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Total cholesterol and HDL-cholesterol in relation to socioeconomic status in a sample of 11,645 Greek adults: the EPIC study in Greece

Department of Hygiene and Epidemiology, University of Athens, Medical School, Athens, Greece, vben{at}nut.uoa.gr

Yiannis Chloptsios

Department of Hygiene and Epidemiology, University of Athens, Medical School, Athens, Greece

Xenofon Zavitsanos

Department of Hygiene and Epidemiology, University of Athens, Medical School, Athens, Greece

Dimitrios Karalis

Department of Hygiene and Epidemiology, University of Athens, Medical School, Athens, Greece

Androniki Naska

Department of Hygiene and Epidemiology, University of Athens, Medical School, Athens, Greece

Antonia Trichopoulou

Department of Hygiene and Epidemiology, University of Athens, Medical School, Athens, Greece

Objective: To examine the relationship between educational level, a powerful indicator of socioeconomic status in Greece, total cholesterol and HDL-cholesterol in a large sample of Greek adults. Methods: The study sample consisted of 11,645 subjects, 4,398 men and 7,247 women, aged 23 - 86 years, who voluntarily participated in the Greek component of the EPIC study during 1994 - 98. Educational attainment was divided into low, medium, and high. Linear regression analyses were performed, in men and women separately, using total and HDL-cholesterol as dependent variables and educational level as independent, while controlling for age. Results: Total blood cholesterol values are inversely associated with educational level in both genders, a pattern contrasting with that found 20 years ago. The association is more prominent among women. HDL-cholesterol values are inversely associated with educational level in men, whereas the association is less consistent in women.

Key Words: blood lipids • educational level • Greek population • HDL-cholesterol • socioeconomic status • total cholesterol.

Scandinavian Journal of Public Health, Vol. 28, No. 4, 260-265 (2000)
DOI: 10.1177/14034948000280040801


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