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January 18, 2006American Journal of Epidemiology

Higher educational attainment was significantly inversely associated with C-reactive protein (p=0.0002), sICAM-1 (p=0.01), and MCP-1 (p=0.01) after multivariable adjustment.

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Why the study?

Is educational level associated with inflammatory risk factors for coronary heart disease in the Framingham Offspring Study cohort?

Population

2,729 participants from the US Framingham Offspring Study cohort, mean age 62 +/- 10 years, 53.4% women

Design

Cohort

Key result

Higher educational attainment was significantly inversely associated with C-reactive protein (p=0.0002), sICAM-1 (p=0.01), and MCP-1 (p=0.01) after multivariable adjustment.

Authors

ELEric B. LoucksLSLisa SullivanLHLaura J. Hayes

Discussion

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Overview

Supports socioeconomic-inflammatory pathway in CHD risk; hypothesis-generating, should not yet change practice.

Study Design

Type

Cohort (n=2,729)

Structured PICO

Is educational level associated with inflammatory risk factors for coronary heart disease in the Framingham Offspring Study cohort?

P
Population
2,729 participants (53.4% women, mean age 62 years) from the US Framingham Offspring Study cohort assessed for educational attainment and inflammatory markers.
E
Exposure
Educational level (socioeconomic position)
O
Outcome
Inflammatory risk factors for coronary heart disease (C-reactive protein, interleukin-6, soluble intercellular adhesion molecule-1, monocyte chemoattractant protein-1, and P-selectin)surrogate

Main Result

p-value: p=0.0002

Lower educational attainment is independently associated with higher levels of inflammatory markers, suggesting a biologic pathway linking socioeconomic position to coronary heart disease risk.

Cite This Study

Loucks et al. (2006) conducted a cohort in coronary heart disease (n=2,729). Educational level was evaluated on Inflammatory risk factors for coronary heart disease (C-reactive protein, interleukin-6, soluble intercellular adhesion molecule-1, monocyte chemoattractant protein-1, and P-selectin) (p=0.0002). Higher educational attainment was significantly inversely associated with C-reactive protein (p=0.0002), sICAM-1 (p=0.01), and MCP-1 (p=0.01) after multivariable adjustment.

synapsesocial.com/papers/6a9efaee10febe70be9615d4https://doi.org/10.1093/aje/kwj076
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Also Consider

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  1. 1Socioeconomic Position, Race/Ethnicity, and Inflammation in the Multi-Ethnic Study of Atherosclerosis2007 · 167 citations
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  4. 4Community Socioeconomic Status is Associated With Circulating Interleukin-6 and C-Reactive Protein2008 · 93 citations
  5. 5The Relation of Genetic and Environmental Factors to Systemic Inflammatory Biomarker Concentrations2009 · 61 citations