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AutorCamelo, Lidyane V.
AutorGiatti, Luana
AutorChor, Dóra
AutorGriep, Rosane Harter
AutorBensenor, Isabela
AutorSantos, Itamar S.
AutorKawachi, Ichiro
AutorBarreto, Sandhi Maria
Fecha de acceso2016-03-03T12:42:50Z
Fecha de disponibilización2016-03-03T12:42:50Z
Fecha de publicación2015
ReferenciaCAMELO, Lidyane V. et al. Associations of life course socioeconomic position and job stress with carotid intima-media thickness. The Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Social Science & Medicine, v.141, p.91-99, Sept. 2015.pt_BR
ISSN0037-7856
URIhttps://www.arca.fiocruz.br/handle/icict/12953
Idiomaengpt_BR
EditorElsevierpt_BR
Derechos de autoropen access
Palabras clave en PortuguésDesigualdades em Saúdept_BR
Palabras clave en PortuguésArteriosclerosept_BR
Palabras clave en PortuguésEstresse no trabalhopt_BR
Palabras clave en PortuguésDoenças cardiovascularespt_BR
Palabras clave en PortuguésSaúde públicapt_BR
TítuloAssociations of life course socioeconomic position and job stress with carotid intima-media thickness. The Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)pt_BR
Tipo del documentoArticle
DOI10.1016/j.socscimed.2015.07.032
Resumen en InglésRationale: The association between life course socioeconomic position (SEP) and subclinical atherosclerosis is not consistent across studies. Socioeconomic adversities early in life are related to an increased probability of a low occupational grade and more stressful jobs in adulthood. However, the role of job stress in explaining the life course social gradient in subclinical atherosclerosis is unknown. Objectives: To examine whether life course SEP is associated with carotid intima-media thickness (IMT) and to investigate whether this association is partially mediated by job stress. Methods: This study used baseline data (2008e2010) for 8806 current workers from ELSAeBrasil. Maternal education, social class of first occupation and social class of current occupation were used to evaluate childhood, youth and adulthood SEP, respectively. Accumulation of risk across the life course was also evaluated. Job stress was assessed by the Swedish DemandeControleSupport Questionnaire. Directed acyclic graph and linear regression models were used. Results: Low childhood SEP was associated with increased IMT only in women, but low youth and adulthood SEP were associated with higher IMT in both genders. The simultaneous adjustment for all SEP indicators showed that only adulthood SEP continued to be associated with IMT. However, higher IMT values were observed among men and women sequentially exposed to low SEP in more than one period of life. High-strain jobs and low job control were not associated with IMT independent of SEP. Conclusion: Our results support a model of the cumulative effects of exposures to SEP across the life span because the highest IMT values were observed in individuals sequentially exposed to low SEP in more than one period of life. We did not find that job stress explained the association between life course SEP and IMT, suggesting that strategies to address socioeconomic inequalities in CVD should target additional steps beyond reducing job stress.pt_BR
AfiliaciónUniversidade Federal de Minas Gerais. Faculdade de Medicina. Programa de Pós-Graduação em Saúde Pública. Belo Horizonte, MG, Brasil / Harvard School of Public Health. Department of Social and Behavioral Sciences. Boston, MA, USA.pt_BR
AfiliaciónUniversidade Federal de Minas Gerais. Faculdade de Medicina. Programa de Pós-Graduação em Saúde Pública. Belo Horizonte, MG, Brasil / Universidade Federal de Ouro Preto. Escola de Nutrição. Ouro Preto, MG, Brasil.pt_BR
AfiliaciónFundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil.pt_BR
AfiliaciónFundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Educação em Ambiente e Saúde. Rio de Janeiro, RJ, Brasil.pt_BR
AfiliaciónUniversidade de São Paulo. Hospital Universitário. Centro para Pesquisa Clínica e Epidemiológica. São Paulo, SP, Brasil.pt_BR
AfiliaciónUniversidade de São Paulo.Escola de Medicina. Departamento de Medicina Interna. São Paulo, SP, Brasil.pt_BR
AfiliaciónHarvard School of Public Health. Department of Social and Behavioral Sciences. Boston, MA, USA.pt_BR
AfiliaciónUniversidade Federal de Minas Gerais. Faculdade de Medicina. Programa de Pós-Graduação em Saúde Pública. Belo Horizonte, MG, Brasil.pt_BR
Palavras clave en InglêsLife coursept_BR
Palavras clave en InglêsHealth inequalitiespt_BR
Palavras clave en InglêsSocioeconomic positionpt_BR
Palavras clave en InglêsAtherosclerosispt_BR
Palavras clave en InglêsIMTpt_BR
Palavras clave en InglêsJob stresspt_BR
Palavras clave en InglêsCardiovascular diseasept_BR
xmlui.metadata.dc.subject.ods01 Erradicação da pobreza
xmlui.metadata.dc.subject.ods03 Saúde e Bem-Estar
xmlui.metadata.dc.subject.ods08 Trabalho decente e crescimento econômico
xmlui.metadata.dc.subject.ods10 Redução das desigualdades


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