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Intergenerational educational mobility, discrimination, and hypertension in adults from Southern Brazil

Cadernos de Saude Publica, ISSN: 1678-4464, Vol: 36, Issue: 5, Page: e00193920
2020
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Em nome da saude publica: o misoprostol e a nova criminalizacao do aborto no Brasil/In the name of public health: misoprostol and the new criminalization of abortion in Brazil.

I. Introdução (1) Na década de 1990, pesquisadoras e pesquisadores brasileiros estiveram entre os primeiros a documentar o uso informal do misoprostol como uma medida

Review Description

Systemic arterial hypertension (SAH) or high blood pressure a serious global public health problem marked by social inequalities. There are few studies on SAH in Brazil with a life-course theoretical perspective. The current article aims to analyze the relationship between intergenerational educational mobility (IEM) and SAH in Brazilian adults, verifying the impact of interpersonal and color/"race" discrimination on this relationship. The authors analyzed data from 1,720 adults (20-59 years) and their parents in the EpiFloripa Adult Study. Random-effects multilevel regression models were estimated. The fixed effects showed an inverse relationship between IEM and odds of SAH, with statistical significance for high IEM (paternal model: OR [odds ratio] = 0.39, p = 0.006; maternal model: OR = 0.35, p = 0.002; and family model: OR = 0.35, p = 0.001). Meanwhile, interaction models showed that situations of discrimination can act jointly with unfavorable IEM, increasing the odds of SAH, especially among black and brown individuals. The study concludes that persistently high IEM is capable of significantly reducing the odds of SAH, while discrimination can intensify the effect of low education, especially in socially marginalized population segments.

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Sousa, Álvaro Francisco Lopes de; Queiroz, Artur Acelino Francisco Luz Nunes; Lima, Shirley Verônica Melo Almeida; Almeida, Priscilla Dantas; Oliveira, Layze Braz de; Chone, Jeremias Salomão; Araújo, Telma Maria Evangelista; Brignol, Sandra Mara Silva; Sousa, Anderson Reis de; Mendes, Isabel Amélia Costa; Dias, Sónia; Fronteira, Inês

FapUNIFESP (SciELO)

Medicine

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