Education and risk factors for coronary heart disease: results from a New England community.
This article investigates the association of education with the estimated coronary heart disease (CHD) risk and the prevalence of CHD risk factors for men and women in a New England community over a period of 10 years. Educational differentials in knowledge of cardiovascular disease prevention, body mass index (BMI), total and high-density lipoprotein (HDL) cholesterol, cigarette smoking, and hypertension were examined for 3,765 respondents 25-64 years of age from five surveys of the Pawtucket Heart Health Program. We found a clear negative association between education and composite CHD risk. A stable separation in risk level was maintained across time between the least educated (< 12 years of education) and the other two educational groups (12, > or = 13 years of education) in both men and women. Educational differentials were observed in BMI and total and HDL cholesterol of the women 25-44 years of age. For men and women 25-44 years of age, smoking was negatively associated with education. Hypertension differed by education level among the women 45-64 years of age. These findings are highly comparable with the national data from aggregate vital statistics and the results of the National Health and Nutrition Examination Survey (NHANES) cohort follow-up.
Reynes
J F
JF
Pawtucket Heart Health Program, RI 02860.
Lasater
T M
TM
Feldman
H
H
Assaf
A R
AR
Carleton
R A
RA
D000328:Adult; D003327:Coronary Disease / Q000453:epidemiology* / Q000517:prevention & control; D004522:Educational Status; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D012237:Rhode Island / Q000453:epidemiology; D012307:Risk Factors; D012309:Risk-Taking; D000074606:Smoking Prevention