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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00003853naa a2200541 4500
001oai:DiVA.org:umu-123451
003SwePub
008160704s2016 | |||||||||||000 ||eng|
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1234512 URI
0247 a https://doi.org/10.1136/heartjnl-2015-3089092 DOI
040 a (SwePub)umu
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Veronesi, Giovanni4 aut
2451 0a Educational class inequalities in the incidence of coronary heart disease in Europe
264 c 2016-02-05
264 1b 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 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kardiologi0 (SwePub)302062 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Cardiac and Cardiovascular Systems0 (SwePub)302062 hsv//eng
7001 a Ferrario, Marco M.4 aut
7001 a Kuulasmaa, Kari4 aut
7001 a Bobak, Martin4 aut
7001 a Chambless, Lloyd E.4 aut
7001 a Salomaa, Veikko4 aut
7001 a Söderberg, Stefanu Umeå universitet,Kardiologi,Heart Centre4 aut0 (Swepub:umu)stso0001
7001 a Pajak, Andrzej4 aut
7001 a Jorgensen, Torben4 aut
7001 a Amouyel, Philippe4 aut
7001 a Arveiler, Dominique4 aut
7001 a Drygas, Wojciech4 aut
7001 a Ferrieres, Jean4 aut
7001 a Giampaoli, Simona4 aut
7001 a Kee, Frank4 aut
7001 a Iacoviello, Licia4 aut
7001 a Malyutina, Sofia4 aut
7001 a Peters, Annette4 aut
7001 a Tamosiunas, Abdonas4 aut
7001 a Tunstall-Pedoe, Hugh4 aut
7001 a Cesana, Giancarlo4 aut
7102 a Umeå universitetb Kardiologi4 org
7730 t Heartd : BMJg 102:12, s. 958-965q 102:12<958-965x 1355-6037x 1468-201X
8564 u https://push-zb.helmholtz-muenchen.de/deliver.php?id=21468
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-123451
8564 8u https://doi.org/10.1136/heartjnl-2015-308909

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