Socioeconomic Position and Premature Mortality in the AusDiab Cohort of Australian Adults

American Journal of Public Health
Hélène BihanDianna J Magliano

Abstract

To determine the association of socioeconomic position indicators with mortality, without and with adjustment for modifiable risk factors. We examined the relationships of 2 area-based indices and educational level with mortality among 9338 people (including 8094 younger than 70 years at baseline) of the Australian Diabetes Obesity and Lifestyle (AusDiab) from 1999-2000 until November 30, 2012. Age- and gender-adjusted premature mortality (death before age 70 years) was more likely among those living in the most disadvantaged areas versus least disadvantaged (hazard ratio [HR] = 1.48; 95% confidence interval [CI] = 1.08, 2.01), living in inner regional versus major urban areas (HR = 1.36; 95% CI = 1.07, 1.73), or having the lowest educational level versus the highest (HR = 1.64; 95% CI = 1.17, 2.30). The contribution of modifiable risk factors (smoking status, diet quality, physical activity, stress, cardiovascular risk factors) in the relationship between 1 area-based index or educational level and mortality was more apparent as age of death decreased. The relation of area-based socioeconomic position to premature mortality is partly mediated by behavioral and cardiovascular risk factors. Such results could influence public he...Continue Reading

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Citations

Jan 17, 2021·Heart·Jeremy Naylor-WardleVijay Kunadian
May 13, 2018·Preventive Medicine·Dusan PetrovicSilvia Stringhini

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