J Korean Acad Nurs. 2010 Dec;40(6):831-843. Korean.
Published online Dec 31, 2010.
Copyright © 2010 Korean Society of Nursing Science
Original Article

Comparison of Cardiovascular Health Status and Health Behaviors in Korean Women based on Household Income

Young-Joo Park,1 Nah-Mee Shin,2 Ji-Won Yoon,3 Jiwon Choi,4 and Sook-Ja Lee5
    • 1Professor, College of Nursing, Korea University, Seoul, Korea.
    • 2Assistant Professor, College of Nursing, Korea University, Seoul, Korea.
    • 3Full-time Instructor, Department of Nursing, Suwon Women's College, Suwon, Korea.
    • 4Adjunct Assistant Professor, University of California, San Francisco, School of Nursing, San Francisco, USA.
    • 5Professor, College of Nursing, Korea University, Seoul, Korea.
Received April 15, 2010; Accepted December 28, 2010.

Abstract

Purpose

In this study cardiovascular health status and health behavior of Korean women based on their household income were explored.

Methods

For this cross-sectional study, 91 women residing in the community were recruited to complete survey questionnaires and biophysical tests including blood pressure (BP), body mass index (BMI), body fat rate, waist circumference (WC), and blood chemistry tests.

Results

Compared to non-low income women (NLIW), low income women (LIW) were more likely to be older, less educated, and jobless, and further more LIW were postmenopause and reported having been diagnosed with hypertension or hypercholesterolemia. Significant differences were found in systolic BP, triglyceride level, BMI, body fat rate, and WC between the groups. Two fifths of the LIW had indications for metabolic syndrome. Their 10-yr risk estimate of myocardioal infarction or coronary death demonstrated a higher probability than that of NLIW. Although these significant differences were due to age gap between the groups, advanced age is known to be one of the key characteristics of LIW as well as a non-modifiable risk factor.

Conclusion

Effective community programs for vulnerable women at risk of cardiovascular disease should be based on strategies targeting unhealthy behaviors and modifiable risk factors.

Keywords
Cardiovascular diseases; Hypertension; Dyslipidemias; Obesity; Metabolic syndrome X

Tables

Table 1
Comparison of the Biophysical Indicators between Low Income Women and Non-Low Income Women (N=86)

Table 2
Sociodemographic and Disease-related Characteristics of Low Income Women and Non-Low Income Women (N=86)

Table 3
Prevalence of Metabolic Syndrome and Estimate of 10-Year Risk of Myocardial Infarction and Coronary Death

Table 4
Comparison of Health related Lifestyle Factors etween Low Income Women and Non-Low Income Women

Notes

This study was funded by the Korea Institute for Health and Social affairs, Management Center for Health Promotion (General 09-46) and the Korea University Research Fund for New Faculty.

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