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 Publicajournal_title
Cadernos de saude publicaauthors
Nishida W,Kupek E,Zanelatto C,Bastos JLdoi
10.1590/0102-311x00026419subject
Has Abstractpub_date
2020-01-01 00:00:00pages
e00026419issue
5eissn
0102-311Xissn
1678-4464pii
S0102-311X2020000505002journal_volume
36pub_type
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