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  1. Educational level of spouses and risk of mortality : the WHO Kaunas-Rotterdam Intervention Study (KRIS).

    Article - En anglais

    Background

    A 9.5-year follow-up of the Kaunas-Rotterdam Intervention Study (KRIS) provided the opportunity of investigating whether the educational level of wives was associated with their husbands'risk of mortality and coronary heart disease (CHD), independently of the educational level of the husbands themselves.

    Methods

    The data represent populations consisting of 2452 Lithuanian men and 3365 Dutch men.

    These men were extensively screened for cardiovascular risk factors in the period 1972-1974.

    During the follow-up 303 Kaunasians and 350 Rotterdammers died.

    We used the Cox proportional hazards and the logistic regression models to analyse the data.

    Results

    We found that men whose spouses had little education apparently had an increased risk of all-cause mortality, even when their own educational level was taken into account.

    The relative risks (RR) were 1.57 in Kaunas and 2.15 in Rotterdam.

    The results for fatal and non-fatal myocardial infarctions were compatible with this finding, especially in Rotterdam.

    The prevalence of smoking was higher among men whose wives had primary schooling only.

    Nonetheless, adjusting the effect of the wife's educational level on her husband's mortality risk for all coronary risk factors in the husband only partially explained the association.

    Conclusions

    The spouse's educational level appears to have independent effects on a man's risk of mortality in both eastern and western European communities.

    Mots-clés Pascal : Mortalité, Epidémiologie, Cardiopathie coronaire, Etude longitudinale, Conjoint, Niveau étude, Homme, Mâle, Statut socioéconomique, Lituanie, Pays Bas, Europe Est, Europe, Appareil circulatoire pathologie

    Mots-clés Pascal anglais : Mortality, Epidemiology, Coronary heart disease, Follow up study, Spouse, Education level, Human, Male, Socioeconomic status, Lithuania, Netherlands, Eastern Europe, Europe, Cardiovascular disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0208160

    Code Inist : 002B30A01A2. Création : 09/06/1995.