PMID: 11604434Oct 18, 2001Paper

Diastolic blood pressure and area of residence: multilevel versus ecological analysis of social inequity

Journal of Epidemiology and Community Health
Juan MerloG Berglund

Abstract

To study geographical differences in diastolic blood pressure and the influence of the social environment (census percentage of people with low educational achievement) on individual diastolic blood pressure level, after controlling for individual age and educational achievement. To compare the results of multilevel and ecological analyses. Cross sectional analysis performed by multilevel linear regression modelling, with women at the first level and urban areas at the second level, and by single level ecological regression using areas as the unit of analysis. Malmö, Sweden (population 250 000). 15 569 women aged 45 to 73, residing in 17 urban areas, who took part in the Malmö Diet and Cancer Study (1991-1996). In the "fixed effects" multilevel analysis, low educational achievement at both individual (beta=1.093, SE=0.167) and area levels (beta=2.966, SE=1.250) were independently associated with blood pressure, although in the "random effects" multilevel analysis almost none of the total variability in blood pressure across persons was attributable to areas (intraclass correlation=0.3%). The ecological analysis also found an association between the area educational variable and mean diastolic blood pressure (beta=4.058, SE=1.34...Continue Reading

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Citations

Jun 29, 2005·European Journal of Clinical Pharmacology·Kvetoslava GoreckaIvan Tilser
Feb 10, 2010·International Archives of Occupational and Environmental Health·Charlotte Brauer, Sigurd Mikkelsen
Dec 20, 2002·Journal of Epidemiology and Community Health·M LindströmJ Merlo
Mar 21, 2003·Journal of Epidemiology and Community Health·B Galobardes, A Morabia
Jun 12, 2004·American Journal of Epidemiology·Juan MerloUNKNOWN World Health Organization MONICA Project
Jun 30, 2011·Pharmacoepidemiology and Drug Safety·Henrik Ohlsson, Juan Merlo
Dec 2, 2015·Journal of Research in Medical Sciences : the Official Journal of Isfahan University of Medical Sciences·Zahra FallahMostafa Qorbani
Jul 17, 2012·Social Science & Medicine·Juan MerloUNKNOWN Research Group of Longitudinal Database of Andalusian Population (LDAP)
Jul 30, 2009·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Leslie Grammatico-GuillonJean-Claude Desenclos
Jun 13, 2012·Journal of Hypertension·Andraea Van HulstBasile Chaix

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