Prevalences of metabolic syndrome and its sex-specific association with socioeconomic status in rural China: a cross-sectional study

Abstract Background Few studies have reported the prevalence of metabolic syndrome (MS) and examined relationships between socioeconomic status and MS in rural China. This study aimed to evaluate the prevalence of MS and MS components as well as their associations with socioeconomic status among rur...

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Autores principales: Xuhua Ying, Shuyue Yang, Songtao Li, Meifang Su, Na Wang, Yue Chen, Qingwu Jiang, Chaowei Fu
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Publicado: BMC 2021
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spelling oai:doaj.org-article:8d3c6e4bcd78457dbf49938f147da4e62021-11-08T10:43:46ZPrevalences of metabolic syndrome and its sex-specific association with socioeconomic status in rural China: a cross-sectional study10.1186/s12889-021-12074-z1471-2458https://doaj.org/article/8d3c6e4bcd78457dbf49938f147da4e62021-11-01T00:00:00Zhttps://doi.org/10.1186/s12889-021-12074-zhttps://doaj.org/toc/1471-2458Abstract Background Few studies have reported the prevalence of metabolic syndrome (MS) and examined relationships between socioeconomic status and MS in rural China. This study aimed to evaluate the prevalence of MS and MS components as well as their associations with socioeconomic status among rural Chinese adults. Methods A cross-sectional study of 26,836 participants aged 20 years and older was conducted from June to December 2012 in Yuhuan City, Zhejiang Province, China, which is located on Yuhuan Island. A multivariable logistic regression model was used to identify risk factors for MS and their possible interactions. Results Among 26,836 subjects with an average age of 53.4 ± 14.0 years, 59% were female. The overall prevalence of MS was 20.5%, and there was a significant sex difference in the prevalence (15.1% for males vs. 24.2% for females, P < 0.001). Compared with males, females also showed a significantly higher proportion of most MS components. A significantly higher prevalence of MS was found among subjects who were elderly, had a lower income level, had a lower level of education, or were unemployed. Multiple significant interactions were observed between the prevalence of MS and sex, age or socioeconomic status (P < 0.001). The risk of MS increased significantly with age in females but not in males. Additionally, a lower income level and a lower level of education were significantly related to an increased risk only in females, and unemployed males had a higher risk of MS than unemployed females. Conclusions The prevalence of MS and its components was relatively high in a rural island Chinese population with rapid urbanization, and sex-specific associations between socioeconomic factors and MS were found. Targeted preventive interventions should be developed and implemented to prevent and control MS among those with low socioeconomic status, especially females.Xuhua YingShuyue YangSongtao LiMeifang SuNa WangYue ChenQingwu JiangChaowei FuBMCarticleMetabolic syndromeSocioeconomic statusSex differencesEast ChinaPublic aspects of medicineRA1-1270ENBMC Public Health, Vol 21, Iss 1, Pp 1-8 (2021)
institution DOAJ
collection DOAJ
language EN
topic Metabolic syndrome
Socioeconomic status
Sex differences
East China
Public aspects of medicine
RA1-1270
spellingShingle Metabolic syndrome
Socioeconomic status
Sex differences
East China
Public aspects of medicine
RA1-1270
Xuhua Ying
Shuyue Yang
Songtao Li
Meifang Su
Na Wang
Yue Chen
Qingwu Jiang
Chaowei Fu
Prevalences of metabolic syndrome and its sex-specific association with socioeconomic status in rural China: a cross-sectional study
description Abstract Background Few studies have reported the prevalence of metabolic syndrome (MS) and examined relationships between socioeconomic status and MS in rural China. This study aimed to evaluate the prevalence of MS and MS components as well as their associations with socioeconomic status among rural Chinese adults. Methods A cross-sectional study of 26,836 participants aged 20 years and older was conducted from June to December 2012 in Yuhuan City, Zhejiang Province, China, which is located on Yuhuan Island. A multivariable logistic regression model was used to identify risk factors for MS and their possible interactions. Results Among 26,836 subjects with an average age of 53.4 ± 14.0 years, 59% were female. The overall prevalence of MS was 20.5%, and there was a significant sex difference in the prevalence (15.1% for males vs. 24.2% for females, P < 0.001). Compared with males, females also showed a significantly higher proportion of most MS components. A significantly higher prevalence of MS was found among subjects who were elderly, had a lower income level, had a lower level of education, or were unemployed. Multiple significant interactions were observed between the prevalence of MS and sex, age or socioeconomic status (P < 0.001). The risk of MS increased significantly with age in females but not in males. Additionally, a lower income level and a lower level of education were significantly related to an increased risk only in females, and unemployed males had a higher risk of MS than unemployed females. Conclusions The prevalence of MS and its components was relatively high in a rural island Chinese population with rapid urbanization, and sex-specific associations between socioeconomic factors and MS were found. Targeted preventive interventions should be developed and implemented to prevent and control MS among those with low socioeconomic status, especially females.
format article
author Xuhua Ying
Shuyue Yang
Songtao Li
Meifang Su
Na Wang
Yue Chen
Qingwu Jiang
Chaowei Fu
author_facet Xuhua Ying
Shuyue Yang
Songtao Li
Meifang Su
Na Wang
Yue Chen
Qingwu Jiang
Chaowei Fu
author_sort Xuhua Ying
title Prevalences of metabolic syndrome and its sex-specific association with socioeconomic status in rural China: a cross-sectional study
title_short Prevalences of metabolic syndrome and its sex-specific association with socioeconomic status in rural China: a cross-sectional study
title_full Prevalences of metabolic syndrome and its sex-specific association with socioeconomic status in rural China: a cross-sectional study
title_fullStr Prevalences of metabolic syndrome and its sex-specific association with socioeconomic status in rural China: a cross-sectional study
title_full_unstemmed Prevalences of metabolic syndrome and its sex-specific association with socioeconomic status in rural China: a cross-sectional study
title_sort prevalences of metabolic syndrome and its sex-specific association with socioeconomic status in rural china: a cross-sectional study
publisher BMC
publishDate 2021
url https://doaj.org/article/8d3c6e4bcd78457dbf49938f147da4e6
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