Intergenerational educational mobility, discrimination, and hypertension in adults from Southern Brazil.

Abstract:

:Systemic arterial hypertension (SAH) or high blood pressure a serious global public health problem marked by social inequalities. There are few studies on SAH in Brazil with a life-course theoretical perspective. The current article aims to analyze the relationship between intergenerational educational mobility (IEM) and SAH in Brazilian adults, verifying the impact of interpersonal and color/"race" discrimination on this relationship. The authors analyzed data from 1,720 adults (20-59 years) and their parents in the EpiFloripa Adult Study. Random-effects multilevel regression models were estimated. The fixed effects showed an inverse relationship between IEM and odds of SAH, with statistical significance for high IEM (paternal model: OR = 0.39, p = 0.006; maternal model: OR = 0.35, p = 0.002; and family model: OR = 0.35, p = 0.001). Meanwhile, interaction models showed that situations of discrimination can act jointly with unfavorable IEM, increasing the odds of SAH, especially among black and brown individuals. The study concludes that persistently high IEM is capable of significantly reducing the odds of SAH, while discrimination can intensify the effect of low education, especially in socially marginalized population segments.

journal_name

Cad Saude Publica

authors

Nishida W,Kupek E,Zanelatto C,Bastos JL

doi

10.1590/0102-311x00026419

subject

Has Abstract

pub_date

2020-01-01 00:00:00

pages

e00026419

issue

5

eissn

0102-311X

issn

1678-4464

pii

S0102-311X2020000505002

journal_volume

36

pub_type

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