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Original Article
Socioeconomic inequalities in metabolic syndrome and its components in a sample of Iranian Kurdish adults
Pardis Mohammadzadeh, Farhad Moradpour, Bijan Nouri, Farideh Mostafavi, Farid Najafi, Ghobad Moradi
Epidemiol Health. 2023;45:e2023083.   Published online September 3, 2023
DOI: https://doi.org/10.4178/epih.e2023083
  • 5,720 View
  • 112 Download
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
OBJECTIVES
The worldwide incidence of metabolic syndrome (MetS) has increased in recent decades. In this study, we investigated the socioeconomic inequalities associated with MetS and its components in a sample of the Iranian Kurdish population.
METHODS
We used data from 3,996 participants, aged 35 years to 70 years, from the baseline phase of the Dehgolan Prospective Cohort Study (February 2018 to March 2019). The concentration index and concentration curve were used to measure inequality and the Blinder-Oaxaca decomposition method was used to examine the contribution of various determinants to the observed socioeconomic inequality in MetS and its components.
RESULTS
The prevalence of MetS was 34.44% (95% confidence interval [CI], 32.97 to 35.93). The prevalence of MetS was 26.18% for those in the highest socioeconomic status (SES), compared with 40.51% for participants in the lowest SES. There was a significant negative concentration index for MetS (C=-0.13; 95% CI, -0.16 to -0.09), indicating a concentration of MetS among participants with a lower SES. The most prevalent component was abdominal obesity (59.14%) with a significant negative concentration index (C=-0.21; 95% CI, -0.25 to -0.18). According to decomposition analysis, age, gender, and education were the highest contributing factors to inequality in MetS and its components.
CONCLUSIONS
This study showed socioeconomic inequality in MetS. People with a low SES were more likely to have MetS. Therefore, policymakers and health managers need to develop appropriate strategies to reduce these inequalities in MetS across age groups, genders, and education levels, especially among women and the elderly.
Summary
Key Message
This study sheds light on the presence of socioeconomic inequalities in metabolic syndrome (MetS) among Iranian Kurds. Lower socioeconomic status (SES) is associated with a higher prevalence of MetS and its components. Addressing these socioeconomic factors is crucial to reduce health inequalities. Recognizing this association helps us understand the social determinants of health and design targeted interventions. Policymakers and health managers should prioritize developing strategies to reduce these inequalities in MetS across different age groups, genders, and educational levels, with a particular focus on vulnerable populations like women and the elderly.
Cohort Profile
The Dehgolan Prospective Cohort Study (DehPCS) on non-communicable diseases in a Kurdish community in the west of Iran
Farhad Moradpour, Ebrahim Ghaderi, Ghobad Moradi, Mojdeh Zarei, Amjad Mohamadi Bolbanabad, Bakhtiar Piroozi, Azad Shokri
Epidemiol Health. 2021;43:e2021075.   Published online October 1, 2021
DOI: https://doi.org/10.4178/epih.e2021075
  • 11,368 View
  • 114 Download
  • 8 Web of Science
  • 7 Crossref
AbstractAbstract AbstractSummary PDF
Abstract
The Dehgolan Prospective Cohort Study (DehPCS) was conducted to examine and identify risk factors for the most prevalent non-communicable diseases (NCDs). In addition, in order to examine participants’ health status, socioeconomic status, behavioral factors, nutritional status, and environmental exposures, the DehPCS collected, analyzed, and stored blood, urine, nail, and hair samples to conduct genetic studies and identify biomarkers and other biological determinants of NCDs. In total, 3,996 adults aged 35 to 70 from the general population participated in the study from February 2018 to March 2019. Of them, 43.7% were women. The first follow-up wave was conducted with 3,995 participants. Information on a wide range of variables was collected, including on socioeconomic status, lifestyle, nutritional status, habits, physical examination findings, medication use, and medical history. Proxy variables such as body mass index, metabolic equivalent task score, wealth index, and macronutrients and micronutrients were calculated. The most common self-reported diseases in descending order were kidney stones, hypertension, and fatty liver. The prevalence of diabetes and hypertension was 9.3% and 33.4%, respectively. All data, samples, and measurements will be collected again at 5-year intervals. Thus, it will be possible to examine time-dependent changes in the risk factors of NCDs. The DehPCS can be used to study the relationships among genetics, lifestyle, socioeconomic status, and environmental risk factors and the most prevalent NCDs in case-cohort studies using a nested case-control design that will be applied to the cohort infrastructure. Researchers can also submit pre-proposals via the following web address: http://c.ddrc.ac.ir/persianaccess/Account/Login.
Summary
Key Message
• The DehPCS was designed to examine NCDs among the Kurdish population, who are located in a wide area between the northwest of the Zagros Mountains and the eastern Taurus Mountains covering Turkey, Iraq, Iran, and Syria. • In total, 3,996 adults aged 35 to 70 from the general population participated in the study. • All data, samples, and measurements from the registration phase will be collected again at 5-, 10-, and 15-year intervals. • After labeling, aliquots were placed in a freezer at -70°C to enable ongoing studies of the samples in the future.

Citations

Citations to this article as recorded by  
  • Dental caries prevalence in relation to the cardiovascular diseases: cross-sectional findings from the Iranian kurdish population
    Zahra Ghanbari, Yousef Moradi, Negin samiee, Farhad Moradpour
    BMC Oral Health.2024;[Epub]     CrossRef
  • Validity of self‐reported hypertension and related factors in the adult population: Preliminary results from the cohort in the west of Iran
    Negar Piri, Yousef Moradi, Reza Ghanei Gheshlagh, Mahsa Abdullahi, Eghbal Fattahi, Farhad Moradpour
    The Journal of Clinical Hypertension.2023; 25(2): 146.     CrossRef
  • The association between nutrients and occurrence of COVID‐19 outcomes in the population of Western Iran: A cohort study
    Dana Vaisi, Farhad Moradpour, Shadieh Mohammadi, Daem Roshani, Yousef Moradi
    The Clinical Respiratory Journal.2023; 17(6): 589.     CrossRef
  • Prevalence of metabolic syndrome and its association with oral health: First results from the Kurdish cohort study
    Farhad Moradpour, Zahra Karimi, Zeinab Fatemi, Yousef Moradi, Mohammad Rastegar Khosravi, Azad Shokri, Mohammad Karimzadeh
    Health Science Reports.2023;[Epub]     CrossRef
  • Socioeconomic inequalities in metabolic syndrome and its components in a sample of Iranian Kurdish adults
    Pardis Mohammadzadeh, Farhad Moradpour, Bijan Nouri, Farideh Mostafavi, Farid Najafi, Ghobad Moradi
    Epidemiology and Health.2023; : e2023083.     CrossRef
  • Socio-demographic correlates of diabetes self-reporting validity: a study on the adult Kurdish population
    Farhad Moradpour, Negar Piri, Hojat Dehghanbanadaki, Ghobad Moradi, Mahdiyeh Fotouk-Kiai, Yousef Moradi
    BMC Endocrine Disorders.2022;[Epub]     CrossRef
  • Prevalence of prediabetes, diabetes, diabetes awareness, treatment, and its socioeconomic inequality in west of Iran
    Farhad Moradpour, Satar Rezaei, Bakhtiar Piroozi, Ghobad Moradi, Yousef Moradi, Negar Piri, Azad Shokri
    Scientific Reports.2022;[Epub]     CrossRef
Original Article
Application of the World Health Organization Quality of Life Instrument, Short Form (WHOQOL-BREF) to patients with cataract
Ali Gholami, Mahmood Tavakoli Araghi, Fatemeh Shamsabadi, Mahdiye Bayat, Fatemeh Dabirkhani, Farhad Moradpour, Kamyar Mansori, Yousef Moradi, Abdolhalim Rajabi
Epidemiol Health. 2016;38:e2016005.   Published online February 4, 2016
DOI: https://doi.org/10.4178/epih.e2016005
  • 22,468 View
  • 363 Download
  • 16 Web of Science
  • 14 Crossref
AbstractAbstract PDF
Abstract
OBJECTIVES
Cataract is a prevalent disease in the elderly, and negatively influences patients’ quality of life. This study was conducted to study the application of the World Health Organization Quality of Life Instrument, Short Form (WHOQOL-BREF) to patients with cataract.
METHODS
In this cross-sectional study, 300 patients with cataract were studied in Neyshabur, Iran from July to October 2014. The Iranian version of the WHOQOL-BREF questionnaire was used to measure their quality of life. Cronbach’s alpha coefficient, Pearson’s correlation coefficient, the paired t-test, the independent t-test, and a linear regression model were used to analyze the data in SPSS version 16.0 (SPSS Inc., Chicago, IL, USA).
RESULTS
The mean age of the participants was 68.11±11.98 years, and most were female (53%). The overall observed Cronbach’s alpha coefficient for the WHOQOL-BREF was 0.889, ranging from 0.714 to 0.810 in its four domains. The total mean score of the respondents on the WHOQOL-BREF was 13.19. The highest and lowest mean scores were observed in the social relationship domain (14.11) and the physical health domain (12.29), respectively. A backward multiple linear regression model found that duration of disease and marital status were associated with total WHOQOL scores, while age, duration of disease, marital status, and income level were associated with domains one through four, respectively (p<0.05).
CONCLUSIONS
The reliability analysis conducted in this study indicated that the WHOQOL-BREF scale exhibited an acceptable degree of internal consistency in the measurement of the quality of life of patients with cataract. It was also found that the patients with cataract who were surveyed reported a relatively moderate quality of life.
Summary

Citations

Citations to this article as recorded by  
  • Psychometric evaluation of the WHOQOL-BREF and its shorter versions for general Thai population: confirmatory factor analysis and Rasch analysis
    Krittaphas Kangwanrattanakul, Christian U. Krägeloh
    Quality of Life Research.2024; 33(2): 335.     CrossRef
  • Quality of Life and its sociodemographic determinants: a population-based study from rural Punjab, India
    Sapana Kasaudhan, Kallur Nava Saraswathy, Vineet Chaudhary
    Discover Social Science and Health.2024;[Epub]     CrossRef
  • An online grief intervention to improve well-being and reduce clinical symptoms: a randomized controlled trial
    Alejandro Dominguez-Rodriguez, Paulina Erika Herdoiza-Arroyo, Sergio Sanz-Gómez, Margarita Gabriela Albán-Terán, Emilia Gabriela Nieto Ramos, Emilia Nicole Villavicencio Calderón, Alisson Nicole Casa Leiva, Anabel de la Rosa-Gómez, Paulina Arenas-Landgrav
    Death Studies.2024; : 1.     CrossRef
  • Assessment of quality of life in glaucoma patients in a tertiary care center in Eastern India
    Saswati Sen, Alpana Mishra, Matuli Das, Vanaja Iyer, Mehak Sethi
    Indian Journal of Ophthalmology.2023; 71(7): 2767.     CrossRef
  • Impact of the COVID-19 Pandemic on Contraception Awareness and Mental Well-Being in Teenagers and Young Adult Women: A Three-Year Cross-Sectional Analysis
    Denisa Hinoveanu, Doru Mihai Anastasiu, Cosmin Citu, Zoran Laurentiu Popa, Izabella Erdelean, Catalin Dumitru, Marius Biris, Flavius Olaru, Oana Neda-Stepan, Roxana Manuela Fericean, Eugen Radu Boia, Eugenia Maria Domuta, Lavinia Stelea
    Healthcare.2023; 11(22): 2990.     CrossRef
  • Comparative Analysis of the Quality of Life in Families with Children or Adolescents Having Congenital versus Acquired Neuropathology
    Maria V. Morcov, Liliana Pădure, Cristian G. Morcov, Andrada Mirea, Marian Ghiță, Gelu Onose
    Children.2022; 9(5): 714.     CrossRef
  • QUALITY OF LIFE ASSESSMENT IN BRONCHIECTASIS PATIENT
    Ankit Kumar, Sulakshana Gautam, Santosh Kumar, Vijeta Niranjan
    INDIAN JOURNAL OF APPLIED RESEARCH.2022; : 74.     CrossRef
  • Quality of life of older adults in two contrasting neighbourhoods in Accra, Ghana
    Dominic A. Alaazi, Devidas Menon, Tania Stafinski, Stephen Hodgins, Gian Jhangri
    Social Science & Medicine.2021; 270: 113659.     CrossRef
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    Birhanu Jikamo, Mulat Adefris, Telake Azale, Kassahun Alemu
    Health and Quality of Life Outcomes.2021;[Epub]     CrossRef
  • Mental health literacy and quality of life in Iran: a cross-sectional study
    Alireza Jafari, Mahbobeh Nejatian, Vahideh Momeniyan, Fatemeh Ramezani Barsalani, Hadi Tehrani
    BMC Psychiatry.2021;[Epub]     CrossRef
  • Quality of life among Syrian refugees in Germany: a cross-sectional pilot study
    Feras Al Masri, Mattea Müller, Josefine Nebl, Theresa Greupner, Andreas Hahn, Dorothee Straka
    Archives of Public Health.2021;[Epub]     CrossRef
  • Assessment of health-related quality of life among tuberculosis patients in a public primary care facility in Indonesia
    Ika Sartika, WidyaNorma Insani, Rizky Abdulah
    Journal of Global Infectious Diseases.2019; 11(3): 102.     CrossRef
  • Validation and reliability of the Abbreviated World Health Organization Quality of Life Instrument (WHOQOL-BREF) in the hospitalized trauma population
    N. Kruithof, J.A. Haagsma, M. Karabatzakis, M.C. Cnossen, L. de Munter, C.L.P. van de Ree, M.A.C. de Jongh, S. Polinder
    Injury.2018; 49(10): 1796.     CrossRef
  • Application of the World Health Organization Quality of Life Instrument, Short Form (WHOQOL-BREF) to patients with endometriosis
    Abolfazl Mehdizadeh Kashi, Yousef Moradi, Shahla Chaichian, Zahra Najmi, Kamyar Mansori, Forugh Salehin, Azade Rastgar, Sorour Khateri
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