| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
© 1996 Oxford University Press
research-article |
Socioeconomic Inequalities in Coronary Heart Disease and Stroke Mortality among Australian Men, 1979–1993
National Centre for Epidemiology and Population Health, Australian National University Canberra, ACT 0200, Australia.
Reprint requests to: Australian Institute of Health and Welfare, GPO Box 570, Canberra, ACT 2601, Australia.
BACKGROUND: During the 1970s in Australia, mortality from coronary heart disease (CHD) and stroke was higher among lower socioeconomic groups and inequalities were widening. This analysis examines subsequent trends in socioeconomic inequalities, with reference to socioeconomic patterns in major cardiovascular nsk factors.
METHODS: Socioeconomic status was defined by occupation. Age-standardized mortality rates were calculated for men aged 25–64, using death registration data and labour force estimates for 1979–1993. Risk factor data were taken from three cross-sectional population surveys conducted in 1980, 1983 and 1989.
RESULTS: Men in manual occupations were at least 35% more likely to die from CHD than men In professional occupations, and 60% more likely to die from stroke. Their 5-year population risk of a coronary event was 30% higher. Since 1979, both groups experienced reductions in coronary risk and mortality.
CONCLUSIONS: Socioeconomic inequalities in CHD mortality continued to widen during the early 1980s, stabilized thereafter and persisted Into the 1990s. Decreases in blood pressure and smoking prevalence contributed most to declines in coronary nsk and to socioeconomic differentials.
Revised 1 August 1995
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  J. Beckfield and N. Krieger Epi + demos + cracy: Linking Political Systems and Priorities to the Magnitude of Health Inequities--Evidence, Gaps, and a Research Agenda Epidemiol. Rev., November 1, 2009; 31(1): 152 - 177. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. M. Glymour, M. Avendano, and L. F. Berkman Is the 'Stroke Belt' Worn From Childhood?: Risk of First Stroke and State of Residence in Childhood and Adulthood Stroke, September 1, 2007; 38(9): 2415 - 2421. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. Turrell, A. Kavanagh, G. Draper, and S V Subramanian Do places affect the probability of death in Australia? A multilevel study of area-level disadvantage, individual-level socioeconomic position and all-cause mortality, 1998-2000 J Epidemiol Community Health, January 1, 2007; 61(1): 13 - 19. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. G. Thrift, H. M. Dewey, J. W. Sturm, S. L. Paul, A. K. Gilligan, V. K. Srikanth, R. A.L. Macdonell, J. J. McNeil, M. R. Macleod, and G. A. Donnan Greater Incidence of Both Fatal and Nonfatal Strokes in Disadvantaged Areas: The Northeast Melbourne Stroke Incidence Study Stroke, March 1, 2006; 37(3): 877 - 882. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 Y.-M. Song, R. L. Ferrer, S.-i. Cho, J. Sung, S. Ebrahim, and G. Davey Smith Socioeconomic Status and Cardiovascular Disease Among Men: The Korean National Health Service Prospective Cohort Study Am J Public Health, January 1, 2006; 96(1): 152 - 159. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. L. Paul, J. W. Sturm, H. M. Dewey, G. A. Donnan, R. A.L. Macdonell, and A. G. Thrift Long-Term Outcome in the North East Melbourne Stroke Incidence Study: Predictors of Quality of Life at 5 Years After Stroke Stroke, October 1, 2005; 36(10): 2082 - 2086. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Arrich, W. Lalouschek, and M. Mullner Influence of Socioeconomic Status on Mortality After Stroke: Retrospective Cohort Study Stroke, February 1, 2005; 36(2): 310 - 314. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 B. Stegmayr and K. Asplund Stroke in Northern Sweden Scand J Public Health, November 1, 2003; 31(61_suppl): 60 - 69. [Abstract] [PDF]
|
|
|
|
|
|
K. Asplund Editorial Comment--Down With the Class Society! Stroke, November 1, 2003; 34(11): 2628 - 2629. [Full Text] [PDF]
|
|
|
|
|
|
G A M van den Bos, J P J M Smits, G P Westert, and A van Straten Socioeconomic variations in the course of stroke: unequal health outcomes, equal care? J Epidemiol Community Health, December 1, 2002; 56(12): 943 - 948. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J Smits, G P Westert, and G A M van den Bos Socioeconomic status of very small areas and stroke incidence in the Netherlands J Epidemiol Community Health, August 1, 2002; 56(8): 637 - 640. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. Turrell and C. Mathers Socioeconomic inequalities in all-cause and specific-cause mortality in Australia: 1985-1987 and 1995-1997 Int. J. Epidemiol., April 1, 2001; 30(2): 231 - 239. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. L. Hart, D. J. Hole, and G. D. Smith Influence of Socioeconomic Circumstances in Early and Later Life on Stroke Risk Among Men in a Scottish Cohort Study Stroke, September 1, 2000; 31(9): 2093 - 2097. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Lindstrom, B. S Hanson, E. Brunner, E. Wirfalt, S. Elmstahl, I. Mattisson, and P.-O. Ostergren Socioeconomic differences in fat intake in a middle-aged population: report from the Malmo Diet and Cancer Study Int. J. Epidemiol., June 1, 2000; 29(3): 438 - 448. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 V. Salomaa, M. Niemela, H. Miettinen, M. Ketonen, P. Immonen-Raiha, S. Koskinen, M. Mahonen, S. Lehto, T. Vuorenmaa, P. Palomaki, et al. Relationship of Socioeconomic Status to the Incidence and Prehospital, 28-Day, and 1-Year Mortality Rates of Acute Coronary Events in the FINMONICA Myocardial Infarction Register Study Circulation, April 25, 2000; 101(16): 1913 - 1918. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 V. Mukerji, M. A. Alpert, R. Mukerji, M. Mulekar, and V. Mukerji Relation of Occupation to Presence or Absence of Coronary Artery Disease: An Angiographic Study Angiology, May 1, 1999; 50(5): 375 - 380. [Abstract] [PDF]
|
|
|
|
|
|
C. T. M. van Rossum, H. van de Mheen, M. M. B. Breteler, D. E. Grobbee, and J. P. Mackenbach Socioeconomic Differences in Stroke Among Dutch Elderly Women : The Rotterdam Study Stroke, February 1, 1999; 30(2): 357 - 362. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. E. Kunst, M. del Rios, F. Groenhof, and J. P. Mackenbach Socioeconomic Inequalities in Stroke Mortality Among Middle-Aged Men : An International Overview Stroke, November 1, 1998; 29(11): 2285 - 2291. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y.-M. Song, R. L. Ferrer, S.-i. Cho, J. Sung, S. Ebrahim, and G. Davey Smith Socioeconomic Status and Cardiovascular Disease Among Men: The Korean National Health Service Prospective Cohort Study Am J Public Health, January 1, 2006; 96(1): 152 - 159. [Abstract] [Full Text] [PDF]
|
|