Can cardiovascular risk factors and lifestyle explain the educational inequalities in mortality from ischaemic heart disease and from other heart diseases? 26 year follow up of 50,000 Norwegian men and women

Journal of Epidemiology and Community Health
Bjørn Heine Strand, Aage Tverdal

Abstract

Investigate the degree to which smoking, physical activity, marital status, BMI, blood pressure, and cholesterol explain the association between educational level and ischaemic heart disease (IHD) mortality and other forms of cardiovascular mortality, with main focus on IHD mortality. Prospective health examination survey study conducted in the period 1974-78. Oppland, Sogn og Fjordane, and Finnmark counties in Norway. The sample comprised 22,712 men and 21,972 women, aged 35-49 at screening. The subjects were followed up with respect to mortality throughout year 2000. 4342 men and 2164 women died during the follow up, 1343 men and 258 women of IHD. IHD mortality risk was higher for people with low education compared with people with high education, and people with low education had more adverse risk factors. After adjustment for smoking the IHD mortality relative risk (RR) with 95% confidence limits, in the low educational group decreased from 1.33 (1.18 to 1.50) to 1.16 (1.03 to 1.31) for men, and from 1.72 (1.23 to 2.41) to 1.58 (1.13 to 2.22) for women. Further adjustment for physical activity, marital status, BMI, blood pressure, and cholesterol reduced the RR to 1.03 (0.91 to 1.17) for men and 1.24 (0.88 to 1.75) for wome...Continue Reading

References

Mar 1, 1980·Journal of Epidemiology and Community Health·I HolmeP G Lund-Larsen
Jan 1, 1981·British Heart Journal·G Rose, M G Marmot
Sep 2, 1995·BMJ : British Medical Journal·J PekkanenA Nissinen
Jun 1, 1993·Journal of Epidemiology and Community Health·Y Ben-ShlomoM G Marmot
Jun 5, 2003·International Journal of Epidemiology·Ingelise AndersenEva Prescott

❮ Previous
Next ❯

Citations

Mar 25, 2010·JAMA : the Journal of the American Medical Association·Silvia StringhiniArchana Singh-Manoux
Oct 1, 2010·European Journal of Epidemiology·Hana SlachtovaJoachim Heinrich
Sep 3, 2013·Translational Behavioral Medicine·Jennifer L WalshMichael P Carey
Mar 4, 2006·The British Journal of Nutrition·F J Armando Pérez-CuetoPatrick Kolsteren
Oct 16, 2012·International Journal of Epidemiology·Oyvind NæssLaust H Mortensen
Oct 25, 2011·Annals of Human Genetics·Marc HaberPierre A Zalloua
Jul 16, 2011·BMC Public Health·Mangesh S PednekarPrakash C Gupta
Sep 21, 2012·The International Journal of Behavioral Nutrition and Physical Activity·Marielle A BeenackersFrank J van Lenthe
Nov 26, 2013·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Hiroko H DodgeMary Ganguli
Jul 19, 2014·Journal of the Neurological Sciences·Bjørn Heine StrandUNKNOWN GENIDEM-group
Oct 1, 2010·Nordic Journal of Psychiatry·Erik JohnsenHugo A Jørgensen
Apr 1, 2008·The Clinical Respiratory Journal·Marianne Voll-AanerudPer S Bakke
Feb 14, 2013·Obesity·Ellen L de HollanderUNKNOWN BMI-CHD collaboration investigators
Jul 30, 2010·Social Science & Medicine·Anne KavanaghS V Subramanian
Sep 4, 2013·International Journal of Cardiology·Caroline MéjeanJoline W J Beulens
May 14, 2014·International Journal of Cardiology·Chi ZhangYu-Hao Zhou
Sep 1, 2011·Perspectives on Psychological Science : a Journal of the Association for Psychological Science·David A SbarraRobert M Portley
Nov 6, 2015·European Journal of Preventive Cardiology·Anne V ChristensenKnud Juel
Aug 12, 2010·European Journal of Clinical Nutrition·M K Råberg KjøllesdalM Wandel

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiovascular Diseases: Risk Factors

Cardiovascular disease is a significant health concern. Risk factors include hypertension, obesity, dyslipidemia and smoking. Women who are postmenopausal are at an increased risk of heart disease. Here is the latest research for risk factors of cardiovascular disease.