Socioeconomic Inequalities in the Morbidity and Mortality of Acute Coronary Events in Finland: 1988 to 2002
Socioeconomic Inequalities in the Morbidity and Mortality of Acute Coronary Events in Finland: 1988 to 2002
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DOI：
10.1016/j.annepidem.2011.10.012
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发表时间：
2012-02-01
影响因子：
5.6
通讯作者：
Salomaa, Veikko
中科院分区：
文献类型：
--
作者：
Lammintausta, Aino;Immonen-Raiha, Pirjo;Salomaa, Veikko
目得：研究社会经济差异的变化，在芬兰的冠心病（CHD）的发病率和死亡率，并分析20世纪90年代初严重的经济衰退对这些disparities.METHODS的影响：以人口为基础的FINAMI心肌梗死（MI）登记记录所有可疑的MI事件之间的男性和女性年龄在35至99岁的四个地理区域的芬兰。与芬兰统计局档案的记录链接为我们提供了关于社会经济地位指标（社会经济地位;收入、教育和职业）的详细信息。发病率以每100 000名居民中每一社会经济群体每年的发病率表示，并按欧洲标准人口进行年龄标准化。结果：35 ~ 64岁男性冠心病死亡率比为5.21（95%可信区间为4.23-6.41）。在妇女中，相应的比率为11.13（5.77-21.45）。在老年组中，SES的发病率和28天死亡率也存在显着差异。在接受溶栓或接受早期血运重建的患者比例方面发现了一些社会经济学差异。没有实质性的变化，观察在研究期间的社会经济群体之间的不平等。结论：多余的冠心病发病率和死亡率之间的人与较低的社会经济地位仍然是相当大的，在芬兰，但经济衰退并没有扩大的差异。Ann Epidemiol 2012;22：87-93. (C)2012 Elsevier Inc. All rights reserved.
PURPOSE: To examine the changes in socioeconomic disparities in the incidence of coronary heart disease (CHD) and mortality in Finland and to analyze the effects of the severe economic recession of the early 1990s on these disparities.METHODS: The population-based FINAMI Myocardial Infarction (MI) register recorded all suspected MI events among men and women ages 35 to 99 years in four geographical areas of Finland. Record linkage with the files of Statistics Finland provided us with detailed information on the indicators of socioeconomic status (SES; income, education, and profession). Rates were expressed per 100,000 inhabitants of each socioeconomic group per year and age-standardized to the European standard population. Poisson regression was used for analyzing rate ratios and time trends of coronary events in different socioeconomic groups.RESULTS: The mortality rate ratio of coronary events among 35- to 64 year-old men was 5.21 (95% confidence interval, 4.23-6.41) when the lowest income sixth to the highest income sixth were compared. Among women, the respective rate ratio was 11.13 (5.77-21.45). Significant differences in the incidence and 28-day mortality by SES were seen also in the older age groups. Some socioeconomic differences were found in the proportions of patients receiving thrombolysis or undergoing early revascularization. No substantial changes were observed in inequalities between the socioeconomic groups during the study period.CONCLUSIONS: The excess CHD morbidity and mortality among persons with lower SES is still considerable in Finland, but the economic recession did not widen the differences. Ann Epidemiol 2012;22:87-93. (C) 2012 Elsevier Inc. All rights reserved.