Socioeconomic disadvantage and acute coronary events: a spatiotemporal analysis

Epidemiology
John R BeardLouise Ryan

Abstract

The associations between socioeconomic disadvantage and ischemic heart disease are not well understood. We explore the relationship between socioeconomic factors and acute coronary events using spatiotemporal analysis. We studied all deaths from acute myocardial infarction and hospital admissions for acute coronary syndrome and related revascularization procedures for the state of New South Wales, Australia, from 1996 through 2002. We used conditional autoregressive models to describe how characteristics of subjects' place of residence (socioeconomic disadvantage, proportion of the population of indigenous background, and metropolitan versus nonmetropolitan area) influenced admissions and mortality. There were 32,534 deaths due to acute myocardial infarction and 129,045 admissions for acute coronary syndrome. We found a relationship between increasing socioeconomic disadvantage and mortality (unadjusted relative risk for highest quartile of disadvantage relative to lowest = 1.40; 95% confidence interval = 1.27-1.54) as well as admissions (1.41; 1.28-1.55). After accounting for admission rates, socioeconomic disadvantage was associated with lower rates of angiography (0.75; 0.63-0.88) and interventional angiography (0.70; 0.56-0...Continue Reading

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Citations

Jun 29, 2002·Risk Analysis : an Official Publication of the Society for Risk Analysis·Peter F M TeunisPablo C Okhuysen
Jan 24, 2009·The Australian Journal of Rural Health·John R BeardGeoff Morgan
Apr 17, 2008·Epidemiology·Patrick Graham
Jun 22, 2010·Heart & Lung : the Journal of Critical Care·Zuzana ŠkodováSijmen A Reijneveld
Feb 5, 2016·Preventive Medicine Reports·Arul EarnestJulian Thumboo
Feb 11, 2012·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Arul EarnestMarcus Eng Hock Ong
Sep 25, 2016·Heart, Lung & Circulation·Laura AlstonMelanie Nichols
Oct 19, 2011·European Journal of Preventive Cardiology·Andrew PageAnnette Dobson
Jan 6, 2021·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Jody A VogelComilla Sasson
Jun 3, 2021·International Journal of Environmental Research and Public Health·Win WahArul Earnest

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