Cardiovascular risk factors in Australia: trends in socioeconomic inequalities.
Open Access
- 1 August 1995
- journal article
- Published by BMJ in Journal of Epidemiology and Community Health
- Vol. 49 (4), 363-372
- https://doi.org/10.1136/jech.49.4.363
Abstract
STUDY OBJECTIVE--To examine trends in socioeconomic inequalities in cardiovascular risk factors using educational attainment to indicate socioeconomic status. DESIGN--Behavioural data, physical measurements, blood pressure, and lipid determination collected in three, successive multicentre cross sectional community surveys conducted in 1980, 1983, and 1989. SETTING--The six state capital cities of Australia; Sydney, Melbourne, Brisbane, Adelaide, Perth, and Hobart. PARTICIPANTS--A total of 19,315 randomly selected respondents stratified by age (25-44, 45-64) and sex. RESULTS--During the 1980s, average blood pressure declined for each level of educational attainment. Dietary messages to reduce the intake of saturated fat had little effect on the lipid profile of any population group. Height and educational attainment were positively associated. Women increased in weight from between 2 to 4 kg depending on age and educational attainment while older men experienced increases of around 2.5 kg regardless of educational attainment. Advice to avoid salt was adopted across the spectrum of educational attainment but with no suggestion that the socioeconomic gradient, which favoured the more highly educated, was diminishing. Men of all education levels responded positively to the anti-smoking initiatives of the 1980s but the relative disadvantage of those of lower education was maintained. Among women, the decline in smoking was less among those in the low education group. The prevalence of moderate to heavy drinkers was higher in men of lower educational attainment but declined significantly over the period. Walking for recreation or exercise became more popular, especially among older men of low education, while the prevalence of aerobic exercise and vigorous exercise remained largely unchanged. Overall, the clear socioeconomic gradient between leisure time physical activity and education attainment remained. CONCLUSIONS--The lower socioeconomic group has improved its risk factor profile but its relative disadvantage compared with the higher socioeconomic group persists. Health promotion activities in Australia seem to have been effective in reaching the lower socioeconomic groups but the challenge to reduce inequalities remains. The steady increase in educational attainment in Australia may have been an important factor in the general improvement in the nation's risk factor profile and in the decrease in mortality from coronary heart disease.Keywords
This publication has 41 references indexed in Scilit:
- The definition and assessment of physical activity in cardiovascular risk reduction researchAustralian Journal of Public Health, 1993
- Body Weight and MortalityNutrition Reviews, 1993
- Socioeconomic status and mortality revisited: an extension of the Brisbane area analysisAustralian Journal of Public Health, 1992
- Does the occupational structure of the Hunter Region explain the high rates of ischaemic heart disease among its men?Australian Journal of Public Health, 1991
- Time Trends in Inequalities in HealthJournal of Biosocial Science, 1988
- SOCIAL CLASS DIFFERENCES IN ISCHAEMIC HEART DISEASE IN BRITISH MENThe Lancet, 1987
- MORTALITY DECLINE AND WIDENING SOCIAL INEQUALITIESThe Lancet, 1986
- SOCIAL CLASS (AS ESTIMATED BY OCCUPATIONAL PRESTIGE) AND MORTALITY IN AUSTRALIAN MALES IN THE 1970sCommunity Health Studies, 1985
- Bias due to non-participation and heterogenous sub-groups in population surveysJournal of Chronic Diseases, 1983
- Four-year mortality by some socioeconomic indicators: the Oslo study.Journal of Epidemiology and Community Health, 1980