Can cardiovascular risk factors and lifestyle explain the educational inequalities in mortality from ischaemic heart disease and from other heart diseases? 26 year follow up of 50 000 Norwegian men and women
Objective: Investigate the degree to which smoking, physical activity, marital status, BMI, blood pressure, and cholesterol explain the association between educational level and ischaemic heart disease (IHD) mortality and other forms of cardiovascular mortality, with main focus on IHD mortality. Des...
Published in: | Journal of Epidemiology & Community Health |
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2004
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fthighwire:oai:open-archive.highwire.org:jech:58/8/705 2023-05-15T16:13:44+02:00 Can cardiovascular risk factors and lifestyle explain the educational inequalities in mortality from ischaemic heart disease and from other heart diseases? 26 year follow up of 50 000 Norwegian men and women Strand, Bjørn Heine Tverdal, Aage 2004-08-01 00:00:00.0 text/html http://jech.bmj.com/cgi/content/short/58/8/705 https://doi.org/10.1136/jech.2003.014563 en eng British Medical Journal Publishing Group http://jech.bmj.com/cgi/content/short/58/8/705 http://dx.doi.org/10.1136/jech.2003.014563 Copyright (C) 2004, BMJ Publishing Group Ltd Research reports TEXT 2004 fthighwire https://doi.org/10.1136/jech.2003.014563 2012-06-19T01:32:56Z Objective: Investigate the degree to which smoking, physical activity, marital status, BMI, blood pressure, and cholesterol explain the association between educational level and ischaemic heart disease (IHD) mortality and other forms of cardiovascular mortality, with main focus on IHD mortality. Design: Prospective health examination survey study conducted in the period 1974–78. Setting: Oppland, Sogn og Fjordane, and Finnmark counties in Norway. Participants: The sample comprised 22 712 men and 21 972 women, aged 35–49 at screening. The subjects were followed up with respect to mortality throughout year 2000. Main results: 4342 men and 2164 women died during the follow up, 1343 men and 258 women of IHD. IHD mortality risk was higher for people with low education compared with people with high education, and people with low education had more adverse risk factors. After adjustment for smoking the IHD mortality relative risk (RR) with 95% confidence limits, in the low educational group decreased from 1.33 (1.18 to 1.50) to 1.16 (1.03 to 1.31) for men, and from 1.72 (1.23 to 2.41) to 1.58 (1.13 to 2.22) for women. Further adjustment for physical activity, marital status, BMI, blood pressure, and cholesterol reduced the RR to 1.03 (0.91 to 1.17) for men and 1.24 (0.88 to 1.75) for women. Conclusions: Unfavourable cardiovascular risk factors and high IHD mortality are more prevalent among less educated than their highly educated peers. After simultaneous adjustment for all recorded risk factors, the excess IHD mortality in the low educational groups was reduced by 91% for men and 67% for women. Text Finnmark Finnmark HighWire Press (Stanford University) Norway Sogn ENVELOPE(-21.133,-21.133,63.994,63.994) Oppland ENVELOPE(12.807,12.807,65.900,65.900) Journal of Epidemiology & Community Health 58 8 705 709 |
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HighWire Press (Stanford University) |
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English |
topic |
Research reports |
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Research reports Strand, Bjørn Heine Tverdal, Aage Can cardiovascular risk factors and lifestyle explain the educational inequalities in mortality from ischaemic heart disease and from other heart diseases? 26 year follow up of 50 000 Norwegian men and women |
topic_facet |
Research reports |
description |
Objective: Investigate the degree to which smoking, physical activity, marital status, BMI, blood pressure, and cholesterol explain the association between educational level and ischaemic heart disease (IHD) mortality and other forms of cardiovascular mortality, with main focus on IHD mortality. Design: Prospective health examination survey study conducted in the period 1974–78. Setting: Oppland, Sogn og Fjordane, and Finnmark counties in Norway. Participants: The sample comprised 22 712 men and 21 972 women, aged 35–49 at screening. The subjects were followed up with respect to mortality throughout year 2000. Main results: 4342 men and 2164 women died during the follow up, 1343 men and 258 women of IHD. IHD mortality risk was higher for people with low education compared with people with high education, and people with low education had more adverse risk factors. After adjustment for smoking the IHD mortality relative risk (RR) with 95% confidence limits, in the low educational group decreased from 1.33 (1.18 to 1.50) to 1.16 (1.03 to 1.31) for men, and from 1.72 (1.23 to 2.41) to 1.58 (1.13 to 2.22) for women. Further adjustment for physical activity, marital status, BMI, blood pressure, and cholesterol reduced the RR to 1.03 (0.91 to 1.17) for men and 1.24 (0.88 to 1.75) for women. Conclusions: Unfavourable cardiovascular risk factors and high IHD mortality are more prevalent among less educated than their highly educated peers. After simultaneous adjustment for all recorded risk factors, the excess IHD mortality in the low educational groups was reduced by 91% for men and 67% for women. |
format |
Text |
author |
Strand, Bjørn Heine Tverdal, Aage |
author_facet |
Strand, Bjørn Heine Tverdal, Aage |
author_sort |
Strand, Bjørn Heine |
title |
Can cardiovascular risk factors and lifestyle explain the educational inequalities in mortality from ischaemic heart disease and from other heart diseases? 26 year follow up of 50 000 Norwegian men and women |
title_short |
Can cardiovascular risk factors and lifestyle explain the educational inequalities in mortality from ischaemic heart disease and from other heart diseases? 26 year follow up of 50 000 Norwegian men and women |
title_full |
Can cardiovascular risk factors and lifestyle explain the educational inequalities in mortality from ischaemic heart disease and from other heart diseases? 26 year follow up of 50 000 Norwegian men and women |
title_fullStr |
Can cardiovascular risk factors and lifestyle explain the educational inequalities in mortality from ischaemic heart disease and from other heart diseases? 26 year follow up of 50 000 Norwegian men and women |
title_full_unstemmed |
Can cardiovascular risk factors and lifestyle explain the educational inequalities in mortality from ischaemic heart disease and from other heart diseases? 26 year follow up of 50 000 Norwegian men and women |
title_sort |
can cardiovascular risk factors and lifestyle explain the educational inequalities in mortality from ischaemic heart disease and from other heart diseases? 26 year follow up of 50 000 norwegian men and women |
publisher |
British Medical Journal Publishing Group |
publishDate |
2004 |
url |
http://jech.bmj.com/cgi/content/short/58/8/705 https://doi.org/10.1136/jech.2003.014563 |
long_lat |
ENVELOPE(-21.133,-21.133,63.994,63.994) ENVELOPE(12.807,12.807,65.900,65.900) |
geographic |
Norway Sogn Oppland |
geographic_facet |
Norway Sogn Oppland |
genre |
Finnmark Finnmark |
genre_facet |
Finnmark Finnmark |
op_relation |
http://jech.bmj.com/cgi/content/short/58/8/705 http://dx.doi.org/10.1136/jech.2003.014563 |
op_rights |
Copyright (C) 2004, BMJ Publishing Group Ltd |
op_doi |
https://doi.org/10.1136/jech.2003.014563 |
container_title |
Journal of Epidemiology & Community Health |
container_volume |
58 |
container_issue |
8 |
container_start_page |
705 |
op_container_end_page |
709 |
_version_ |
1765999569232986112 |