Kai Jin
Impact of area deprivation on the cardiac mortality in the UK between 1991 and 2010: evidence from a population-based longitudinal study
Jin, Kai; Neubeck, Lis; Atherton, Iain
Authors
Prof Lis Neubeck L.Neubeck@napier.ac.uk
Professor
Dr Iain Atherton I.Atherton@napier.ac.uk
Senior Lecturer
Abstract
Aim: Evidence from longitudinal studies on the influence of area deprivation in cardiac mortality is limited. We aimed to examine the impact of area deprivation on cardiac mortality in a large representative Scottish population. We also examined differences between women and men.
Methods: Retrospective analysis was performed by using linked data from Scottish Longitudinal Study from 1991-2010. The main exposure variable was socioeconomic status (SES) using the Carstairs deprivation scores, a composite score of area-level factors. Cox proportional-hazards models were constructed to evaluate the hazard ratios (HRs) and 95% confidence intervals (CIs) for cardiac mortality and all-cause mortality associated with area-based deprivation. Subgroup analyses were stratified by sex.
Results: In a representative population of 217,965 UK adults, a total of 58,770 deaths occurred over a median of 10 years of follow-up period. The risk of cardiac mortality and all-cause mortality showed a consistent graded increased across the deprived groups. Compared to the least deprived group, the adjusted HR of cardiac mortality in the most deprived group was 1.27 (1.15-1.39, p
Journal Article Type | Article |
---|---|
Acceptance Date | Nov 2, 2020 |
Online Publication Date | Dec 5, 2020 |
Publication Date | 2021-06 |
Deposit Date | Nov 2, 2020 |
Publicly Available Date | Dec 5, 2020 |
Journal | European Journal of Cardiovascular Nursing |
Print ISSN | 1474-5151 |
Electronic ISSN | 1873-1953 |
Publisher | SAGE Publications |
Peer Reviewed | Peer Reviewed |
Volume | 20 |
Issue | 5 |
Pages | 436-444 |
DOI | https://doi.org/10.1093/eurjcn/zvaa021 |
Keywords | Coronary heart disease, mortality, social determinants, health inequalities, outcome |
Public URL | http://researchrepository.napier.ac.uk/Output/2697619 |
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Impact Of Area Deprivation On The Cardiac Mortality In The UK Between 1991 To 2010: Evidence From A Population-based Longitudinal Study (accepted version)
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