Traduction en anglais : School and vocational education, occupational status, and myocardial infarction : A study based on statutory health insurance data.
We analysed whether indicators of social status (education and training, occupational grade) are associated with a first acute myocardial infarction (ICD-410) between 1987 and 1996.
Analyses were based on data from a statutory health insurance (Allgemeine Ortskrankenkasse) in Northrhine-Westfalia, Germany. 132255 men and women aged 30-69 years who were employed or were employed before retirement have been included in the investigation.
The cumulated incidence of first myocardial infarction was 2.1% (n=1938) among men and 0.8% (n=327) among women.
After adjustment for age and length of the observation period an increasing infarction risk with decreasing social status was observed in men.
Respective odds ratios (OR) were 3.96 in the lowest educational and training group and 3.41 in the medium group as compared to men with the highest educational and training level.
With regard to occupational grade respective odds ratios were 1.92 for the lowest (semi-and unskilled workers) and 1.73 for the medium group (skilled workers) compared to those with the highest grade level (skilled non-manuals, intermediate, professionals).
Among women the risk was 1.47 in the lowest educational and training group and 1.03 in the medium group.
In semi-and unskilled women the OR was 1.58 and 1.67 in skilled women as compared to the highest occupational group. (...)
Mots-clés Pascal : Infarctus, Myocarde, Statut socioéconomique, Niveau étude, Activité professionnelle, Protection sociale, Assurance maladie, Epidémiologie, Incidence, Facteur risque, Homme, Allemagne, Europe, Système santé, Politique sanitaire, Appareil circulatoire pathologie, Cardiopathie coronaire, Myocarde pathologie, Economie santé
Mots-clés Pascal anglais : Infarct, Myocardium, Socioeconomic status, Education level, Professional activity, Welfare aids, Health insurance, Epidemiology, Incidence, Risk factor, Human, Germany, Europe, Health system, Health policy, Cardiovascular disease, Coronary heart disease, Myocardial disease, Health economy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0135055
Code Inist : 002B12A03. Création : 16/11/1999.