Differential associations of XXXX risk factors with relative wealth in urban-dwelling South Africans.

@entity1 @entity28 @entity6 @entity285 @entity65
BACKGROUND: To examine the associations of @entity65 risk factors (CVDRF) with wealth, defined by the asset index, in 25- to 74-year-old black Africans in Cape Town. METHODS: Assets, including consumer durable goods, and CVDRF were determined in a randomly selected cross-sectional sample. A principal component analysis of the pooled data, based on assets that defined wealth, was used to develop an asset index. Ordinal logistic regression analyses assessed the independent associations of CVDRF with wealth tertiles. RESULTS: Among the 1099 @entity1 , the least poor compared with the poorest tertile had significantly higher prevalence of @entity6 (16.3 versus 9.6%), hypercholesterolaemia (33.9 versus 21.4%), @entity28 (45.4 versus 26.3%) and fat intake >= 30% of diet (44.2 versus 29.3%). Daily smoking was highest in the poorest (35.8%) versus the least poor (26.4%). Psychosocial stress (low sense of coherence or locus of control) was significantly higher in poorer @entity1 . In the regression analyses, wealth was associated with male gender [odds ratio (OR): 1.89, 95% confidence interval (CI): 1.37-2.60], urbanization (OR: 1.02, 95% CI: 1.01-1.02), high fat intake, @entity28 and hypercholesterolaemia. Daily smoking, problematic @entity285 use (OR: 0.70, 95% CI: 0.52-0.94) and psychosocial stress were inversely related to wealth. CONCLUSIONS: Differential distribution of CVDRF by wealth mandates incorporating equity components when developing tailored interventions.
