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© 1990 Oxford University Press

research-article

Socioeconomic Differences in Cardiovascular Risk Factors in China

JOHANNES SIEGRIST*, RALPH BERNHARDT**, ZONGCHEN FENG* and GOTTHARD SCHETTLER**

*Department of Medical Sociology, Medical School, University of Marburg Bunsenstr, 2. D 3550 Marburg, Federal Republic of Germany
**Heidelberg Academy for the Humanities and Sciences, Research Unit on Geomedicine Federal Republic of Germany

Socioeconomic conditions are important in explaining variation in cardiovascular morbidity in advanced societies. To analyse whether cardiovascular risk factors vary according to socioeconomic status in a developing country, and more specifically, in an urban area of China, we compared data from structured interviews and cardiovascular screenings in a group of 1169 male workers (45–65 years). These men participated in the five-year follow-up of a prospective investigation started in 1982/83 in several plants in Wuhan. Unhealthy behaviours such as heavy cigarette smoking and alcohol consumption were significantly more prevalent among men with low educational attainment and with jobs characterized by heavy physical workload, noise and heat. Men paid according to a new, highly demanding salary system exhibited significant increases in total cholesterol and systolic blood pressure from first to second screening. In conclusion, our findings show significant socioeconomic variation in cardiovascular risk factors among middle-aged male workers in China.

Received 1 April 1990


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