Desigualdad educacional y socioeconómica como determinante de mortalidad en Chile: análisis de sobrevida en la cohorte del proyecto San Francisco

Background: The socioeconomic position (SEP) and educational level of individuals have an inverse correlation with mortality in developed societies. Aim To assess in a society undergoing a socioeconomic transition, the mortality risk associated to a low SEP (combination of education and income, scal...

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Autores principales:	Koch,Elard, Romero,Tomás, Manríquez,Leopoldo, Paredes,Mario, Ortúzar,Esteban, Taylor,Alan, Román,Carolinne, Kirschbaum,Aída, Díaz,Carlos
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2007
Materias:	Developing countries Education Socioeconomic Factors Risk Factors Mortality
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872007001100002
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spelling	oai:scielo:S0034-988720070011000022008-02-08Desigualdad educacional y socioeconómica como determinante de mortalidad en Chile: análisis de sobrevida en la cohorte del proyecto San FranciscoKoch,ElardRomero,TomásManríquez,LeopoldoParedes,MarioOrtúzar,EstebanTaylor,AlanRomán,CarolinneKirschbaum,AídaDíaz,Carlos Developing countries Education Socioeconomic Factors Risk Factors Mortality Background: The socioeconomic position (SEP) and educational level of individuals have an inverse correlation with mortality in developed societies. Aim To assess in a society undergoing a socioeconomic transition, the mortality risk associated to a low SEP (combination of education and income, scale 0-25 points, reference > 10 points) and low education (education years, reference > 8 years), adjusting for other known risk factors. Material and methods: In this prospective cohort study, a random sample of 920 subjects, living in San Francisco de Mostazal, Chile, aged more than 20years (395 males) was examined for the first time in 1997-1999 and re-examined in 2005-2006. All had information about economic household income and level of education. A Cox regression model was used to evaluate the association between mortality and socioeconomic measures. Results: The crude mortality hazard ratio (HR) was 3.34 (95% confidence interval (CI) 2.88-3.87) and 6.05 (95% CI 5.04-7.26) for low SEP and low educational level, respectively. After adjusting for age, gender, hypertension, diabetes, dyslipidemia, abdominal obesity, smoking, alcohol intake and family history of cardiovascular disease, the figures were 1.23 (95% CI 1.04-1.43) and 1.54 (95% CI 1.23-1.85) for low SEP and low educational level, respectively. Conclusions: In a society in socioeconomic transition, low SEP and especially low educational level are risk factors for mortality even after adjusting for known mortality risk factorsinfo:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.135 n.11 20072007-11-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872007001100002es10.4067/S0034-98872007001100002
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Developing countries Education Socioeconomic Factors Risk Factors Mortality
spellingShingle	Developing countries Education Socioeconomic Factors Risk Factors Mortality Koch,Elard Romero,Tomás Manríquez,Leopoldo Paredes,Mario Ortúzar,Esteban Taylor,Alan Román,Carolinne Kirschbaum,Aída Díaz,Carlos Desigualdad educacional y socioeconómica como determinante de mortalidad en Chile: análisis de sobrevida en la cohorte del proyecto San Francisco
description	Background: The socioeconomic position (SEP) and educational level of individuals have an inverse correlation with mortality in developed societies. Aim To assess in a society undergoing a socioeconomic transition, the mortality risk associated to a low SEP (combination of education and income, scale 0-25 points, reference > 10 points) and low education (education years, reference > 8 years), adjusting for other known risk factors. Material and methods: In this prospective cohort study, a random sample of 920 subjects, living in San Francisco de Mostazal, Chile, aged more than 20years (395 males) was examined for the first time in 1997-1999 and re-examined in 2005-2006. All had information about economic household income and level of education. A Cox regression model was used to evaluate the association between mortality and socioeconomic measures. Results: The crude mortality hazard ratio (HR) was 3.34 (95% confidence interval (CI) 2.88-3.87) and 6.05 (95% CI 5.04-7.26) for low SEP and low educational level, respectively. After adjusting for age, gender, hypertension, diabetes, dyslipidemia, abdominal obesity, smoking, alcohol intake and family history of cardiovascular disease, the figures were 1.23 (95% CI 1.04-1.43) and 1.54 (95% CI 1.23-1.85) for low SEP and low educational level, respectively. Conclusions: In a society in socioeconomic transition, low SEP and especially low educational level are risk factors for mortality even after adjusting for known mortality risk factors
author	Koch,Elard Romero,Tomás Manríquez,Leopoldo Paredes,Mario Ortúzar,Esteban Taylor,Alan Román,Carolinne Kirschbaum,Aída Díaz,Carlos
author_facet	Koch,Elard Romero,Tomás Manríquez,Leopoldo Paredes,Mario Ortúzar,Esteban Taylor,Alan Román,Carolinne Kirschbaum,Aída Díaz,Carlos
author_sort	Koch,Elard
title	Desigualdad educacional y socioeconómica como determinante de mortalidad en Chile: análisis de sobrevida en la cohorte del proyecto San Francisco
title_short	Desigualdad educacional y socioeconómica como determinante de mortalidad en Chile: análisis de sobrevida en la cohorte del proyecto San Francisco
title_full	Desigualdad educacional y socioeconómica como determinante de mortalidad en Chile: análisis de sobrevida en la cohorte del proyecto San Francisco
title_fullStr	Desigualdad educacional y socioeconómica como determinante de mortalidad en Chile: análisis de sobrevida en la cohorte del proyecto San Francisco
title_full_unstemmed	Desigualdad educacional y socioeconómica como determinante de mortalidad en Chile: análisis de sobrevida en la cohorte del proyecto San Francisco
title_sort	desigualdad educacional y socioeconómica como determinante de mortalidad en chile: análisis de sobrevida en la cohorte del proyecto san francisco
publisher	Sociedad Médica de Santiago
publishDate	2007
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872007001100002
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Desigualdad educacional y socioeconómica como determinante de mortalidad en Chile: análisis de sobrevida en la cohorte del proyecto San Francisco

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