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Table 3 Multivariable logistic and linear regression analysis of direct associations between socioeconomic position, chronic stressa, and metabolic syndrome development (n = 53,216)

From: Socioeconomic differences in metabolic syndrome development: examining the mediating role of chronic stress using the Lifelines Cohort Study

 

Education

Occupational prestige

Income

OR (99% CI)

OR (99% CI)

OR (99% CI)

Path 1. SEP and MetS development

0.92 (0.90, 0.94)*

0.95 (0.91, 0.99)*

0.99 (0.98, 1.00)

Path 2. SEP and chronic stressa

 Sum score (beta)

0.23 (0.20, 0.26)*

0.16 (0.11, 0.22)*

−0.10 (−0.11, −0.08)*

 Work-related

  Slightly stressful

1.14 (1.12, 1.15)*

1.09 (1.07, 1.12)*

1.01 (1.00, 1.01)*

  Very stressful

1.21 (1.18, 1.24)*

1.17 (1.12, 1.21)*

1.02 (1.01, 1.03)*

 Relationship-related (with partner)

  Slightly stressful

1.06 (1.04, 1.08)*

1.03 (1.01, 1.06)*

0.98 (0.98, 0.99)*

  Very stressful

1.12 (1.08, 1.15)*

1.04 (0.99, 1.10)

0.97 (0.95, 0.98)*

 Finance-related

  Slightly stressful

1.05 (1.03, 1.07)*

1.00 (0.97, 1.03)

0.93 (0.92, 0.94)*

  Very stressful

1.05 (1.00, 1.10)

1.00 (0.93, 1.09)

0.88 (0.86, 0.90)*

Path 3. Chronic stressa and MetS development

 Sum score

1.02 (1.01, 1.03)*

1.02 (1.01, 1.03)*

1.02 (1.01, 1.03)*

 Work-related

  Slightly stressful

0.99 (0.89, 1.10)

0.99 (0.89, 1.10)

0.99 (0.89, 1.10)

  Very stressful

1.07 (0.89, 1.28)

1.07 (0.89, 1.28)

1.07 (0.89, 1.28)

 Relationship-related (with partner)

  Slightly stressful

0.82 (0.73, 0.92)*

0.82 (0.73, 0.92)*

0.82 (0.73, 0.92)*

  Very stressful

0.80 (0.62, 1.05)

0.80 (0.62, 1.05)

0.80 (0.62, 1.05)

 Finance-related

  Slightly stressful

1.33 (1.18, 1.50)*

1.33 (1.18, 1.50)*

1.33 (1.18, 1.50)*

  Very stressful

1.58 (1.16, 2.15)*

1.58 (1.16, 2.15)*

1.58 (1.16, 2.15)*

Path 4. SEP and MetS developmentb

 Sum score

0.92 (0.90, 0.94)*

0.95 (0.91, 0.99)*

1.00 (0.99, 1.01)

 Work-related

0.92 (0.90, 0.94)*

0.95 (0.91, 0.99)*

0.99 (0.98, 1.00)

 Relationship-related (with partner)

0.92 (0.90, 0.94)*

0.95 (0.91, 0.99)*

0.99 (0.98, 1.00)

 Finance-related

0.92 (0.90, 0.94)*

0.95 (0.91, 0.99)*

1.00 (0.99, 1.01)

  1. OR Odds ratio, CI Confidence interval, SEP Socioeconomic position, MetS Metabolic syndrome, LDI Long-term Difficulties Inventory; analyses controlled for years of education, equivalized household income, occupational prestige, age and sex at T1, and time between T1 and T4; reference category for the LDI domains was ‘not stressful’; LDI domains were controlled for work status, partner status, children status, parent status, school/study status and religion status where applicable
  2. *P < 0.01
  3. aLong-term difficulties during total follow-up time measured with the LDI, LDI categories consist of the sum score of the LDI from questionnaires T2, T3 and T4, ‘not stressful’ indicates sum score 0, ‘slightly stressful’ sum score 1-3, ‘very stressful’ sum score 4-6
  4. bDirect associations between SEP measures and MetS development controlled for specific LDI domain
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BMC Public Health

ISSN: 1471-2458

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