Social Patterning of Myocardial Infarction and Stroke in Sweden: Incidence and Survival
Cardiovascular disease morbidity and mortality rates show marked social patterning in industrialized countries. The aim of this study was to analyze if not only incidence but also survival after acute myocardial infarction (AMI) and stroke differ among socioeconomic groups. Within the framework of t...
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fthighwire:oai:open-archive.highwire.org:amjepid:151/3/283 2023-05-15T17:44:44+02:00 Social Patterning of Myocardial Infarction and Stroke in Sweden: Incidence and Survival Peltonen, Markku Rosén, Måns Lundberg, Vivan Asplund, Kjell 2000-02-01 00:00:00.0 text/html http://aje.oxfordjournals.org/cgi/content/short/151/3/283 https://doi.org/10.1093/oxfordjournals.aje.a010204 en eng Oxford University Press http://aje.oxfordjournals.org/cgi/content/short/151/3/283 http://dx.doi.org/10.1093/oxfordjournals.aje.a010204 Copyright (C) 2000, Oxford University Press ORIGINAL CONTRIBUTIONS TEXT 2000 fthighwire https://doi.org/10.1093/oxfordjournals.aje.a010204 2013-05-27T03:42:26Z Cardiovascular disease morbidity and mortality rates show marked social patterning in industrialized countries. The aim of this study was to analyze if not only incidence but also survival after acute myocardial infarction (AMI) and stroke differ among socioeconomic groups. Within the framework of the population-based World Health Organization's Multinational Monitoring of Trends and Determinants in Cardiovascular Disease (MONICA) Project, all first-ever AMI (ages 25–64 years) and stroke (ages 25–74 years) events were recorded in northern Sweden during the period 1985–1994. The numbers of first-ever AMI and stroke patients included in the study were 3, 466 and 4, 215, respectively. Incidence rates for both AMI and stroke showed a distinct social pattern, with high rates in workers and self-employed nonprofessionals and low rates in professionals. The pattern was similar in men and women. In men, early survival after an AMI follows the same socioeconomic pattern, whereas it is less clear if socioeconomic differences in survival contribute to explain differences in mortality in AMI among women and mortality in stroke (both sexes). The high case fatality among male workers and self-employed professionals with AMI is, in turn, attributed to a very marked increase in the risk for sudden death. Am J Epidemiol 2000; 151: 283–92. Text Northern Sweden HighWire Press (Stanford University) American Journal of Epidemiology 151 3 283 292 |
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HighWire Press (Stanford University) |
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English |
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ORIGINAL CONTRIBUTIONS |
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ORIGINAL CONTRIBUTIONS Peltonen, Markku Rosén, Måns Lundberg, Vivan Asplund, Kjell Social Patterning of Myocardial Infarction and Stroke in Sweden: Incidence and Survival |
topic_facet |
ORIGINAL CONTRIBUTIONS |
description |
Cardiovascular disease morbidity and mortality rates show marked social patterning in industrialized countries. The aim of this study was to analyze if not only incidence but also survival after acute myocardial infarction (AMI) and stroke differ among socioeconomic groups. Within the framework of the population-based World Health Organization's Multinational Monitoring of Trends and Determinants in Cardiovascular Disease (MONICA) Project, all first-ever AMI (ages 25–64 years) and stroke (ages 25–74 years) events were recorded in northern Sweden during the period 1985–1994. The numbers of first-ever AMI and stroke patients included in the study were 3, 466 and 4, 215, respectively. Incidence rates for both AMI and stroke showed a distinct social pattern, with high rates in workers and self-employed nonprofessionals and low rates in professionals. The pattern was similar in men and women. In men, early survival after an AMI follows the same socioeconomic pattern, whereas it is less clear if socioeconomic differences in survival contribute to explain differences in mortality in AMI among women and mortality in stroke (both sexes). The high case fatality among male workers and self-employed professionals with AMI is, in turn, attributed to a very marked increase in the risk for sudden death. Am J Epidemiol 2000; 151: 283–92. |
format |
Text |
author |
Peltonen, Markku Rosén, Måns Lundberg, Vivan Asplund, Kjell |
author_facet |
Peltonen, Markku Rosén, Måns Lundberg, Vivan Asplund, Kjell |
author_sort |
Peltonen, Markku |
title |
Social Patterning of Myocardial Infarction and Stroke in Sweden: Incidence and Survival |
title_short |
Social Patterning of Myocardial Infarction and Stroke in Sweden: Incidence and Survival |
title_full |
Social Patterning of Myocardial Infarction and Stroke in Sweden: Incidence and Survival |
title_fullStr |
Social Patterning of Myocardial Infarction and Stroke in Sweden: Incidence and Survival |
title_full_unstemmed |
Social Patterning of Myocardial Infarction and Stroke in Sweden: Incidence and Survival |
title_sort |
social patterning of myocardial infarction and stroke in sweden: incidence and survival |
publisher |
Oxford University Press |
publishDate |
2000 |
url |
http://aje.oxfordjournals.org/cgi/content/short/151/3/283 https://doi.org/10.1093/oxfordjournals.aje.a010204 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_relation |
http://aje.oxfordjournals.org/cgi/content/short/151/3/283 http://dx.doi.org/10.1093/oxfordjournals.aje.a010204 |
op_rights |
Copyright (C) 2000, Oxford University Press |
op_doi |
https://doi.org/10.1093/oxfordjournals.aje.a010204 |
container_title |
American Journal of Epidemiology |
container_volume |
151 |
container_issue |
3 |
container_start_page |
283 |
op_container_end_page |
292 |
_version_ |
1766147018295607296 |