Sökning: onr:"swepub:oai:DiVA.org:umu-123451" > Educational class i...
Fältnamn | Indikatorer | Metadata |
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000 | 03853naa a2200541 4500 | |
001 | oai:DiVA.org:umu-123451 | |
003 | SwePub | |
008 | 160704s2016 | |||||||||||000 ||eng| | |
024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1234512 URI |
024 | 7 | a https://doi.org/10.1136/heartjnl-2015-3089092 DOI |
040 | a (SwePub)umu | |
041 | a engb eng | |
042 | 9 SwePub | |
072 | 7 | a ref2 swepub-contenttype |
072 | 7 | a art2 swepub-publicationtype |
100 | 1 | a Veronesi, Giovanni4 aut |
245 | 1 0 | a Educational class inequalities in the incidence of coronary heart disease in Europe |
264 | c 2016-02-05 | |
264 | 1 | b BMJ,c 2016 |
338 | a print2 rdacarrier | |
520 | a Objective: To estimate the burden of social inequalities in coronary heart disease (CHD) and to identify their major determinants in 15 European populations.Methods: The MORGAM (MOnica Risk, Genetics, Archiving and Monograph) study comprised 49 cohorts of middle-aged European adults free of CHD (110 928 individuals) recruited mostly in the mid-1980s and 1990s, with comparable assessment of baseline risk and follow-up procedures. We derived three educational classes accounting for birth cohorts and used regression-based inequality measures of absolute differences in CHD rates and HRs (ie, Relative Index of Inequality, RII) for the least versus the most educated individuals.Results: N=6522 first CHD events occurred during a median follow-up of 12 years. Educational class inequalities accounted for 343 and 170 additional CHD events per 100 000 person-years in the least educated men and women compared with the most educated, respectively. These figures corresponded to 48% and 71% of the average event rates in each gender group. Inequalities in CHD mortality were mainly driven by incidence in the Nordic countries, Scotland and Lithuania, and by 28-day case-fatality in the remaining central/South European populations. The pooled RIIs were 1.6 (95% CI 1.4 to 1.8) in men and 2.0 (1.7 to 2.4) in women, consistently across population. Risk factors accounted for a third of inequalities in CHD incidence; smoking was the major mediator in men, and High-Density-Lipoprotein (HDL) cholesterol in women.Conclusions: Social inequalities in CHD are still widespread in Europe. Since the major determinants of inequalities followed geographical and gender-specific patterns, European-level interventions should be tailored across different European regions. | |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kardiologi0 (SwePub)302062 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Cardiac and Cardiovascular Systems0 (SwePub)302062 hsv//eng |
700 | 1 | a Ferrario, Marco M.4 aut |
700 | 1 | a Kuulasmaa, Kari4 aut |
700 | 1 | a Bobak, Martin4 aut |
700 | 1 | a Chambless, Lloyd E.4 aut |
700 | 1 | a Salomaa, Veikko4 aut |
700 | 1 | a Söderberg, Stefanu Umeå universitet,Kardiologi,Heart Centre4 aut0 (Swepub:umu)stso0001 |
700 | 1 | a Pajak, Andrzej4 aut |
700 | 1 | a Jorgensen, Torben4 aut |
700 | 1 | a Amouyel, Philippe4 aut |
700 | 1 | a Arveiler, Dominique4 aut |
700 | 1 | a Drygas, Wojciech4 aut |
700 | 1 | a Ferrieres, Jean4 aut |
700 | 1 | a Giampaoli, Simona4 aut |
700 | 1 | a Kee, Frank4 aut |
700 | 1 | a Iacoviello, Licia4 aut |
700 | 1 | a Malyutina, Sofia4 aut |
700 | 1 | a Peters, Annette4 aut |
700 | 1 | a Tamosiunas, Abdonas4 aut |
700 | 1 | a Tunstall-Pedoe, Hugh4 aut |
700 | 1 | a Cesana, Giancarlo4 aut |
710 | 2 | a Umeå universitetb Kardiologi4 org |
773 | 0 | t Heartd : BMJg 102:12, s. 958-965q 102:12<958-965x 1355-6037x 1468-201X |
856 | 4 | u https://push-zb.helmholtz-muenchen.de/deliver.php?id=21468 |
856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-123451 |
856 | 4 8 | u https://doi.org/10.1136/heartjnl-2015-308909 |
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