Socioeconomic deprivation, ethnicity, and stroke mortality in Greater London and south east England.
Objective and setting
To examine geographical variation in stroke mortality in Greater London compared with the surrounding South East Region of England.
Cross sectional, ecological analysis based on electoral wards.
Resident population aged 45 years or more.
Main outcome measure
Age specific stroke mortality rates in five age bands, 1986-92.
In the 45-54 years age band, stroke mortality rate ratios (95% confidence intervals) relative to the surrounding south east were 2.09 (1.81,2.4) for Inner London and 1.31 (1.15,1.5) for Outer London for men and 1.64 (1.4,1.93) and 1.13 (0.98,1.31) respectively for women.
This gradient diminished and reversed with increasing age.
In the 85+age band, rate ratios were 0.82 (0.76,0.89) for Inner London and 0.89 (0.84,0.94) for Outer London for men and 0.8 (0.75,0.85) and 0.88 (0.84,0.92) respectively for women.
Carstairs deprivation index and the percentages of Afro-Caribbean men and women and Irish born men were significantly and positively correlated with stroke mortality at the ward level.
The Carstairs effect diminished with increasing age.
Adjustment for these variables diminished or abolished the higher stroke mortality risks in London for younger people but had little effect on the lower risks for older Londoners. (...)
Mots-clés Pascal : Accident cérébrovasculaire, Mortalité, Epidémiologie, Variation géographique, Homme, Angleterre, Grande Bretagne, Royaume Uni, Europe, Sud est, Age, Statut socioéconomique, Ethnie, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Cérébrovasculaire pathologie, Appareil circulatoire pathologie, Vaisseau sanguin pathologie, Londres
Mots-clés Pascal anglais : Stroke, Mortality, Epidemiology, Geographical variation, Human, England, Great Britain, United Kingdom, Europe, Southeast, Age, Socioeconomic status, Ethnic group, Nervous system diseases, Central nervous system disease, Cerebral disorder, Cerebrovascular disease, Cardiovascular disease, Vascular disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0310009
Code Inist : 002B17C. Création : 15/07/1997.