|
Is the relationship between individual-and family-levels socioeconomic status with disease different? Analyzing third stage data of IMOS
|
Abbas Ali Keshtkar   , Mehdi Ranjbaran , Hamid Soori , Koorosh Etemad , Patricia Khashayar , Mahboubeh Dini , Bagher Larijani |
|
|
|
Abstract: (5625 Views) |
| Introduction: There are various reporting on the relationship between
socio-economic status, SES, and bone density. However, since most of bone
fractures occur among low-income social groups, SES appears to be an important
factor determining the status of individual bone health. The purpose of this
study was to determine the relationship between the individual and household
levels of SES with osteoporosis. Materials and Methods: Data from the third stage of IMOS (Iranian Multi-center
Osteoporosis Study) including 2617 subjects aged 20 years and older, from the
cities of Sanandaj and Arak was collected in the form of one-stage cluster
sampling. To build the individual-and family-levels of SES index, Principal
Component Analysis (PCA) model was employed. Individual-and family-levels of
SES were addressed as independent variables in univariate and multivariate
logistic regression models to investigate their role in the prevalence of
osteoporosis as the dependent variable. Results: Both
individual and household levels of SES, independently and with controlling the
main risk factors showed a significant effect on osteoporosis. At the
individual level, the odds ratios and 95% confidence intervals for the SES in
"low", "lower-middle", and "upper-middle" levels,
compared with "high" level, were: 3.2 (2.96-3.46), 6.08 (5.65-6.55),
4.95 (4.60-5.32), respectively. At the household level, the same valuables
were: 1.88(1.80-1.95), 1.38 (1.33-1.44), 1.98 (1.90-2.06), respectively. Conclusion: The results showed that in addition to individual-level of SES,
household-level is also important to be considered for intervening and
preventing care |
|
| Keywords: Social class, Osteoporosis, Principal component analysis, Iran |
|
|
Full-Text [PDF 1564 kb]
(1877 Downloads)
|
Type of Study: Research |
Subject:
General
Received: 2014/10/27 | Accepted: 2015/02/19 | Published: 2015/09/23
|
|
|
|
|
|
|
| Send email to the article author |
|
|
|
| Add your comments about this article |
|
|
|
