Trends in educational and income inequalities in cardiovascular morbidity in middle age in Northern Sweden 1993–2010
Aims: Research is scarce regarding studies on income and educational inequality trends in cardiovascular disease in Sweden. The aim of this study was to assess trends in educational and income inequalities in first hospitalizations due to cardiovascular disease (CVD) from 1993 to 2010 among middle-a...
Published in: | Scandinavian Journal of Public Health |
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crsagepubl:10.1177/1403494818790406 2024-05-19T07:46:05+00:00 Trends in educational and income inequalities in cardiovascular morbidity in middle age in Northern Sweden 1993–2010 Waenerlund, Anna-Karin Mosquera, Paola A. Gustafsson, Per E. San Sebastián, Miguel Forskningsrådet om Hälsa, Arbetsliv och Välfärd Forskningsrådet om Hälsa, Arbetsliv och Välfärd 2018 http://dx.doi.org/10.1177/1403494818790406 http://journals.sagepub.com/doi/pdf/10.1177/1403494818790406 http://journals.sagepub.com/doi/full-xml/10.1177/1403494818790406 en eng SAGE Publications http://journals.sagepub.com/page/policies/text-and-data-mining-license Scandinavian Journal of Public Health volume 47, issue 7, page 713-721 ISSN 1403-4948 1651-1905 journal-article 2018 crsagepubl https://doi.org/10.1177/1403494818790406 2024-05-02T09:37:21Z Aims: Research is scarce regarding studies on income and educational inequality trends in cardiovascular disease in Sweden. The aim of this study was to assess trends in educational and income inequalities in first hospitalizations due to cardiovascular disease (CVD) from 1993 to 2010 among middle-aged women and men in Northern Sweden. Methods: The study comprised repeated cross-sectional register data from year 1993–2010 of all individuals aged 38–62 years enrolled in the Västerbotten Intervention Programme (VIP). Data included highest educational level, total earned income and first-time hospitalization for CVD from national registers. The relative and slope indices of inequality (RII and SII, respectively) were used to estimate educational and income inequalities in CVD for six subsamples for women and men, and interaction analyses were used to estimate trends across time periods. Results: Educational RII and SII were stable in women, while they decreased in men. Income inequalities in CVD developed differently compared with educational inequalities, with RII and SII for both men and women increasing during the study period, the most marked for RII in women rising from 1.52 in the 1990s to 2.62 in the late 2000s. Conclusions: The trend of widening income inequalities over 18 years in the middle-aged in Northern Sweden, in the face of stable or even decreasing educational inequalities, is worrisome from a public health perspective, especially as Swedish authorities monitor socioeconomical inequalities exclusively by education. The results show that certain social inequalities in CVD rise and persist even within a traditionally egalitarian welfare regime. Article in Journal/Newspaper Northern Sweden SAGE Publications Scandinavian Journal of Public Health 47 7 713 721 |
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description |
Aims: Research is scarce regarding studies on income and educational inequality trends in cardiovascular disease in Sweden. The aim of this study was to assess trends in educational and income inequalities in first hospitalizations due to cardiovascular disease (CVD) from 1993 to 2010 among middle-aged women and men in Northern Sweden. Methods: The study comprised repeated cross-sectional register data from year 1993–2010 of all individuals aged 38–62 years enrolled in the Västerbotten Intervention Programme (VIP). Data included highest educational level, total earned income and first-time hospitalization for CVD from national registers. The relative and slope indices of inequality (RII and SII, respectively) were used to estimate educational and income inequalities in CVD for six subsamples for women and men, and interaction analyses were used to estimate trends across time periods. Results: Educational RII and SII were stable in women, while they decreased in men. Income inequalities in CVD developed differently compared with educational inequalities, with RII and SII for both men and women increasing during the study period, the most marked for RII in women rising from 1.52 in the 1990s to 2.62 in the late 2000s. Conclusions: The trend of widening income inequalities over 18 years in the middle-aged in Northern Sweden, in the face of stable or even decreasing educational inequalities, is worrisome from a public health perspective, especially as Swedish authorities monitor socioeconomical inequalities exclusively by education. The results show that certain social inequalities in CVD rise and persist even within a traditionally egalitarian welfare regime. |
author2 |
Forskningsrådet om Hälsa, Arbetsliv och Välfärd Forskningsrådet om Hälsa, Arbetsliv och Välfärd |
format |
Article in Journal/Newspaper |
author |
Waenerlund, Anna-Karin Mosquera, Paola A. Gustafsson, Per E. San Sebastián, Miguel |
spellingShingle |
Waenerlund, Anna-Karin Mosquera, Paola A. Gustafsson, Per E. San Sebastián, Miguel Trends in educational and income inequalities in cardiovascular morbidity in middle age in Northern Sweden 1993–2010 |
author_facet |
Waenerlund, Anna-Karin Mosquera, Paola A. Gustafsson, Per E. San Sebastián, Miguel |
author_sort |
Waenerlund, Anna-Karin |
title |
Trends in educational and income inequalities in cardiovascular morbidity in middle age in Northern Sweden 1993–2010 |
title_short |
Trends in educational and income inequalities in cardiovascular morbidity in middle age in Northern Sweden 1993–2010 |
title_full |
Trends in educational and income inequalities in cardiovascular morbidity in middle age in Northern Sweden 1993–2010 |
title_fullStr |
Trends in educational and income inequalities in cardiovascular morbidity in middle age in Northern Sweden 1993–2010 |
title_full_unstemmed |
Trends in educational and income inequalities in cardiovascular morbidity in middle age in Northern Sweden 1993–2010 |
title_sort |
trends in educational and income inequalities in cardiovascular morbidity in middle age in northern sweden 1993–2010 |
publisher |
SAGE Publications |
publishDate |
2018 |
url |
http://dx.doi.org/10.1177/1403494818790406 http://journals.sagepub.com/doi/pdf/10.1177/1403494818790406 http://journals.sagepub.com/doi/full-xml/10.1177/1403494818790406 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_source |
Scandinavian Journal of Public Health volume 47, issue 7, page 713-721 ISSN 1403-4948 1651-1905 |
op_rights |
http://journals.sagepub.com/page/policies/text-and-data-mining-license |
op_doi |
https://doi.org/10.1177/1403494818790406 |
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Scandinavian Journal of Public Health |
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47 |
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7 |
container_start_page |
713 |
op_container_end_page |
721 |
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1799486206488084480 |