Effect of socioeconomic group on incidence of, management of, and survival after myocardial infarction and coronary death : analysis of community coronary event register.
To investigate the effect of socioeconomic group (with reference to age and sex) on the rate of, course of, and survival after coronary events.
Community coronary event register from 1985 to 1991.
City of Glasgow north of the River Clyde, population 196 000.
3991 men and 1551 women aged 25-64 years on the Glasgow MONICA coronary event register with definite or fatal possible or unclassifiable events according to the criteria of the World Health Organisation's MONICA project (monitoring trends and determinants in cardiovascular disease).
Main outcome measures
Rate of coronary events ; proportion of subjects reaching hospital alive ; case fatality in admitted patients and in community overall.
Event rates increased with age for both sexes and were greater in men than women at all ages.
The rate increased 1.7-fold in men and 2.4-fold in women from the least (Q1) to the most (Q4) deprived socioeconomic quarter.
The socioeconomic gradient decreased with age and was steeper for women than men.
The proportion treated in hospital (66%) decreased with age, was greater in women than men, and decreased in both sexes with increasing deprivation (age standardised odds ratio 0.82 for Q4 v Q1) Case fatality in hospital (20%) increased with age, was greater for women than men when age was standardised and showed no strong socioeconomic pattern. (...)
Mots-clés Pascal : Infarctus, Myocarde, Cardiopathie coronaire, Enquête socioéconomique, Incidence, Etude comparative, Mortalité, Critère âge, Etiologie, Analyse statistique, Survie, Pronostic, Prévention, Homme, Appareil circulatoire pathologie, Myocarde pathologie, Organisation santé
Mots-clés Pascal anglais : Infarct, Myocardium, Coronary heart disease, Socioeconomical inquiry, Incidence, Comparative study, Mortality, Age criterion, Etiology, Statistical analysis, Survival, Prognosis, Prevention, Human, Cardiovascular disease, Myocardial disease, Public health organization
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0211334
Code Inist : 002B12A03. Création : 21/05/1997.