Asadi-Lari, Mohsen and Majdzadeh, Reza and Mansournia, Mohammad Ali and Nedjat, Saharnaz and Mohammad, Kazem and Cheraghian, Bahman (2023) Construction and validation of CAPSES scale as a composite indicator of SES for health research: an application to modeling social determinants of cardiovascular diseases. BMC Public Health, 23 (1). 293-. DOI https://doi.org/10.1186/s12889-023-15206-9
Asadi-Lari, Mohsen and Majdzadeh, Reza and Mansournia, Mohammad Ali and Nedjat, Saharnaz and Mohammad, Kazem and Cheraghian, Bahman (2023) Construction and validation of CAPSES scale as a composite indicator of SES for health research: an application to modeling social determinants of cardiovascular diseases. BMC Public Health, 23 (1). 293-. DOI https://doi.org/10.1186/s12889-023-15206-9
Asadi-Lari, Mohsen and Majdzadeh, Reza and Mansournia, Mohammad Ali and Nedjat, Saharnaz and Mohammad, Kazem and Cheraghian, Bahman (2023) Construction and validation of CAPSES scale as a composite indicator of SES for health research: an application to modeling social determinants of cardiovascular diseases. BMC Public Health, 23 (1). 293-. DOI https://doi.org/10.1186/s12889-023-15206-9
Abstract
Background The main objective of this study was to construct and validate a composite socioeconomic status indicator containing material capital, human capital, and social capital (CAPSES scale) and also appropriate it for CVDs in a large population-based study. Methods This cross-sectional study, the Urban HEART-2 project, was conducted in Tehran, Iran, in 2011. A total of 34,116 households covering 118,542 individuals were assessed in this study. A 14-parts questionnaire was completed for all selected households. All the gathered data were based on the participants’ self-reports. Literacy, wealth index, expenditure, skill level, and Townsend index were used as SES indexes. CVDs, including Hypertension, Myocardial infarction, and stroke, were considered the main outcomes. A structural equation model (SEM) was used to construct a CAPSES scale and a composition index of SES. Criterion validity and Construct validity were used to assess this scale. Results A total of 91,830 subjects consisting of 33,884 (49%) men were included in this analysis. The mean age of the participants was 41.5 ± 11.37 years. Among the assessed participants, 5904(6.4%) reported hypertension, 1507(1.6%) myocardial infarction, and 407(0.4%) strokes. The overall weighted prevalence of self-reported cardiovascular events (hypertension, stroke, and MI) was 8.03% (95%CI: 7.8–8.2). Inverse associations were seen between the CAPSES scale and its domains with CVDs, adjusted for sex, age, BMI, smoking, and diabetes by a multiple logistic regression model. Conclusion The CAPSES scale was significantly associated with stroke and hypertension. Our findings showed that the CAPSES index could be useful for public health research.
Item Type: | Article |
---|---|
Uncontrolled Keywords: | CAPSES scale; SES; Social determinants; Cardiovascular diseases; Urban HEART; Iran |
Divisions: | Faculty of Science and Health Faculty of Science and Health > Health and Social Care, School of |
SWORD Depositor: | Unnamed user with email elements@essex.ac.uk |
Depositing User: | Unnamed user with email elements@essex.ac.uk |
Date Deposited: | 04 Oct 2023 13:30 |
Last Modified: | 07 Aug 2024 20:18 |
URI: | http://repository.essex.ac.uk/id/eprint/34872 |
Available files
Filename: s12889-023-15206-9.pdf
Licence: Creative Commons: Attribution 4.0