Who is at higher risk of hypertension? Socioeconomic status differences in blood pressure among Polish adolescents: a population-based ADOPOLNOR study.

摘要: In Poland, there is no data on parental socioeconomic status (SES) as a potent risk factor in adolescent elevated blood pressure, although social differences somatic growth and maturation of children adolescents have been recorded since the 1980s. This study aimed to evaluate association between SES pressure levels their offspring. A cross-sectional survey was carried out 2009 2010 sample 4941 students (2451 boys 2490 girls) aged 10–18, participants ADOPOLNOR study. The depended outcome variable level (optimal, pre- hypertension) explanatory variables included place residence indicators SES: family size, educational attainments occupation status, income adequacy wealth. final selected model multiple multinomial logistic regression analysis (MLRA) with backward elimination procedure revealed multifactorial dependency maternal attainment, paternal interrelated urbanization category after controlling for history hypertension, an adolescent’s sex, age weight status. Consistent rural-to-urban gradients were found prevalence which increased continuous lines from large cities through small- medium-sized villages high-SES low-SES familial environments. adjusted likelihood developing systolic diastolic hypertension decreased each step increase attainment category. prehypertension category, education, employment adequacy. Weight appeared be strongest confounder and, at same time, mediator SES. Conclusion: findings present confirmed disparities among adolescents. calls regularly performed assessment monitoring population. It recommended focus obesity prevention health inequalities by further trying improve living working conditions adverse rural