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Income inequality and high blood pressure in Colombia: a multilevel analysis
Journal article   Open access   Peer reviewed

Income inequality and high blood pressure in Colombia: a multilevel analysis

Diego I Lucumi, Amy J Schulz, Ana V Diez Roux and Andrew Grogan-Kaylor
Cadernos de saúde pública, v 33(11), pp e00172316-e00172316
21 Nov 2017
PMID: 29166488
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://doi.org/10.1590/0102-311X00172316View
Published, Version of Record (VoR)CC BY V4.0 Open

Abstract

Adolescent Adult Aged Colombia Female Humans Hypertension - epidemiology Hypertension - etiology Income - statistics & numerical data Male Middle Aged Multilevel Analysis Risk Factors Sex Factors Social Determinants of Health Young Adult
The objective of this research was to examine the association between income inequality and high blood pressure in Colombia. Using a nationally representative Colombian sample of adults, and data from departments and municipalities, we fit sex-stratified linear and logistic multilevel models with blood pressure as a continuous and binary variable, respectively. In adjusted models, women living in departments with the highest quintile of income inequality in 1997 had higher systolic blood pressure than their counterparts living in the lowest quintile of income inequality (mean difference 4.42mmHg; 95%CI: 1.46, 7.39). Women living in departments that were at the fourth and fifth quintile of income inequality in 1994 were more likely to have hypertension than those living in departments at the first quintile in the same year (OR: 1.56 and 1.48, respectively). For men, no associations of income inequality with either systolic blood pressure or hypertension were observed. Our findings are consistent with the hypothesis that income inequality is associated with increased risk of high blood pressure for women. Future studies to analyze pathways linking income inequality to high blood pressure in Colombia are needed.

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18 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#10 Reduced Inequalities
#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
International collaboration
Web of Science research areas
Public, Environmental & Occupational Health
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