Social patterning of cardiovascular and metabolic risk in Colombian adults.
To test for differences in cardiovascular and metabolic risk (CMR) by educational attainment and physical capital. To compare CMR among black, indigenous, and mixed populations, accounting for socioeconomic status (SES).



We conducted multivariate analyses using cross-sectional data from a national survey of Colombian adults (n = 10,814) to examine the social patterning of CMR. In sex/gender-stratified models, a CMR index was regressed on educational attainment, physical capital, ethnicity/race, and age.



Women with a primary education (OR = 1.64, 95% CI: 1.25, 2.15) had higher age- and ethnicity/race-adjusted odds of CMR than women with more than secondary education. Men with a primary education (OR = 0.67, 95% CI: 0.48, 0.92) had significantly lower adjusted odds of CMR than men with more than secondary education; these associations did not remain significant after adjustments for physical capital. Men in the first (OR = 0.45, 95% CI: 0.36, 0.57) and second (OR = 0.72, 95% CI: 0.57, 0.91) physical capital tertiles had significantly lower adjusted odds of CMR than those in the highest tertile. There was not a significant patterning of CMR by ethnicity/race for women or men, or by physical capital for women.



Findings suggest that for Colombian adults CMR is patterned by SES; these associations differ by sex/gender.
a School of Government , Universidad de los Andes , Bogotá , Colombia.
Diego I
DI
Lucumi
b Program in Public Health , University of California , Irvine , CA , USA.|c Department of Chicano/Latino Studies , University of California , Irvine , CA , USA.
Alana M W
AMW
LeBrón
d Department of Health Behavior and Health Education , University of Michigan School of Public Health , Ann Arbor , MI , USA.
Amy J
AJ
Schulz
d Department of Health Behavior and Health Education , University of Michigan School of Public Health , Ann Arbor , MI , USA.
Graciela
G
Mentz
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D002318:Cardiovascular Diseases / Q000453:epidemiology*; D003105:Colombia / Q000453:epidemiology; D003430:Cross-Sectional Studies; D004522:Educational Status; D005260:Female; D006801:Humans; D008297:Male; D024821:Metabolic Syndrome / Q000453:epidemiology*; D008875:Middle Aged; D015999:Multivariate Analysis; D012307:Risk Factors; D012737:Sex Factors; D012923:Social Class; D055815:Young Adult
Cardiovascular disease; Colombia; metabolic diseases; risks; social class