Income-related inequalities in cardiovascular disease from mid-life to old age in a Northern Swedish cohort: a decomposition analysis

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Mosquera, Paola A,1979-Umeå universitet,Epidemiologi och global hälsa,Umeå SIMSAM Lab (författare)

Income-related inequalities in cardiovascular disease from mid-life to old age in a Northern Swedish cohort : a decomposition analysis

Artikel/kapitelEngelska2016

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Elsevier,2016
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LIBRIS-ID:oai:DiVA.org:umu-115244
https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-115244URI
https://doi.org/10.1016/j.socscimed.2015.12.017DOI

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Språk:engelska
Sammanfattning på:engelska

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Errata Social Science & Medicine (2016) 160 p. 128 DOI:10.1016/j.socscimed.2016.05.031
While the social determinants of cardiovascular disease (CVD) are fairly well-known, the determinants of socioeconomic inequalities in CVD are scarcely studied and almost completely based on cross-sectional designs in which the changing circumstances across the life course are not taken into account. The present study seeks to incorporate a life course approach to the social determinants of socioeconomic inequalities in CVD. The specific aims were to 1) examine how income-related inequalities in CVD change over two decades of the mid-late life course, and 2) identify the key social determinants of the inequalities at each time period. The cohort (N = 44,039) comprised all individuals aged 40-60 years in 1990 who during 1990-2010 were enrolled in the county-wide preventive effort :"Västerbotten Intervention Program" (VIP). The cohort was followed over these two decades by Swedish population register data linked within the Umeå SIMSAM Lab micro data infrastructure. First-time hospitalization for CVD and mean earned income were used to calculate the concentration index (C) during four periods of 5-6 years. The C for each period was decomposed by sociodemographic factors, using Wagstaff-type decomposition analysis. Results suggest that inequalities in CVD increase gradually from mid-life to old age; from initially non-significant to particularly marked among the elderly. The decomposition showed that, from middle to old age, educational and employment inequalities underwent a transition from initially dominant to a moderate role in explaining the health inequalities, coupled with an increasing importance of age and a stable role of income. In conclusion, the study illustrates the need for incorporating a dynamic life course perspective into research, policy and practice concerned with equity in health.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Public Health, Global Health, Social Medicine and Epidemiology hsv//eng
Cardiovascular disease
Income inequality
Concentration index
Decomposition. Life course
Cohort design
Sweden

Biuppslag (personer, institutioner, konferenser, titlar ...)

San Sebastian, Miguel,1966-Umeå universitet,Epidemiologi och global hälsa(Swepub:umu)misa0002 (författare)
Waenerlund, Anna-Karin,1982-Umeå universitet,Epidemiologi och global hälsa(Swepub:umu)anwa0035 (författare)
Ivarsson, AnneliUmeå universitet,Epidemiologi och global hälsa(Swepub:umu)aniv0001 (författare)
Weinehall, Lars,1948-Umeå universitet,Epidemiologi och global hälsa,Arcum(Swepub:umu)lawe0001 (författare)
Gustafsson, Per E.,1981-Umeå universitet,Socialmedicin(Swepub:umu)pegu0008 (författare)
Umeå universitetEpidemiologi och global hälsa (creator_code:org_t)

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Ingår i:Social Science and Medicine: Elsevier149, s. 135-1440277-95361873-5347

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Av författaren/redakt...: Mosquera, Paola ...; San Sebastian, M ...; Waenerlund, Anna ...; Ivarsson, Anneli; Weinehall, Lars, ...; Gustafsson, Per ...

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