Relative Deprivation, Income Inequality, and Cardiovascular Health: Observational and Mendelian Randomization Studies in Hong Kong Chinese.

Mendelian randomization absolute income adult cardiovascular disease cortisol relative income

Journal

Frontiers in public health
ISSN: 2296-2565
Titre abrégé: Front Public Health
Pays: Switzerland
ID NLM: 101616579

Informations de publication

Date de publication:
2021
Historique:
received: 19 06 2021
accepted: 21 12 2021
entrez: 7 2 2022
pubmed: 8 2 2022
medline: 2 4 2022
Statut: epublish

Résumé

The associations between absolute vs. relative income at the household or neighborhood level and cardiovascular disease (CVD) risk remain understudied in the Chinese context. Further, it is unclear whether stress biomarkers, such as cortisol, are on the pathway from income to CVD risk. We examined the associations of absolute and relative income with CVD risk observationally, as well as the mediating role of cortisol, and validated the role of cortisol using Mendelian Randomization (MR) in Hong Kong Chinese. Within Hong Kong's FAMILY Cohort, associations of absolute and relative income at both the individual and neighborhood levels with CVD risk [body mass index (BMI), body fat percentage, systolic blood pressure, diastolic blood pressure, self-reported CVD and self-reported diabetes] were examined using multilevel logistic or linear models (

Identifiants

pubmed: 35127607
doi: 10.3389/fpubh.2021.726617
pmc: PMC8814320
doi:

Types de publication

Journal Article Observational Study Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

726617

Informations de copyright

Copyright © 2022 Kwok, Kawachi, Rehkopf, Ni, Leung and Schooling.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Man Ki Kwok (MK)

School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, Hong Kong SAR, China.

Ichiro Kawachi (I)

Department of Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health, Harvard University, Boston, MA, United States.

David Rehkopf (D)

Department of Epidemiology and Population Health, Stanford University, Stanford, CA, United States.

Michael Y Ni (MY)

School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, Hong Kong SAR, China.
Healthy High Density Cities Lab, HKUrbanLab, The University of Hong Kong, Hong Kong, Hong Kong SAR, China.
The State Key Laboratory of Brain and Cognitive Sciences, The University of Hong Kong, Hong Kong, Hong Kong SAR, China.

Gabriel M Leung (GM)

School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, Hong Kong SAR, China.

C Mary Schooling (CM)

School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, Hong Kong SAR, China.
City University of New York Graduate School of Public Health and Health Policy, New York, NY, United States.

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