Surprising SES gradients in mortality, health, and biomarkers in a Latin American population of adults

dc.contributor.authorDow, William H.
dc.contributor.authorRosero Bixby, Luis
dc.date.accessioned2021-11-24T16:07:18Z
dc.date.accessioned2022-03-18T03:29:42Z
dc.date.available2021-11-24T16:07:18Z
dc.date.available2022-03-18T03:29:42Z
dc.date.issued2009
dc.description.abstractBackground. To determine socioeconomic status (SES) gradients in the different dimensions of health among elderly Costa Ricans. Hypothesis: SES disparities in adult health are minimal in Costa Rican society. Methods. Data from the Costa Rican Study on Longevity and Healthy Aging study: 8,000 elderly Costa Ricans to determine mortality in the period 2000 – 2007 and a subsample of 3,000 to determine prevalence of several health conditions and biomarkers from anthropometry and blood and urine specimens. Results. The ultimate health indicator, mortality, as well as the metabolic syndrome, reveals that better educated and wealthier individuals are worse off. In contrast, quality of life – related measures such as functional and cognitive disabilities, physical frailty, and depression all clearly worsen with lower SES. Overall self-reprted health (SRH) also shows a strong positive SES gradient. Traditional cardiovascular risk factors such as diabetes and cholesterol are not signifi cantly related to SES, but hypertension and obesity are worse among high-SES individuals. Refl ecting mixed SES gradients in behaviors, smoking and lack of exercise are more common among low SES, but high calorie diets are more common among high SES. Conclusions. Negative modern behaviors among high-SES groups may be reversing cardiovascular risks across SES groups, hence reversing mortality risks. But negative SES gradients in healthy years of life persist.es_CR
dc.description.pages105-117
dc.description.urihttps://academic.oup.com/psychsocgerontology/article/64B/1/105/615465?searchresult=1
dc.identifier.issn1079-5014
dc.identifier.urihttps://repositorio.sibdi.ucr.ac.cr/handle/123456789/17045
dc.language.isoenges_CR
dc.publisherJournal of Gerontology: Social Sciences 64B(1)es_CR
dc.subjectMORTALIDADes_CR
dc.subjectMORTALIDAD ADULTAes_CR
dc.subjectBIOMARCADORESes_CR
dc.subjectADULTOSes_CR
dc.subjectENVEJECIMIENTO DE LA POBLACIONes_CR
dc.titleSurprising SES gradients in mortality, health, and biomarkers in a Latin American population of adultses_CR
dc.typeArticlees_CR

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