Inequalities in cardiovascular disease mortality: the role of behavioural, physiological and social risk factors

• DOI: 10.1136/jech.2009.094516
• Publication Date: 2009-10-14T03:13:23Z
• Authors: A. Beauchamp; A. Peeters; R. Wolfe; G. Turrell; L. R. Harriss; G. G. Giles; D. R. English; J. McNeil; D. Magliano; S. Harrap; D. Liew; D. Hunt; A. Tonkin
• Keywords: Educational Attainment

<h3>Background</h3> While the relationship between socio-economic disadvantage and cardiovascular disease (CVD) is well established, role that traditional risk factors play in this association remains unclear. The authors examined education attainment CVD mortality extent to which behavioural, social physiological explained relationship. <h3>Methods</h3> Adults (n=38 355) aged 40–69 years living Melbourne, Australia were recruited 1990–1994. Subjects with baseline factor data ascertained through questionnaire physical measurement followed for an average of 9.4 deaths verified by review medical records autopsy reports. <h3>Results</h3> was higher those primary only, compared who had completed tertiary education, HR 1.66 (95% CI 1.10 2.49) after adjustment age, country birth gender. Those from lowest educated group a more adverse profile highest group, these reduced 1.18 0.78 1.77). In analysis individual factors, smoking waist circumference most difference groups. <h3>Conclusions</h3> Most excess lower groups can be known particularly overweight. targeting should not divert efforts addressing underlying determinants health inequalities, it essential are addressed effectively among