascular risk factors—using repeated cross-sectional surveys to assess time trends in socioeconomic inequalities in neighbouring countries

dc.contributor.authorHughes, John
dc.contributor.authorKabir, Zubair
dc.contributor.authorKee, Frank
dc.contributor.authorBennett, Kathleen
dc.contributor.funderCentre of Excellence for Public Health, Northern Irelanden
dc.date.accessioned2017-05-11T15:45:22Z
dc.date.available2017-05-11T15:45:22Z
dc.date.issued2017-04-03
dc.date.updated2017-05-11T15:35:28Z
dc.description.abstractObjectives: This study compares trends in socioeconomic inequalities related to key cardiovascular risk factors in neighbouring countries Northern Ireland (NI) and the Republic of Ireland (RoI). Design: Repeated cross-sectional studies. Setting: Population based. Participants: 3500–4000 in national surveys in NI and 5000–9000 in RoI, aged 20–69 years. Measures: Educational attainment was used as a socioeconomic indicator by which the magnitude and direction of trends in inequalities for smoking, diabetes, obesity and physical inactivity in NI and RoI were examined between 1997/1998 and 2007/2011. Gender-specific relative and absolute inequalities were calculated using the Relative Index of Inequality (RII) and Slope Index of Inequality (SII) for both countries. Results: In both countries, the prevalence of diabetes and obesity increased whereas levels of smoking and physical inactivity decreased over time. In NI relative inequalities increased for obesity (RII 1.1 in males and 2.1 in females in 2010/2011) and smoking (RII 4.5 in males and 4.2 in females in 2010/2011) for both genders and absolute inequalities increased for all risk factors in men and increased for diabetes and obesity in women. In RoI greater inequality was observed in women, particularly for smoking (RII 2.8 in 2007) and obesity (RII 8.2 in 2002) and in men for diabetes (RII 3.2 in 2002). Conclusions: Interventions to reduce inequalities in risk factors, particularly smoking, obesity and diabetes are encouraged across both countries.en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationHughes, J., Kabir, Z., Kee, F. and Bennett, K. (2017) 'Cardiovascular risk factors—using repeated cross-sectional surveys to assess time trends in socioeconomic inequalities in neighbouring countries', BMJ Open, 7(4), e013442. doi:10.1136/bmjopen-2016-013442en
dc.identifier.doi10.1136/bmjopen-2016-013442
dc.identifier.endpagee013442-11en
dc.identifier.issn2044-6055
dc.identifier.issued4en
dc.identifier.journaltitleBMJ Openen
dc.identifier.startpagee013442-1en
dc.identifier.urihttps://hdl.handle.net/10468/3949
dc.identifier.volume7en
dc.language.isoenen
dc.publisherBMJ Publishing Groupen
dc.rights© 2017, The Authors; Published by the BMJ Publishing Group Limited. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/en
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/en
dc.subjectCardiovascular risk factorsen
dc.subjectDiabetesen
dc.subjectObesityen
dc.subjectPublic healthen
dc.subjectInequalitiesen
dc.titleCardiovascular risk factors—using repeated cross-sectional surveys to assess time trends in socioeconomic inequalities in neighbouring countriesen
dc.typeArticle (peer-reviewed)en
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