Individual and contextual exposures and cardio-metabolic diseases in adults of Argentina. A contribution for epidemiological surveillance

ABALLAY LAURA; POU SONIA; FERNANDEZ RICARDO; CARRILLO MARIANA; BUTINOF MARIANA; NICLIS CAMILA; BECARIA COQUET JULIA; REARTES GABRIELA; DÍAZ MARÍA DEL PILAR; ROMÁN MARÍA DOLORES; EANDI MARIANA; CANALE MARCELA; MUÑOZ SONIA

evento virtual

Conferencia; 32nd Annual Conference of the International Society for Environmental Epidemiology; 2020

International Society for Environmental Epidemiology

The aim of this study was to assess the association of individual and contextual exposures with cardio-metabolic diseases (CMD) occurrence in adults of Córdoba province (Argentina) for epidemiological surveillance purposes. Methods: A population-based study of 493 subjects (30-60 years-old) was performed in Córdoba Province, Argentina, in 2017. Bio-socio-economic individual characteristics (gender, age, BMI, tobacco habit, socio-economic status and occupational exposure); adherence level to characteristics dietary patterns (DP) (Argentine Pro-inflammatory-APP-, Fast food -FSP-, Simile- Mediterranean -SMP- and Prudent-PP-), and contextual exposure (farm machinery warehouse -FMW- and agricultural pesticide applications-NAP- within 100m from home) were assessed. Self-reported hypertension (HT), diabetes (DBT), and obesity (measured BMI) were the CMD considered. For the analysis, all CMD were considered together and independently (HT, DBT and obesity). Two steps were performed: 1) Multiple Correspondence Analyses (MCA) for exploring exposure profiles; 2) Logistic regression models were fitted to estimate the association between individual and contextual exposures and CMD (in the full sample and stratified by two socio-environmental and economically differentiated areas, north and south). Results: MCA identified two different profiles regarding sociodemographic and environmental indicators -coincident with areas studied- (71.39% of explained variation on first and second factors). 42% of all the individuals had at least one CMD (19% HT, 7.3% DBT and 32.52% obesity); age and a high socioeconomic status were directly and inversely associated to all CMD, together and independently. Also, BMI was associated with HT and DBT; SMP (overall) and PP (in North area) were inversely associated with all CMD together and specifically with obesity; the environmental exposure FMW was significantly associated with DBT, while NAP was associated with all CMD and particularly with HT, in the North area. Conclusions: In Córdoba province, epidemiological surveillance programs are required to reduce CMD epidemic; both individual and community - environmental factors needs to be addressed.