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Lifecourse socioeconomic trajectories and C-reactive protein levels in young adults

Findings from a Brazilian birth cohort

Bibliographic Data

ID4590524
AuthorsAydin Nazmi (0000-0002-3650-4222, California Polytechnic State University), Isabel O Oliveira (0009-0008-7548-232X, Universidade Federal de Pelotas), Bernardo L Horta (0000-0001-9843-412X, Universidade Federal de Pelotas), Denise P Gigante (0000-0001-7309-5838, Universidade Federal de Pelotas), Cesar G Victora (0000-0002-2465-2180, Universidade Federal de Pelotas)
Year2010
Volume70
Issue8
Pages1229-1236
Publication date2010-04-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueSocial Science & Medicine (JOURNAL)
Journal identifiersISSN: 0277-9536 • E-ISSN: 1873-5347
PublisherElsevier BV (PUBLISHER)
DOI10.1016/j.socscimed.2009.12.014
PMID20137842
PMCIDPMC2877874
OpenAlexW1996639963
LanguageEN
Citations received13
References cited56

Socioeconomic factors are associated with cardiovascular disease. C-reactive protein (CRP) is increasingly implicated as a candidate linking conventional risk factors and atherosclerosis. The impact of early- and later-life socioeconomic status (SES) on CRP levels has not been widely investigated and a handful of studies from high-income countries are inconsistent. We set out to examine the associations between lifecourse socioeconomic indicators (family income at birth, maternal education, family income at age 23 and own education) on CRP levels in young adults belonging to the 1982 Pelotas (Brazil) Birth Cohort Study (n=5914). Early-life SES showed significant and graded associations with CRP levels at age 23 independently of later SES. For example, men with higher family income at birth showed higher CRP levels at age 23 (p=0.001 for trend) and women with less educated mothers showed higher CRP levels (p=0.01 for trend). Notably, differential directions of association between SES indicators and CRP levels between men and women were found. When adjusted for SES at age 23, men with the lowest family income at birth showed 42% lower CRP levels when compared to men in the highest family income group (-42; 95% CI: -60,-16). In contrast women born to the least educated mothers had the highest CRP levels (35; 95% CI -2, 86). In both sexes, adiposity accounted for the overwhelming majority of the associations between SES and CRP levels. Sex and gender roles specific to middle-income countries, socio-cultural and environmental conditions that may impact adiposity, and the level of epidemiological transition may be key factors that are linked to the associations between lifecourse SES and CRP levels. Public health strategies aimed at decreasing the burden of cardiovascular disease in middle-income settings, in addition to highlighting the risks associated with adult obesity, should not overlook the wide-ranging impacts of lifecourse social determinants

Cohort · Cohort study · Environmental health · Population · Socioeconomic status · Sociology · Birth, Development, and Health · Body Composition Measurement Techniques · Demography · Medicine · Obesity, Physical Activity, Diet · Gerontology · Internal Medicine

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Unique citing works13
Citations per year0,87
Citation span2011 - 2022 (12)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 13

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