@article{fdi:010077502,
  title = {{S}ocioeconomic inequalities in metabolic syndrome in the {F}rench {W}est {I}ndies},
  author = {{C}olombet, {Z}. and {P}erignon, {M}. and {S}alanave, {B}. and {L}andais, {E}dwige and {M}artin-{P}r{\'e}vel, {Y}ves and {A}lles, {B}. and {D}rogue, {S}. and {A}miot, {M}. {J}. and {M}ejean, {C}.},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground: {O}besity and metabolic diseases represent a major health burden in the {C}aribbean, particularly since a large part of the population is disadvantaged. {H}owever, socioeconomic inequalities in chronic diseases are poorly explored in this region. {W}e investigated the association between socioeconomic position and metabolic syndrome ({M}et{S}) prevalence and explored the contribution of diet quality to explain this association, among adults in the {F}rench {W}est {I}ndies. {M}ethods: {T}his cross-sectional analysis included 1144 subjects (=16 y) from a multistage sampling survey conducted in 2013-2014 on a representative sample of the {G}uadeloupean and {M}artinican population. {M}et{S} prevalence was assessed using the {J}oint {I}nterim {S}tatement. {D}ietary intakes were estimated from 24 h-dietary recalls, and diet quality was assessed through the {D}iet {Q}uality {I}ndex-{I}nternational ({DQI}-{I}). {A}ssociations between socioeconomic indicators (education, employment, social assistance benefits) and {M}et{S} prevalence, and the potential contribution of diet quality in this association were assessed using multivariable logistic regression models, adjusted for sociodemographic characteristics. {R}esults: {M}et{S} prevalence adjusted for age and sex was 21 and 30% among {G}uadeloupean and {M}artinican, respectively. {C}ompared to high-educated participants, low-educated subjects were more likely to be at risk of {M}et{S} ({OR} = 2.4; 95%{CI} = [1.3-4.4], respectively), as were recipients of social assistance benefits compared to non-recipients ({OR} = 2.0; 95%{CI} = [1.0-4.0]). {T}he {DQI}-{I} explained 10.5% of the overall variation in {M}et{S} due to education. {C}onclusions: {S}ocioeconomic inequalities in {M}et{S} prevalence, reflected by education and social assistance benefits, were found. {H}owever, diet quality contributed only to socioeconomic inequalities due to education underlining that education may impact health through the ability to generate overall dietary behavior, long-term beneficial. {O}ur work identified subgroups with higher risk of {M}et{S}, which is needed when implementing public health measures, particularly in this {C}aribbean population with of high poverty rates. {F}urther prospective studies are needed to improve our understanding of the mechanisms of social inequalities in {M}et{S} in a high poverty rates context.},
  keywords = {{M}etabolic syndrome ; {S}ocioeconomic inequalities ; {D}iet quality ; {F}rench {W}est {I}ndies ; {C}aribbean ; {F}ood consumption ; {ANTILLES} {FRANCAISES} ; {CARAIBE}},
  booktitle = {},
  journal = {{BMC} {P}ublic {H}ealth},
  volume = {19},
  numero = {1},
  pages = {art. 1620 [11 p.]},
  year = {2019},
  DOI = {10.1186/s12889-019-7970-z},
  URL = {https://www.documentation.ird.fr/hor/fdi:010077502},
}