Association of Socio-Economic Status with Metabolic Syndrome – The Case of the Northwest Region of the Republic of Macedonia
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 5
Abstract
Background: The impact of the socio-economic status of the population on the prevalence of metabolic syndrome has been described in several studies. It varies in different populations and regions based on their socio-economic specifications. Aims: The aim of this study was to evaluate the impact of socioeconomic specificities of the northwest region of the Republic of Macedonia on the prevalence of metabolic syndrome. Study design: We conducted a cross-sectional study with 320 women and 310 men, aged over 18 years, selected at random from the primary healthcare register, representing the population of about 200000 inhabitants of a district in northwest region of the Republic of Macedonia. Methods: All subjects were interviewed by completing a questionnaire, according to the "WHO STEPS Instrument (World Health Organization Stepwise approach to chronic disease risk factor surveillance) modified for current conditions. For the detection of metabolic syndrome, physical examinations and laboratory tests were performed. Results: Prevalence of subjects with metabolic syndrome living in rural areas was significantly greater than those in urban areas (3.32 % versus 23.60 %). There was significant difference according to the number of components of metabolic syndrome in relation to the level of education (at p<0.001) and household income (at p<0.001). Subjects with high education (OR=0.08; 95%CI: 0.03-0.19), secondary education (OR=0.11; 95%CI: 0.05-0.24) and primary education (OR=0.34; 95%CI: 0.17-0.68), had a lower risk of metabolic syndrome than those who have not finished primary school. Subjects with high household income (OR=0.22; 95%CI: 0.11-0.44) and average household income (OR=0.34; 95%CI: 0.19-0.62), had a lower risk of metabolic syndrome than those with minimal household income (receive social assistance). Conclusions: In our region, low socioeconomic status is strongly associated with higher prevalence of metabolic syndrome.
Authors and Affiliations
Atila Rexhepi
Keywords
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