Heart failure in different occupational classes in Sweden
Heart failure in different occupational classes in Sweden
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DOI：
10.1093/eurheartj/ehl435
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发表时间：
2007-01-01
影响因子：
39.3
通讯作者：
Rosengren, Annika
中科院分区：
文献类型：
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作者：
Schaufelberger, Maria;Rosengren, Annika
目的低社会经济地位（SES）和冠心病（CHD）之间的联系是公认的，但有一个缺乏的数据是否存在类似的关系为心脏衰竭（HF）。方法和结果A共6999名男性47-55岁，没有事先中风或心肌梗死，从人口样本的9998名男性，在1970-73年进行了调查。在28年的随访中，1004名男性（14.3%）出院或死亡，诊断为HF。有一个负相关的SES，测量作为一个职业类，和未来的HF风险。与最高职业类别的男性相比，中级非体力职业男性的多重调整风险比（HR）为1.28，95%置信区间（CI）为0.98-1.67，低级官员和工头的HR为1.57（1.22-2.03），半熟练和熟练工人1.48（1.15-1.89），非熟练工人1.72（1.34-2.20）。结果是相似的，如果只有男性的主要诊断HF（n = 516）被认为是，无论是否诊断急性心肌梗死或冠状动脉血运重建已记录在任何时间。结论低SES是一个独立的危险因素，男性HF的长期风险。
Aims The link between low socioeconomic status (SES) and coronary heart disease (CHD) is well established, but there is a paucity of data whether a similar relation exists for heart failure (HF).Methods and results A total of 6999 men 47-55 years old, without a prior stroke or myocardial infarction, from a population sample of 9998 men, were investigated during 1970-73. Over a 28-year follow-up, 1004 men (14.3%) were discharged from hospital or died with a diagnosis of HF. There was an inverse relationship between SES, measured as an occupational class, and future risk of HF. Compared with men in the highest occupational class, men with intermediate non-manual occupations had a multiple-adjusted hazard ratio (HR) of 1.28, 95% confidence interval (CI) 0.98-1.67, lower officials and foremen had an HR of 1.57 (1.22-2.03), semiskilled and skilled workers 1.48 (1.15-1.89), and unskilled workers 1.72 (1.34-2.20). Results were similar if only men with a principal diagnosis of HF (n = 516) were considered, irrespective of whether a diagnosis of acute myocardial infarction or coronary revascularization had been recorded at any time.Conclusion Low SES is an independent risk factor for long-term risk of HF in men.