Increasing Area Deprivation and Socioeconomic Inequalities in Heart Disease, Stroke, and Cardiovascular Disease Mortality Among Working Age Populations, United States, 1969-2011
Identifieur interne : 001580 ( Main/Exploration ); précédent : 001579; suivant : 001581Increasing Area Deprivation and Socioeconomic Inequalities in Heart Disease, Stroke, and Cardiovascular Disease Mortality Among Working Age Populations, United States, 1969-2011
Auteurs : Gopal K. Singh [États-Unis] ; Mohammad Siahpush [États-Unis] ; Romuladus E. Azuine [États-Unis] ; Shanita D. Williams [États-Unis]Source :
- International journal of MCH and AIDS [ 2161-8674 ] ; 2015.
Abstract
We examined the extent to which area- and individual-level socioeconomic inequalities in cardiovascular-disease (CVD), heart disease, and stroke mortality among United States men and women aged 25-64 years changed between 1969 and 2011.
National vital statistics data and the National Longitudinal Mortality Study were used to estimate area- and individual-level socioeconomic gradients in mortality over time. Rate ratios and log-linear and Cox regression were used to model mortality trends and differentials.
Area socioeconomic gradients in mortality from CVD, heart disease, and stroke increased substantially during the study period. Compared to those in the most affluent group, individuals in the most deprived area group had, respectively 35%, 29%, and 73% higher CVD, heart disease, and stroke mortality in 1969, but 120-121% higher mortality in 2007-2011. Gradients were steeper for women than for men. Education, income, and occupation were inversely associated with CVD, heart disease, and stroke mortality, with individual-level socioeconomic gradients being steeper during 1990-2002 than in 1979-1989. Individuals with low education and incomes had 2.7 to 3.7 times higher CVD, heart disease, and stroke mortality risks than their counterparts with high education and income levels.
Although mortality declined for all US groups during 1969-2011, socioeconomic disparities in mortality from CVD, heart disease and stroke remained marked and increased over time because of faster declines in mortality among higher socioeconomic groups. Widening disparities in mortality may reflect increasing temporal areal inequalities in living conditions, behavioral risk factors such as smoking, obesity and physical inactivity, and access to and use of health services. With social inequalities and prevalence of smoking, obesity, and physical inactivity on the rise, most segments of the working-age population in low- and middle-income countries will likely experience increased cardiovascular-disease burden in terms of higher morbidity and mortality rates.
Url:
PubMed: 27621992
PubMed Central: 5005987
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream Pmc, to step Corpus: 002573
- to stream Pmc, to step Curation: 002572
- to stream Pmc, to step Checkpoint: 000C28
- to stream Ncbi, to step Merge: 003A07
- to stream Ncbi, to step Curation: 003A07
- to stream Ncbi, to step Checkpoint: 003A07
- to stream Main, to step Merge: 001581
- to stream Main, to step Curation: 001580
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Increasing Area Deprivation and Socioeconomic Inequalities in Heart Disease, Stroke, and Cardiovascular Disease Mortality Among Working Age Populations, United States, 1969-2011</title><author><name sortKey="Singh, Gopal K" sort="Singh, Gopal K" uniqKey="Singh G" first="Gopal K." last="Singh">Gopal K. Singh</name><affiliation wicri:level="1"><nlm:aff id="aff1">The Center for Global Health and Health Policy, Global Health and Education Projects, Riverdale, Maryland 20738, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>The Center for Global Health and Health Policy, Global Health and Education Projects, Riverdale, Maryland 20738</wicri:regionArea><wicri:noRegion>Maryland 20738</wicri:noRegion></affiliation></author><author><name sortKey="Siahpush, Mohammad" sort="Siahpush, Mohammad" uniqKey="Siahpush M" first="Mohammad" last="Siahpush">Mohammad Siahpush</name><affiliation wicri:level="2"><nlm:aff id="aff2">University of Nebraska Medical Center, Department of Health Promotion, Social and Behavioral Health, Omaha, NE 68198-4365, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of Nebraska Medical Center, Department of Health Promotion, Social and Behavioral Health, Omaha, NE 68198-4365</wicri:regionArea><placeName><region type="state">Nebraska</region></placeName></affiliation></author><author><name sortKey="Azuine, Romuladus E" sort="Azuine, Romuladus E" uniqKey="Azuine R" first="Romuladus E." last="Azuine">Romuladus E. Azuine</name><affiliation wicri:level="1"><nlm:aff id="aff1">The Center for Global Health and Health Policy, Global Health and Education Projects, Riverdale, Maryland 20738, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>The Center for Global Health and Health Policy, Global Health and Education Projects, Riverdale, Maryland 20738</wicri:regionArea><wicri:noRegion>Maryland 20738</wicri:noRegion></affiliation></author><author><name sortKey="Williams, Shanita D" sort="Williams, Shanita D" uniqKey="Williams S" first="Shanita D." last="Williams">Shanita D. Williams</name><affiliation wicri:level="1"><nlm:aff id="aff3">US Department of Health and Human Services, Rockville, Maryland 20857, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>US Department of Health and Human Services, Rockville, Maryland 20857</wicri:regionArea><wicri:noRegion>Maryland 20857</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27621992</idno><idno type="pmc">5005987</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5005987</idno><idno type="RBID">PMC:5005987</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">002573</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002573</idno><idno type="wicri:Area/Pmc/Curation">002572</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002572</idno><idno type="wicri:Area/Pmc/Checkpoint">000C28</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000C28</idno><idno type="wicri:Area/Ncbi/Merge">003A07</idno><idno type="wicri:Area/Ncbi/Curation">003A07</idno><idno type="wicri:Area/Ncbi/Checkpoint">003A07</idno><idno type="wicri:doubleKey">2161-8674:2015:Singh G:increasing:area:deprivation</idno><idno type="wicri:Area/Main/Merge">001581</idno><idno type="wicri:Area/Main/Curation">001580</idno><idno type="wicri:Area/Main/Exploration">001580</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Increasing Area Deprivation and Socioeconomic Inequalities in Heart Disease, Stroke, and Cardiovascular Disease Mortality Among Working Age Populations, United States, 1969-2011</title><author><name sortKey="Singh, Gopal K" sort="Singh, Gopal K" uniqKey="Singh G" first="Gopal K." last="Singh">Gopal K. Singh</name><affiliation wicri:level="1"><nlm:aff id="aff1">The Center for Global Health and Health Policy, Global Health and Education Projects, Riverdale, Maryland 20738, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>The Center for Global Health and Health Policy, Global Health and Education Projects, Riverdale, Maryland 20738</wicri:regionArea><wicri:noRegion>Maryland 20738</wicri:noRegion></affiliation></author><author><name sortKey="Siahpush, Mohammad" sort="Siahpush, Mohammad" uniqKey="Siahpush M" first="Mohammad" last="Siahpush">Mohammad Siahpush</name><affiliation wicri:level="2"><nlm:aff id="aff2">University of Nebraska Medical Center, Department of Health Promotion, Social and Behavioral Health, Omaha, NE 68198-4365, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of Nebraska Medical Center, Department of Health Promotion, Social and Behavioral Health, Omaha, NE 68198-4365</wicri:regionArea><placeName><region type="state">Nebraska</region></placeName></affiliation></author><author><name sortKey="Azuine, Romuladus E" sort="Azuine, Romuladus E" uniqKey="Azuine R" first="Romuladus E." last="Azuine">Romuladus E. Azuine</name><affiliation wicri:level="1"><nlm:aff id="aff1">The Center for Global Health and Health Policy, Global Health and Education Projects, Riverdale, Maryland 20738, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>The Center for Global Health and Health Policy, Global Health and Education Projects, Riverdale, Maryland 20738</wicri:regionArea><wicri:noRegion>Maryland 20738</wicri:noRegion></affiliation></author><author><name sortKey="Williams, Shanita D" sort="Williams, Shanita D" uniqKey="Williams S" first="Shanita D." last="Williams">Shanita D. Williams</name><affiliation wicri:level="1"><nlm:aff id="aff3">US Department of Health and Human Services, Rockville, Maryland 20857, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>US Department of Health and Human Services, Rockville, Maryland 20857</wicri:regionArea><wicri:noRegion>Maryland 20857</wicri:noRegion></affiliation></author></analytic><series><title level="j">International journal of MCH and AIDS</title><idno type="ISSN">2161-8674</idno><idno type="eISSN">2161-864X</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Objectives:</title><p>We examined the extent to which area- and individual-level socioeconomic inequalities in cardiovascular-disease (CVD), heart disease, and stroke mortality among United States men and women aged 25-64 years changed between 1969 and 2011.</p></sec><sec id="st2"><title>Methods:</title><p>National vital statistics data and the National Longitudinal Mortality Study were used to estimate area- and individual-level socioeconomic gradients in mortality over time. Rate ratios and log-linear and Cox regression were used to model mortality trends and differentials.</p></sec><sec id="st3"><title>Results:</title><p>Area socioeconomic gradients in mortality from CVD, heart disease, and stroke increased substantially during the study period. Compared to those in the most affluent group, individuals in the most deprived area group had, respectively 35%, 29%, and 73% higher CVD, heart disease, and stroke mortality in 1969, but 120-121% higher mortality in 2007-2011. Gradients were steeper for women than for men. Education, income, and occupation were inversely associated with CVD, heart disease, and stroke mortality, with individual-level socioeconomic gradients being steeper during 1990-2002 than in 1979-1989. Individuals with low education and incomes had 2.7 to 3.7 times higher CVD, heart disease, and stroke mortality risks than their counterparts with high education and income levels.</p></sec><sec id="st4"><title>Conclusions and Global Health Implications:</title><p>Although mortality declined for all US groups during 1969-2011, socioeconomic disparities in mortality from CVD, heart disease and stroke remained marked and increased over time because of faster declines in mortality among higher socioeconomic groups. Widening disparities in mortality may reflect increasing temporal areal inequalities in living conditions, behavioral risk factors such as smoking, obesity and physical inactivity, and access to and use of health services. With social inequalities and prevalence of smoking, obesity, and physical inactivity on the rise, most segments of the working-age population in low- and middle-income countries will likely experience increased cardiovascular-disease burden in terms of higher morbidity and mortality rates.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Hoyert, Dl" uniqKey="Hoyert D">DL Hoyert</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Xu, J" uniqKey="Xu J">J Xu</name></author><author><name sortKey="Kochanek, Kd" uniqKey="Kochanek K">KD Kochanek</name></author><author><name sortKey="Murphy, Sl" uniqKey="Murphy S">SL Murphy</name></author><author><name sortKey="Arias, E" uniqKey="Arias E">E Arias</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Kitagawa, Em" uniqKey="Kitagawa E">EM Kitagawa</name></author><author><name sortKey="Hauser, Pm" uniqKey="Hauser P">PM Hauser</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Singh, Gk" uniqKey="Singh G">GK Singh</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Singh, Gk" uniqKey="Singh G">GK Singh</name></author><author><name sortKey="Siahpush, M" uniqKey="Siahpush M">M Siahpush</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Davey Smith, G" uniqKey="Davey Smith G">G Davey Smith</name></author><author><name sortKey="Neaton, Jd" uniqKey="Neaton J">JD Neaton</name></author><author><name sortKey="Wentworth, D" uniqKey="Wentworth D">D Wentworth</name></author><author><name sortKey="Stamler, R" uniqKey="Stamler R">R Stamler</name></author><author><name sortKey="Stamler, J" uniqKey="Stamler J">J Stamler</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Davey Smith, G" uniqKey="Davey Smith G">G Davey Smith</name></author><author><name sortKey="Wentworth, D" uniqKey="Wentworth D">D Wentworth</name></author><author><name sortKey="Neaton, Jd" uniqKey="Neaton J">JD Neaton</name></author><author><name sortKey="Stamler, R" uniqKey="Stamler R">R Stamler</name></author><author><name sortKey="Stamler, J" uniqKey="Stamler J">J Stamler</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Singh, Gk" uniqKey="Singh G">GK Singh</name></author><author><name sortKey="Siahpush, M" uniqKey="Siahpush M">M Siahpush</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rogot, E" uniqKey="Rogot E">E Rogot</name></author><author><name sortKey="Sorlie, Pd" uniqKey="Sorlie P">PD Sorlie</name></author><author><name sortKey="Johnson, Nj" uniqKey="Johnson N">NJ Johnson</name></author><author><name sortKey="Schmitt, C" uniqKey="Schmitt C">C Schmitt</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sorlie, Pd" uniqKey="Sorlie P">PD Sorlie</name></author><author><name sortKey="Backlund, E" uniqKey="Backlund E">E Backlund</name></author><author><name sortKey="Keller, Jb" uniqKey="Keller J">JB Keller</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Singh, Gk" uniqKey="Singh G">GK Singh</name></author><author><name sortKey="Siahpush, M" uniqKey="Siahpush M">M Siahpush</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Singh, Gk" uniqKey="Singh G">GK Singh</name></author><author><name sortKey="Siahpush, M" uniqKey="Siahpush M">M Siahpush</name></author><author><name sortKey="Altekruse, Sf" uniqKey="Altekruse S">SF Altekruse</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Marmot, M" uniqKey="Marmot M">M Marmot</name></author><author><name sortKey="Bobak, M" uniqKey="Bobak M">M Bobak</name></author><author><name sortKey="Davey Smith, G" uniqKey="Davey Smith G">G Davey-Smith</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Singh, Gk" uniqKey="Singh G">GK Singh</name></author><author><name sortKey="Azuine, Re" uniqKey="Azuine R">RE Azuine</name></author><author><name sortKey="Siahpush, M" uniqKey="Siahpush M">M Siahpush</name></author><author><name sortKey="Kogan, Md" uniqKey="Kogan M">MD Kogan</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Singh, Gk" uniqKey="Singh G">GK Singh</name></author><author><name sortKey="Siahpush, M" uniqKey="Siahpush M">M Siahpush</name></author><author><name sortKey="Azuine, Re" uniqKey="Azuine R">RE Azuine</name></author><author><name sortKey="Williams, Sd" uniqKey="Williams S">SD Williams</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jefferys, M" uniqKey="Jefferys M">M Jefferys</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mackenbach, Jp" uniqKey="Mackenbach J">JP Mackenbach</name></author><author><name sortKey="Bos, V" uniqKey="Bos V">V Bos</name></author><author><name sortKey="Anderson, O" uniqKey="Anderson O">O Anderson</name></author><author><name sortKey="Cardano, M" uniqKey="Cardano M">M Cardano</name></author><author><name sortKey="Costa, G" uniqKey="Costa G">G Costa</name></author><author><name sortKey="Harding, S" uniqKey="Harding S">S Harding</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mackenbach, Jp" uniqKey="Mackenbach J">JP Mackenbach</name></author><author><name sortKey="Cavellaars, Aejm" uniqKey="Cavellaars A">AEJM Cavellaars</name></author><author><name sortKey="Kunst, Ae" uniqKey="Kunst A">AE Kunst</name></author><author><name sortKey="Groenhof, F" uniqKey="Groenhof F">F Groenhof</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Shaw, M" uniqKey="Shaw M">M Shaw</name></author><author><name sortKey="Dorling, D" uniqKey="Dorling D">D Dorling</name></author><author><name sortKey="Gordon, D" uniqKey="Gordon D">D Gordon</name></author><author><name sortKey="Davey Smith, G" uniqKey="Davey Smith G">G Davey-Smith</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Marang Van De Mheen, Pj" uniqKey="Marang Van De Mheen P">PJ Marang-van de Mheen</name></author><author><name sortKey="Davey Smith, G" uniqKey="Davey Smith G">G Davey-Smith</name></author><author><name sortKey="Hart, Cl" uniqKey="Hart C">CL Hart</name></author><author><name sortKey="Gunning Schepers, Lj" uniqKey="Gunning Schepers L">LJ Gunning-Schepers</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Wilkins, R" uniqKey="Wilkins R">R Wilkins</name></author><author><name sortKey="Berthelot, J" uniqKey="Berthelot J">J Berthelot</name></author><author><name sortKey="Ng, E" uniqKey="Ng E">E Ng</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Blackwell, Dl" uniqKey="Blackwell D">DL Blackwell</name></author><author><name sortKey="Lucas, Jw" uniqKey="Lucas J">JW Lucas</name></author><author><name sortKey="Clarke, Tc" uniqKey="Clarke T">TC Clarke</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Singh, Gk" uniqKey="Singh G">GK Singh</name></author><author><name sortKey="Siahpush, M" uniqKey="Siahpush M">M Siahpush</name></author><author><name sortKey="Hiatt, Ra" uniqKey="Hiatt R">RA Hiatt</name></author><author><name sortKey="Timsina, Lr" uniqKey="Timsina L">LR Timsina</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Laslett, Lj" uniqKey="Laslett L">LJ Laslett</name></author><author><name sortKey="Alagona, P" uniqKey="Alagona P">P Alagona</name></author><author><name sortKey="Clark, Ba" uniqKey="Clark B">BA Clark</name></author><author><name sortKey="Drozda, Jp" uniqKey="Drozda J">JP Drozda</name></author><author><name sortKey="Saldivar, F" uniqKey="Saldivar F">F Saldivar</name></author><author><name sortKey="Wilson, Sr" uniqKey="Wilson S">SR Wilson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Finegold, Ja" uniqKey="Finegold J">JA Finegold</name></author><author><name sortKey="Asaria, P" uniqKey="Asaria P">P Asaria</name></author><author><name sortKey="Francis, Dp" uniqKey="Francis D">DP Francis</name></author></analytic></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Nebraska</li></region></list><tree><country name="États-Unis"><noRegion><name sortKey="Singh, Gopal K" sort="Singh, Gopal K" uniqKey="Singh G" first="Gopal K." last="Singh">Gopal K. Singh</name></noRegion><name sortKey="Azuine, Romuladus E" sort="Azuine, Romuladus E" uniqKey="Azuine R" first="Romuladus E." last="Azuine">Romuladus E. Azuine</name><name sortKey="Siahpush, Mohammad" sort="Siahpush, Mohammad" uniqKey="Siahpush M" first="Mohammad" last="Siahpush">Mohammad Siahpush</name><name sortKey="Williams, Shanita D" sort="Williams, Shanita D" uniqKey="Williams S" first="Shanita D." last="Williams">Shanita D. Williams</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/SidaSubSaharaV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001580 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 001580 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= SidaSubSaharaV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= PMC:5005987
|texte= Increasing Area Deprivation and Socioeconomic Inequalities in Heart Disease, Stroke, and Cardiovascular Disease Mortality Among Working Age Populations, United States, 1969-2011
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:27621992" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a SidaSubSaharaV1
| This area was generated with Dilib version V0.6.32. |  |