2018
DOI: 10.1016/s2468-2667(18)30200-7
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The effect of socioeconomic deprivation on the association between an extended measurement of unhealthy lifestyle factors and health outcomes: a prospective analysis of the UK Biobank cohort

Abstract: Background Combinations of lifestyle factors interact to increase mortality. Combinations of traditional factors such as smoking and alcohol are well described, but the additional effects of emerging factors such as television viewing time are not. The effect of socioeconomic deprivation on these extended lifestyle risks also remains unclear. We aimed to examine whether deprivation modifies the association between an extended score of lifestyle-related risk factors and health outcomes. Methods Data for this pr… Show more

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Cited by 285 publications
(274 citation statements)
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“…This is expected to happen more often in low SES, where more concurrent risk factors exist. The results of the previously discussed UK Biobank study [26] are in line with this reasoning, as this study, investigating a combined lifestyle score instead of a single risk factor, did not find an elevated risk of cardiovascular disease and mortality for the most healthy lifestyle category in low SES compared to high SES individuals. This indicates that when multiple risk factors are targeted, low SES individuals with a healthy lifestyle are at similar health risk as their high SES peers with a comparable lifestyle.…”
Section: Discussionsupporting
confidence: 86%
See 1 more Smart Citation
“…This is expected to happen more often in low SES, where more concurrent risk factors exist. The results of the previously discussed UK Biobank study [26] are in line with this reasoning, as this study, investigating a combined lifestyle score instead of a single risk factor, did not find an elevated risk of cardiovascular disease and mortality for the most healthy lifestyle category in low SES compared to high SES individuals. This indicates that when multiple risk factors are targeted, low SES individuals with a healthy lifestyle are at similar health risk as their high SES peers with a comparable lifestyle.…”
Section: Discussionsupporting
confidence: 86%
“…A few previous studies investigated the possibility of socio-economic disparities in associations of lifestyle factors with other health outcomes, although not for diet and diabetes. In the UK Biobank, an extended score of unhealthy lifestyle factors had a much stronger association with cardiovascular and all-cause mortality in lower SES groups [26]. In the Scottish Health Surveys, the risk of morbidity or mortality from high alcohol intake was greater for drinkers in deprived areas [27].…”
Section: Discussionmentioning
confidence: 98%
“…9,10 Socioeconomic deprivation can also exacerbate the effect that lifestyle-related risk factors have on poor health and mortality. 11 Insecurity or lack of control over finances, work, or housing, coupled with barriers to maintaining a cohesive social support network, can all have negative effects on health. 12e14 All of these mechanisms could result in differences in the types of pathology with which patients in different socioeconomic groups present, or the age at which certain conditions develop.…”
mentioning
confidence: 99%
“…Additionally, confounders such as gender, age or income, and behavioral variables such as smoking status, alcohol consumption, or physical activity have to be taken into account as effect-modifying variables [34,35,47,73]. Access to healthcare and social support play a role in specific health outcomes and should be considered in studies as well [8,[74][75][76].…”
Section: Selected Empirical Results and Research Gapsmentioning
confidence: 99%