Article Text

Download PDFPDF
OP27 Socioeconomic position over the life-course and impaired lung function of older adults in Central and Eastern Europe: the HAPIEE study
  1. Consuelo Quispe-Haro1,
  2. Hynek Pikhart1,2,
  3. Martin Bóbak1,2,
  4. Andrzej Pajak3,
  5. Abdonas Tamosiunas4,
  6. Nadezda Capkova5
  1. 1RECETOX, Faculty of Science, Masaryk University, Kotlarska 2, Brno, Czech Republic
  2. 2Research Department of Epidemiology and Public Health, University College London, London, UK
  3. 3Department of Epidemiology and Population Studies, Institute of Public Health, Faculty of Health Sciences, Jagiellonian University Medical College, Kraków, Poland
  4. 4Institute of Cardiology, Lithuanian University of Health Sciences, Kaunas, Lithuania
  5. 5National Institute of Public Health, Prague, Czech Republic


Background Social differences in lung functioning have been reported previously but the assessment of the role of socioeconomic position (SEP) at different stages of life, particularly in Central and Eastern Europe (CEE), is less well understood. This study addressed these two issues by focusing on adults from the HAPIEE study.

Methods This analysis included 10,160 individuals from the Czech Republic, Poland, and Lithuania (aged 45–70 years in 2002–2005) with complete information on pulmonary function tests. Lung function was classified as normal if values of FEV1/FVC (forced expiratory volume in the first second divided by forced vital capacity) and forced vital capacity were higher than the lower limit of normality and classified as impaired if otherwise. SEP at three stages of life was assessed using the mother’s education (childhood), participant’s education (young adulthood), and current ability to pay for food, clothes, and bills (late adulthood). Each SEP measure was dichotomized as advantaged or disadvantaged. The associations between impaired lung function and life-course SEP were assessed by multivariable logistic regression.

Results Disadvantaged SEP in young adulthood (OR=1.32, 95%CI: 1.16–1.50) or late adulthood (OR=1.15, 95%CI: 1.03–1.29) increased the chance of impaired lung function during late adulthood. Participants disadvantaged at all three-time points exhibited the highest odds of impaired lung function in late adulthood (OR=1.55, 95%CI: 1.25–1.93), compared to those always advantaged.

Conclusion Reducing socioeconomic inequalities in young and late adulthood may contribute to reducing the risk of impaired lung function in late adulthood.

  • Lung function
  • socioeconomic status
  • older adulthood

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.