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Childhood Socioeconomic Status and the MEtabolic Syndrome

Phillips, Jennifer Elaine (2007) Childhood Socioeconomic Status and the MEtabolic Syndrome. Master's Thesis, University of Pittsburgh. (Unpublished)

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Variation in socioeconomic status (SES) is associated with the incidence of coronary heart disease (CHD) and its associated risk factors, with most studies focusing on individuals' current SES. Here, we examine whether childhood SES may be similarly associated with the metabolic syndrome and its component risk factors in a community sample of nonpatient volunteers. Subjects were 843 participants from the University of Pittsburgh Adult Health and Behavior project (age: 30-54 yrs., 51% female, 89% Caucasian/11% African-American). Childhood SES was defined by parental educational attainment and current SES was measured by subjects' years of education. The presence of the metabolic syndrome was identified according to both National Cholesterol Education Program (NCEP) and International Diabetes Federation (IDF) criteria. Logistic and linear regression analyses accounting for age, sex, and race showed parental education was a significant independent predictor of the metabolic syndrome in women (OR = 0.87; 95% CI = 0.79, 0.97; p = 0.008) but not in men (OR = 1.06; 95% CI = 0.89, 1.27; p = 0.527) after controlling for subjects' own education. Thus, a one year increase in parental education was found to predict a thirteen percent decreased likelihood of developing the metabolic syndrome in women after adjustment for both covariates and subjects' education level. Parental education was also a significant predictor of several metabolic syndrome risk factors in women (systolic blood pressure, diastolic blood pressure, triglycerides) and one risk factor in men (HDL cholesterol). Therefore, it appears that childhood SES, as indexed by parental education, is an important independent predictor of increased cardiovascular risk in middle aged adults in this sample, particularly women.


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Item Type: University of Pittsburgh ETD
Status: Unpublished
CreatorsEmailPitt UsernameORCID
Phillips, Jennifer Elainejep24@pitt.eduJEP24
ETD Committee:
TitleMemberEmail AddressPitt UsernameORCID
Committee ChairManuck, Stephen Bmanuck@pitt.eduMANUCK
Committee MemberMarsland, Annamarsland@pitt.eduMARSLAND
Committee MemberMuldoon, Matthewmfm10@pitt.eduMFM10
Date: 23 January 2007
Date Type: Completion
Defense Date: 31 August 2006
Approval Date: 23 January 2007
Submission Date: 8 December 2006
Access Restriction: No restriction; Release the ETD for access worldwide immediately.
Institution: University of Pittsburgh
Schools and Programs: Dietrich School of Arts and Sciences > Psychology
Degree: MS - Master of Science
Thesis Type: Master's Thesis
Refereed: Yes
Uncontrolled Keywords: childhood ses; coronary heart disease; education; metabolic syndrome
Other ID:, etd-12082006-110237
Date Deposited: 10 Nov 2011 20:09
Last Modified: 15 Nov 2016 13:53


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