International Journal of Epidemiology, Vol 28, 667-675, Copyright © 1999 by International Epidemiological Association
M Leino, OT Raitakari, KV Porkka, S Taimela and JS Viikari
BACKGROUND: Low educational level is associated with an increased risk of
coronary heart disease. The aim of the present study was to examine the
relationships between education and common cardiovascular risk factors in
young adults. METHODS: Trends in conventional risk factors of young adults
aged 21, 24, 27 and 30 years in 1992 (n = 443) were examined across the
educational groups as part of a 12-year follow-up study, the Cardiovascular
Risk in Young Finns Study. Education was determined as participants' own
educational level and as parental years of schooling. RESULTS: In males,
subject's own education was related inversely and independently of parental
school years to serum total and low density lipoprotein (LDL) cholesterol
concentration, smoking and body mass index. In females, participant's own
educational level associated inversely with smoking and physical
inactivity. Parental school years was associated inversely and
independently of one's own educational level with serum total and LDL
cholesterol values and waist- hip ratio in females. In both genders,
parental education was a stronger determinant of diet (butter use) than
one's own educational level. CONCLUSIONS: The least educated young adults
have adopted a more adverse lifestyle than the more educated. The risk
factor profile in young adulthood, especially in females, is still affected
by parental education. The influences of one's own and parental educational
level on vascular risk profile should be taken into consideration when
planning public health campaigns among young adults.
ARTICLES
Associations of education with cardiovascular risk factors in young adults: the Cardiovascular Risk in Young Finns Study
Cardiorespiratory Research Unit, University of Turku, Finland. marketta.leino@utu.fi
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