Twelve countries were compared with respect to occupational class differences in ischemic heart disease mortality in order to identify factors that are associated with smaller or larger mortality differences.
Data on mortality by occupational class among men aged 30 to 64 years were obtained from national longitudinal or cross-sectional studies for the 1980s.
A common occupational class scheme was applied to most countries.
Potential effects of the main data problems were evaluated quantitatively.
A north-south contrast existed within Europe.
In England and Wales, Ireland, and Nordic countries, manual classes had higher mortality rates than nonmanual classes.
In France, Switzerland, and Mediterranean countries, manual classes had mortality rates as low as, or lower than, those among nonmanual classes.
Compared with Northem Europe, mortality differences in the United States were smaller (among men aged 30-44 years) or about as large (among men aged 45-64 years).
The results underline the highly variable nature of socioeconomic inequalities in ischemic heart disease mortality.
These inequalities appear to be highly sensitive to social gradients in behavioral risk factors.
These risk factor gradients are determined by cultural as well as socioeconomic developments.
Mots-clés Pascal : Cardiopathie coronaire, Homme, Etats Unis, Amérique du Nord, Amérique, Mortalité, Epidémiologie, Statut socioéconomique, Etude multicentrique, Etude longitudinale, Catégorie socioprofessionnelle, Europe, Appareil circulatoire pathologie
Mots-clés Pascal anglais : Coronary heart disease, Human, United States, North America, America, Mortality, Epidemiology, Socioeconomic status, Multicenter study, Follow up study, Socioeconomic category, Europe, Cardiovascular disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0082786
Code Inist : 002B12A03. Création : 31/05/1999.