title: Socioeconomic status in association with metabolic syndrome and coronary heart disease risk.
abstract: BACKGROUND
  The purpose of this study was to examine the association of metabolic syndrome (MS) coronary heart disease (CHD) with socioeconomic status (SES).
  
  
  METHODS
  The participants were 2,170 (631 men and 1,539 women), aged over 40 years who had visited for health screening from April to December in 2009. We classified them into three SES levels according to their education and income levels. MS was defined using the criteria of modified National Cholesterol Education Program Adult Treatment Panel III and CHD risk was defined using Framingham risk score (FRS) ≥ 10%.
  
  
  RESULTS
  High, middle, and low SES were 12.0%, 73.7%, and 14.3%, respectively. The prevalence of MS was 18.1%. For high, middle, and low SES, after adjusted covariates (age, drinking, smoking, and exercise), odds ratios for MS in men were 1.0, 1.41 (confidence interval [CI], 0.83 to 2.38; P > 0.05), and 1.50 (CI, 0.69 to 3.27; P > 0.05), respectively and in women were 1.0, 1.74 (CI, 1.05 to 3.18; P < 0.05), and 2.81 (CI, 1.46 to 2.43; P < 0.05), respectively. The prevalence of FRS ≥ 10% was 33.5% (adjusted covariates were drinking, smoking, and exercise) and odds ratios for FRS ≥ 10% in men were 1.0, 2.86 (CI, 1.35 to 6.08; P < 0.001), and 3.12 (CI, 1.94 to 5.00; P < 0.001), respectively and in women were 1.0, 3.24 (CI, 1.71 to 6.12; P < 0.001), and 8.80 (CI, 4.50 to 17.23; P < 0.001), respectively.
  
  
  CONCLUSIONS
  There was an inverse relationship between SES and FRS ≥ 10% risk in men, and an inverse relationship between SES and both risk of MS and FRS ≥ 10% in women.
authors.affiliation: Department of Family Medicine, Daegu Catholic University Hospital, Daegu, Korea.
authors.forename: Ji Young
authors.initials: JY
authors.lastname: Kim
authors.forename: Sung Hi
authors.initials: SH
authors.lastname: Kim
authors.forename: Yoon Jeong
authors.initials: YJ
authors.lastname: Cho
keywords: Cardiovascular Disease Risk; Social Class
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