Socioeconomic inequalities in coronary heart disease in Italy: a multilevel population-based study

Social Science & Medicine
Alessio PetrelliG Costa

Abstract

This longitudinal study evaluates the role of individual and contextual socioeconomic determinants in the socioeconomic inequalities in incidence and mortality for coronary events in Turin, Italy, using hierarchical models. All residents aged 35-74 at the start of 1997 were included in the study population. We considered as outcomes all incident cases and deaths that occurred in the study population in the period 1997-2002. The socioeconomic indicators were educational level, job status and median income per census tract. A neighbourhood deprivation index was also used, which combines, in an aggregated measure, a series of poor individual socioeconomic conditions. The analyses were performed using hierarchical Poisson models, with individuals (n = 523,755) considered as level I units and neighbourhoods (n = 23) as level II units. Among men, we observed an inverse gradient in incidence by educational level and an excess risk for persons who were not actively employed. More marked excesses were found for mortality (RR: 1.63; 95% CI: 1.05-2.55, for unemployed persons compared to employed persons). Among women, greater socioeconomic differences were observed for both incidence and mortality; all of the individual indicators contrib...Continue Reading

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Citations

Apr 9, 2013·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Marc Marí-Dell'olmoMaica Rodríguez-Sanz
Sep 4, 2007·BMC Public Health·Raffaele Antonelli-IncalziCarlo A Perucci
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Jun 11, 2010·European Journal of Public Health·Gianfranco DamianiFranco Sassi
Apr 9, 2008·Nutrition, Metabolism, and Cardiovascular Diseases : NMCD·Roberto GnaviGraziella Bruno
Oct 11, 2012·Journal of Environmental and Public Health·Katherine BaldockMark Daniel
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Dec 16, 2016·Journal of Epidemiology and Community Health·Kathryn BackholerMark Woodward
Dec 16, 2010·Journal of Hypertension·Giovanni CorraoGiuseppe Mancia
Dec 8, 2019·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Carolina BruzziStefano Landi
Mar 2, 2010·Cadernos de saúde pública·Carlo Eduardo Medina-SolísAlejandro José Casanova-Rosado

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