Socioeconomic inequalities in the prevalence of nine established cardiovascular risk factors in a southern European population

The evaluation of the gender-specific prevalence of cardiovascular risk factors across socioeconomic position (SEP) categories may unravel mechanisms involved in the development of coronary heart disease. Using a sample of 1704 community dwellers of a Portuguese urban center aged 40 years or older, assessed in 1999-2003, we quantified the age-standardized prevalence of nine established cardiovascular risk factors (diabetes mellitus, hypertension, hypercholesterolemia, smoking, sedentariness, abdominal obesity, poor diet, excessive alcohol intake and depression) across SEP and gender categories. Data on individual education and occupation were collected by questionnaire and used to characterize SEP. The prevalence of seven out of nine well-established risk factors was higher in men. Among women, the prevalence of most of the studied risk factors was higher in lower SEP groups. The main exception was smoking, which increased with education and occupation levels. Among men, socioeconomic gradients were less clear, but lower SEP was associated with a higher prevalence of diabetes, excessive alcohol intake and depression in a graded mode. The historical cultural beliefs and practices captured throughout the lifecourse frame the wide socioeconomic gradients discernible in our study conducted in an unequal European developed population. While men were more exposed to most risk factors, the clearer associations between SEP and risk factors among women support that their adoption of particular healthy behaviors is more dependent on material and symbolic conditions. To fully address the issue of health inequalities, interventions within the health systems should be complemented with population-based policies specifically designed to reduce socioeconomic gradients.     

Devoted fathers or selfish lovers? Conflict between mating effort and parental care in a harem‐defending arachnid

When there is a temporal trade‐off between mating effort and parental care, theoretical models predict that intense sexual selection on males leads to reduced paternal care. Thus, high‐quality males should invest more in mating effort because they have higher chances of acquiring mates, whereas low‐quality males should bias their investment towards parental care. Once paternal care has evolved, offspring value should also influence males’ decisions to invest in offspring attendance. Here, we performed a manipulation under field conditions to investigate the factors that influence male allocation in either mating effort or parental care. We predicted that facultative paternal care in the harem‐holding harvestman Serracutisoma proximum would be negatively influenced by male attractiveness and positively influenced by offspring value. We found that attractive males were less likely to engage in egg attendance and that the higher the perceived paternity, the higher the caring frequency. Finally, egg mortality was not related to caring frequency by males, but predation pressure was much lower than that recorded in previous studies with the same population. Thus, the benefits of facultative male care may be conditional to temporal variation in the intensity of egg predation. In conclusion, males adjust their investment in either territory defence or egg attendance according to their recent mating history and perceived paternity. Our findings suggest that exclusive paternal care can evolve from facultative paternal care only if the trade‐off between mating effort and parental care is circumvented.     

Is group size related to longevity in mammals?

Life-history theory predicts that reduced extrinsic risk of mortality should increase species longevity over evolutionary time. Increasing group size should reduce an individual''s risk of predation, and consequently reduce its extrinsic risk of mortality. Therefore, we should expect a relationship between group size and maximum longevity across species, while controlling for well-known correlates of longevity. We tested this hypothesis using a dataset of 253 mammal species and phylogenetic comparative methods. We found that group size was a poor predictor of maximum longevity across all mammals, as well as within primates and rodents. We found a weak but significant group-size effect on artiodactyl longevity, but in a negative direction. Body mass was consistently the best predictor of maximum longevity, which may be owing to lower predation risk and/or lower basal metabolic rates for large species. Artiodactyls living in large groups may exhibit higher rates of extrinsic mortality because of being more conspicuous to predators in open habitats, resulting in shorter lifespans.     

Analyzing the Relationship between Objective–Subjective Health Status and Public Perception of Climate Change as a Human Health Risk in Coastal Tanzania

Climate change is considered as the biggest threat to human health in the 21st century. Sub-Saharan Africa, which is the most-at-risk region of the world, is estimated to have a disproportionately large share of the burden of climate change–induced environmental and human health risks. To develop effective adaptations to protect public health, it is essential to consider how individuals perceive and understand the risks, and how they might be willing to change their behaviors in response to them. Using a cross-sectional survey of 1253 individuals in coastal Tanzania we analyzed the relationship between subjective health status (self-reported health) and objective health status on the one hand and perceived health risks of climate change. Generally, higher subjective health status was associated with lower scores on perceived health risks of climate change. Concerning objective health status, the results were varied. Individuals who affirmed that they had been previously diagnosed with hepatitis, skin conditions, or tuberculosis had lower scores on perceived health risks of climate change, unlike their counterparts who affirmed that they had been previously diagnosed with malaria in the past 12 months or had been diagnosed with HIV/AIDS. These relationships persist even when biosocial and sociocultural attributes are taken into consideration. The results underscore the complex ways in which objective and subjective health interact with both biosocial and sociocultural factors to shape perceived health risks of climate change.     

Social class,non-employment,and chronic illness: continuing the inequalities in health debate.

The 1981-2 General Household Survey showed steep class gradients in limiting longstanding illness for men and women aged 20-59 that were very similar to the class gradients in mortality in the 1979-83 decennial supplement. The class gradient for women classified by their husband''s occupation was stronger than that when they were classified by their own occupation. Men and women who lacked paid employment reported poorer health than the employed and were concentrated in the lower social classes. Inequalities in ill health due to class were partly caused by the higher proportion in the lower social classes who were without work. Class differences in ill health still existed, however, among the currently employed, with unskilled men reporting particularly poor health and women manual workers reporting poorer health than women in non-manual jobs. Class differences were greater for the occupationless than for the currently employed. Thus class remains an important indicator of health inequalities despite the current high level of unemployment.     

Evolution of reproductive effort in a metapopulation with local extinctions and ecological succession

Abstract Using a metapopulation model, we study how local extinctions, limited population life span, and local demographic disequilibrium affect the evolution of the reproductive effort in a species with overlapping generations but no senescence. We show that in a metapopulation with saturation of all sites and an infinite deme maximal life span (no succession), local extinctions simply constitute an additional source of extrinsic mortality. When either the hypothesis of an infinite deme maximal life span or the saturation hypothesis is relaxed, nontrivial predictions arise. in particular, we find interactions between the evolutionarily stable reproductive effort strategy and the demographic dynamics in the metapopulation. We predict that larger reproductive effort may be selected for in habitats of poorer productivity, contrary to what would be predicted in a single population. Also, we predict that higher dispersal rates should favor selection for lower reproductive efforts. However, metapopulation parameters that favor high dispersal rates also favor larger reproductive efforts. Conflicting selection pressures in the metapopulation also allow maintaining evolutionarily stable polymorphism between a low and high reproductive effort for particular trade-offs between survival and fecundity.     

THE ECOLOGY OF SEXUAL CONFLICT: BACKGROUND MORTALITY CAN MODULATE THE EFFECTS OF MALE MANIPULATION ON FEMALE FITNESS

Sexual and parental conflicts can arise because males benefit by inducing elevated reproductive effort in their mates. For females, the costs of such manipulation are often manifested later in life, and may therefore covary with female life expectancy. Here, I outline a simple female life‐history model where female life expectancy reflects extrinsic mortality rate, and elevated reproductive effort causes accelerated senescence. Using this model, I show that variation in extrinsic mortality rate can modulate the magnitude and sign of fitness effects that male manipulation has on females. This result has several interesting implications. First, it suggests that the fitness effects of sexual interactions can depend on ecological factors, such as predation, that influence life expectancy. Second, if mortality risk is condition‐dependent but reproductive effort is not fully optimized in relation to individual condition, then sexual conflict intensity may increase with individual condition, selecting for condition‐dependent reproductive strategies. Third, if males vary in manipulativeness, then the fitness effects of mating with a given male phenotype may depend on both female condition and extrinsic mortality rate. Fourth, life span extension in the laboratory can lead to overestimation of sexual and parental conflicts. Life expectancy may therefore be a key factor in sexual coevolution.     

Predator and Prey Models with Flexible Individual Behavior and Imperfect Information

To begin identifying what behavioral details might be needed to characterize community dynamics and stability, we examined the effect of prey behavioral responses to predation risk on community dynamics and stability. We considered the case of prey altering their foraging effort to trade off energy gain and predation risk. We used state-dependent dynamic optimization to calculate the optimal trade-off for four models of prey behaviorally responding to predation risk. We consider a fixed behavior model in which prey use constant levels of foraging effort and three flexible behavior models in which prey change their foraging effort according to their physiological state and their perceived level of predation risk. Flexible behavior was destabilizing at the community level as evidenced by higher predator-prey oscillations and lower community persistence times. The mechanisms by which prey estimated predation risk also affected community stability. We found that community dynamics resulting from prey with flexible behavior and fixed perception of risk approximated community dynamics resulting from prey with flexible behavior and perfect information about predation risk, however neither approximated the community dynamics resulting from prey with flexible behavior and flexible perception of risk. Thus, whether it might be possible to abstract complex behavior with simpler rules when modeling community dynamics depends on the prey's behavioral mechanisms, which are empirically poorly known.     

Life history variables and risk-taking propensity

We examined the effects of life-history variables on risk-taking propensity, measured by subjective likelihoods of engaging in risky behaviors in five evolutionarily valid domains of risk, including between-group competition, within-group competition, environmental challenge, mating and resource allocation, and fertility and reproduction. The effects of life-history variables on risk-taking propensity were domain specific, except for the expected sex difference, where men predicted greater risk-taking than women in all domains. Males also perceived less inherent risk in actions than females across the five domains. Although the age range in the sample was limited, older respondents showed lower risk propensity in both between- and within-group competition. Parenthood reduced risk-taking propensity in within- and between-group competitions. Higher reproductive goal setting (desiring more offspring) was associated with lower risk-taking propensity. This effect was strongest in the risk domains of mating and reproduction. Having more siblings reduced risk-taking propensity (contrary to our initial prediction) in the domains of environmental challenge, reproduction, and between-group competition. Later-born children showed a higher propensity to engage in environmental and mating risks. Last, shorter subjective life expectancy was associated with increased willingness to take mating and reproductive risks. These results suggest that life-history variables regulate human risk-taking propensity in specific risk domains.     

Unpacking the link between family socioeconomic status and civic engagement during the transition to adulthood: Do work values play a role?

We investigated whether the link between family-of-origin socioeconomic status (SES) and civic engagement in young adulthood is mediated by youth’s work values, that is, the desired characteristics of their current or future jobs. We used data from a Finnish study: 2004 (age 16–18, N_T1?=?1,301); 2011 (age 23–25, N_T2?=?1,096); and 2014 (age 25–27, N_T3?=?1,138). A higher family SES in 2004 predicted youth’s higher civic engagement in 2014. A higher family SES also predicted a lower importance of extrinsic job rewards (e.g., good pay) in 2011, but it was unrelated to the importance of intrinsic job rewards (e.g., learning opportunities). Extrinsic work values, in turn, predicted lower civic engagement in 2014, above and beyond sociodemographic and personality characteristics. Intrinsic work values predicted higher civic engagement. Thus, extrinsic, but not intrinsic, work values partly mediated the link between family SES and youth civic engagement.     

Likelihood of attending bowel screening after a negative genetic test result: the possible influence of health professionals

This study was undertaken to determine the extent to which the reported likelihood of attending future bowel screening following negative genetic testing results for familial adenomatous polyposis (FAP) varies between the type of health professional providing care and the country of testing. The study subjects were 103 unaffected adults at risk for FAP who received negative results following predictive DNA testing. Our study indicates that the reported likelihood of attending bowel screening was higher in those given results by nongenetics physicians, rather than by genetics professionals; the reported likelihood of attending bowel screening under these circumstances was also higher in the UK than in Australia. Both of these results were affected by the perceived chances of developing FAP, and, in the case of the country of testing, by the perceived accuracy of the genetic test result and the perceived seriousness of the disease. How and what health professionals communicate with patients about genetic testing may explain the differences between type of health professional and country of testing and attitudes toward bowel screening. If this is the case, training in communication may change patients' perceptions and, in turn, their behavioral intentions and actions following a negative test result.     

Extrinsic Mortality Can Shape Life-History Traits,Including Senescence

The Williams’ hypothesis is one of the most widely known ideas in life history evolution. It states that higher adult mortality should lead to faster and/or earlier senescence. Theoretically derived gradients, however, do not support this prediction. Increased awareness of this fact has caused a crisis of misinformation among theorists and empirical ecologists. We resolve this crisis by outlining key issues in the measurement of fitness, assumptions of density dependence, and their effect on extrinsic mortality. The classic gradients apply only to a narrow range of ecological contexts where density-dependence is either absent or present but with unrealistic stipulations. Re-deriving the classic gradients, using a more appropriate measure of fitness and incorporating density, shows that broad ecological contexts exist where Williams’ hypothesis is supported.     

Body mass index and health among Union Army veterans: 1891–1905

This paper explores the relationship between BMI and several health conditions among Union Army veterans who had medical examinations between 1891 and 1905. We find that BMI, when used as a proxy of nutrition, helps to explain morbidity and mortality differentials among veterans.There is evidence suggesting that among Union Army veterans extremely low or high BMIs were both associated with poor health, as indicated by a higher level of disability rating, higher risk of developing certain diseases, and higher mortality risk than those associated with having normal weight. Compared to veterans with normal weight, underweight veterans were more likely to be diagnosed with cardiovascular, respiratory and gastrointestinal diseases, but were less likely to be diagnosed with rheumatic and musculo-skeletal conditions at the first examination. High BMI levels are also associated with a higher risk of developing cardiovascular and rheumatic diseases, and higher mortality in the 20 years after the first examination.We performed a longitudinal analysis to study the association between earlier BMI as well as weight change and later development of diseases. The results suggest that, as a predictor of diseases, the explanatory power of BMI becomes lower the farther into the future we try to predict. Compared with those who maintained the same weight, veterans who gained weight were associated with a lower risk of being diagnosed with gastrointestinal diseases at their second examination.     

Trading off mortality risk against foraging effort in damselflies that differ in life cycle length

Life history theory predicts that size and age at emergence depend on the slope and shape of the relationship between mortality rate and foraging effort. Given the high expected foraging effort in obligate univoltine species compared with semivoltine species we expected a low slope and an increase in foraging effort in the presence of a predator for the former and the opposite pattern for the latter. We tested these predictions in two damselfly species of the univoltine genus Lestes , and the semivoltine genus Coenagrion when confronted with perch. We determined for each of the four study species the relationships between mortality rate and foraging effort at an individual level. As expected by the different growth demands associated with differences in life cycle length, both Lestes species had a higher foraging effort than the two Coenagrion species in the absence as well as in the presence of perch. As a result, lestids also suffered a higher mortality rate. The slope of the regression between mortality rate and foraging effort was, as predicted, lower for lestids than for coenagrionids, for one species pair. Despite this, and opposite to our prediction, the lestids decreased foraging effort even more than coenagrionids in the presence of perch. We discuss these findings in the light of life history responses in species that differ in life cycle length.     

Senescence and costs of reproduction in the life history of a small precocial species

Species following a fast life history are expected to express fitness costs mainly as increased mortality, while slow‐lived species should suffer fertility costs. Because observational studies have limited power to disentangle intrinsic and extrinsic factors influencing senescence, we manipulated reproductive effort experimentally in the cavy (Cavia aperea) which produces extremely precocial young. We created two experimental groups: One was allowed continuous reproduction (CR) and the other intermittent reproduction (IR) by removing males at regular intervals. We predicted that the CR females should senesce (and die) earlier and produce either fewer and/or smaller, slower growing offspring per litter than those of the IR group. CR females had 16% more litters during three years than IR females. CR females increased mass and body condition more steeply and both remained higher until the experiment ended. Female survival showed no group difference. Reproductive senescence in litter size, litter mass, and reproductive effort (litter mass/maternal mass) began after about 600 days and was slightly stronger in CR than IR females. Litter size, litter mass, and offspring survival declined with maternal age and were influenced by seasonality. IR females decreased reproductive effort less during cold seasons and only at higher age than CR females. Nevertheless, offspring winter mortality was higher in IR females. Our results show small costs of reproduction despite high reproductive effort, suggesting that under ad libitum food conditions costs depend largely on internal regulation of allocation decisions.     

How Old Do You Feel? The Role of Age Discrimination and Biological Aging in Subjective Age

Subjective age, or how young or old individuals experience themselves to be relative to their chronological age, is a crucial construct in gerontology. Subjective age is a significant predictor of important health outcomes, but little is known about the criteria by which individuals'' subjectively evaluate their age. To identify psychosocial and biomedical factors linked to the subjective evaluation of age, this study examined whether perceived age discrimination and markers of biological aging are associated with subjective age. Participants were 4776 adults (M _age = 68) from the 2008 and 2010 waves of the Health and Retirement Study (HRS) who completed measures of subjective age, age discrimination, demographic variables, self-rated health and depression, and had physical health measures, including peak expiratory flow, grip strength, waist circumference, systolic and diastolic blood pressure. Telomere length was available for a subset of participants in the 2008 wave (n = 2214). Regression analysis indicated that perceived age discrimination, lower peak expiratory flow, lower grip strength, and higher waist circumference were associated with an older subjective age, controlling for sociodemographic factors, self-rated health, and depression. In contrast, blood pressure and telomere length were not related to subjective age. These findings are consistent with the hypothesis that how old a person feels depends in part on psychosocial and biomedical factors, including the experiences of ageism and perceptible indices of fitness and biological age.     

Expanding Opportunity Structures

Parental investment strategies are contingent on parental capacities and ecology. Parental embodied capital may be important in aspiration construction and investments in children’s human capital, which is especially important in urban environments where skills are directly tied to wage income. For Indo-Fijians, rural ecology strongly limits opportunities. Here this limitation is conceptualized as extrinsic risk and immune to reduction through enhanced parental investment. Urban migration is interpreted as a risk reduction strategy, given an expanded urban opportunity structure (lower extrinsic risk). Qualitative and quantitative data from 678 Indo-Fijian children suggest that, contingent on parental capacities, parents migrate in response to their perceptions of decreased opportunities that manifest as high levels of extrinsic risk in rural environments. Parental investment in quality and quantity corresponds to parental perceptions of extrinsic risk, which in turn correspond to migration status, indicating that parental strategies do respond to perceived limits on investment payoffs.     

Division of labour influences the rate of ageing in weaver ant workers

The evolutionary theory of ageing predicts that the timing of senescence has been primarily shaped by the extrinsic mortality rate, which causes selection intensity to decline over time. One difficulty in testing the evolutionary theory of ageing is that extrinsic mortality risk is often confounded with body size and fecundity, which may also directly affect lifespan. Social insects with a pronounced division of labour between worker castes provide a unique opportunity to study the direct effect of extrinsic mortality on the evolution of ageing rates independently of body size, reproductive effort and genetic configuration. In the weaver ant, Oecophylla smaragdina, the major (large) workers perform the risky tasks outside the nest, while the minor (small) workers stay within the highly protected arboreal nest. Hence, this pronounced division of labour is associated with high differences in extrinsic mortality risks. The evolutionary theory of ageing predicts that the minor workers should have a longer intrinsic lifespan than the major workers. In line with this prediction, we found that in a protected environment the minor workers lived significantly longer than the major workers did. Hence, the ageing rate appears to have been moulded by variation in the extrinsic mortality rate independently of size, reproductive effort and genetic configuration.     

Parental investment strategies in two species of nuthatch vary with stage-specific predation risk and reproductive effort

Life-history theory predicts that differences in reproductive effort and residual reproductive value among species should result in differences in the level of risk that parents are willing to tolerate to themselves versus their offspring. Specifically, highly fecund and shorter-lived species are expected to place greater value in current offspring than themselves, whereas less fecund and longer-lived species are expected to place greater value in their own survival and future breeding opportunities. Here, we test the prediction that parental investment decisions are correlated with life histories by comparing risk-taking behaviour in two species of nuthatch that differ in reproductive effort: the white-breasted nuthatch, Sitta carolinensis (more fecund, lower survival) and the red-breasted nuthatch, S. canadensis (less fecund, higher survival). We experimentally manipulated stage-specific predation risk by presenting models of an adult predator (hawk) and an egg predator (wren) and measured the willingness of males to feed incubating females on the nest. We found that both species of nuthatch responded to predators by increasing the length of time between visits and aborting more visits to the nest. However, as predicted by their life histories, S. carolinensis displayed a significantly stronger response to the egg predator, whereas S. canadensis responded more strongly to the adult predator. Thus, species can differ in their willingness to tolerate risk to themselves and their young, and such differences appear to be related to differences in investment in current reproduction and the probability of future survival. Copyright 2000 The Association for the Study of Animal Behaviour.     

Why Are There Social Gradients in Preventative Health Behavior? A Perspective from Behavioral Ecology

Background

Within affluent populations, there are marked socioeconomic gradients in health behavior, with people of lower socioeconomic position smoking more, exercising less, having poorer diets, complying less well with therapy, using medical services less, ignoring health and safety advice more, and being less health-conscious overall, than their more affluent peers. Whilst the proximate mechanisms underlying these behavioral differences have been investigated, the ultimate causes have not.

Methodology/Principal Findings

This paper presents a theoretical model of why socioeconomic gradients in health behavior might be found. I conjecture that lower socioeconomic position is associated with greater exposure to extrinsic mortality risks (that is, risks that cannot be mitigated through behavior), and that health behavior competes for people''s time and energy against other activities which contribute to their fitness. Under these two assumptions, the model shows that the optimal amount of health behavior to perform is indeed less for people of lower socioeconomic position.

Conclusions/Significance

The model predicts an exacerbatory dynamic of poverty, whereby the greater exposure of poor people to unavoidable harms engenders a disinvestment in health behavior, resulting in a final inequality in health outcomes which is greater than the initial inequality in material conditions. I discuss the assumptions of the model, and its implications for strategies for the reduction of health inequalities.