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Trends in Risk Factors for Lifestyle-Related Diseases by Socioeconomic Position in Geneva, Switzerland, 1993-2000: Health Inequalities Persist

Author

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  • Galobardes, B.
  • Costanza, M.C.
  • Bernstein, M.S.
  • Delhumeau, C.
  • Morabia, A.

Abstract

Objectives. We report on trends in risk factors for lifestyle-related diseases among socioeconomic position (SEP) groups. Methods. We continuously surveyed the adult population of Geneva, Switzerland, for 8 years (1993-2000) with independent, cross-sectional surveys of representative samples (4207 men and 3987 women aged 35-74 years). Age-adjusted linear regression slopes estimated annual risk factor trends. Interaction terms were tested for trend differences between SEP groups. Results. Overall, low-SEP persons had the worst risk factor profiles. Eight-year trends indicate that (1) number of pack-years smoked decreased by half a pack-year among high-SEP female current smokers only; (2) obesity prevalence more than doubled from 5% to 11% among high-SEP men only; (3) systolic and diastolic blood pressures decreased similarly in all SEP groups; (4) unsaturated-to-saturated dietary fat ratio declined in the low-SEP group only; and (5) physical inactivity and current/ former cigarette smoking prevalences remained unchanged in all SEP groups. Conclusions. Smoking, obesity, high blood pressure, and physical inactivity are more prevalent among low-SEP persons. Most socioeconomic risk factor differences remained stable in the 1990s. Thus, social inequalities in chronic disease morbidity and mortality will persist in the next decades.

Suggested Citation

  • Galobardes, B. & Costanza, M.C. & Bernstein, M.S. & Delhumeau, C. & Morabia, A., 2003. "Trends in Risk Factors for Lifestyle-Related Diseases by Socioeconomic Position in Geneva, Switzerland, 1993-2000: Health Inequalities Persist," American Journal of Public Health, American Public Health Association, vol. 93(8), pages 1302-1309.
    • Handle: RePEc:aph:ajpbhl:2003:93:8:1302-1309_5
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    Cited by:

    1. Denise Howel & Elaine Stamp & Thomas J Chadwick & Ashley J Adamson & Martin White, 2013. "Are Social Inequalities Widening in Generalised and Abdominal Obesity and Overweight among English Adults?," PLOS ONE, Public Library of Science, vol. 8(11), pages 1-9, November.
    2. Radoslaw Panczak & Marcel Zwahlen & Ulrich Woitek & Frank J Rühli & Kaspar Staub, 2014. "Socioeconomic, Temporal and Regional Variation in Body Mass Index among 188,537 Swiss Male Conscripts Born between 1986 and 1992," PLOS ONE, Public Library of Science, vol. 9(5), pages 1-10, May.
    3. Sheena E Ramsay & Peter H Whincup & Sarah L Hardoon & Lucy T Lennon & Richard W Morris & S G Wannamethee, 2011. "Social Class Differences in Secular Trends in Established Coronary Risk Factors over 20 Years: A Cohort Study of British Men from 1978–80 to 1998–2000," PLOS ONE, Public Library of Science, vol. 6(5), pages 1-5, May.
    4. Bruno Linetzky & Fernando Maio & Daniel Ferrante & Jonatan Konfino & Carlos Boissonnet, 2013. "Sex-stratified socio-economic gradients in physical inactivity, obesity, and diabetes: evidence of short-term changes in Argentina," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 58(2), pages 277-284, April.
    5. Mathieu Roy & Mélissa Généreux & Émélie Laverdière & Alain Vanasse, 2014. "Surveillance of Social and Geographic Inequalities in Housing-Related Issues: The Case of the Eastern Townships, Quebec (Canada)," IJERPH, MDPI, vol. 11(5), pages 1-20, May.
    6. Rehana Shrestha & Johannes Flacke & Javier Martinez & Martin Van Maarseveen, 2016. "Environmental Health Related Socio-Spatial Inequalities: Identifying “Hotspots” of Environmental Burdens and Social Vulnerability," IJERPH, MDPI, vol. 13(7), pages 1-23, July.
    7. Silvia Stringhini & Brenda Spencer & Pedro Marques-Vidal & Gerard Waeber & Peter Vollenweider & Fred Paccaud & Pascal Bovet, 2012. "Age and Gender Differences in the Social Patterning of Cardiovascular Risk Factors in Switzerland: The CoLaus Study," PLOS ONE, Public Library of Science, vol. 7(11), pages 1-9, November.
    8. Ana-Lucia Mayén & Idris Guessous & Fred Paccaud & Silvia Stringhini & Pedro Marques-Vidal, 2016. "Educational differences in dietary intake and compliance with dietary recommendations in a Swiss adult population," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(9), pages 1059-1067, December.
    9. Cécile Knai & Tim Lobstein & Nicole Darmon & Harry Rutter & Martin McKee, 2012. "Socioeconomic Patterning of Childhood Overweight Status in Europe," IJERPH, MDPI, vol. 9(4), pages 1-18, April.
    10. Carlos de Mestral & Pedro Marques-Vidal & Jean-Michel Gaspoz & Jean-Marc Theler & Idris Guessous, 2017. "Independent association between socioeconomic indicators and macro- and micro-nutrient intake in Switzerland," PLOS ONE, Public Library of Science, vol. 12(4), pages 1-15, April.
    11. Pei-Hsuan Weng & Jen-Hau Chen & Jeng-Min Chiou & Yu-Kang Tu & Ta-Fu Chen & Ming-Jang Chiu & Sung-Chun Tang & Shin-Joe Yeh & Yen-Ching Chen, 2018. "The effect of lifestyle on late-life cognitive change under different socioeconomic status," PLOS ONE, Public Library of Science, vol. 13(6), pages 1-15, June.

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