Epidemic of ischaemic heart disease and the educational disparities in China
| Autor: | Yaoyue Hu |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Population ageing China lifestyle Epidemiology Myocardial Ischemia 030209 endocrinology & metabolism Disease ischaemic heart disease 03 medical and health sciences 0302 clinical medicine cohort studies Environmental health Case fatality rate medicine Humans 030212 general & internal medicine cardiovascular diseases Prospective cohort study Epidemics Socioeconomic status Original Research education business.industry Incidence (epidemiology) Public Health Environmental and Occupational Health Educational Status business |
| Zdroj: | Journal of Epidemiology and Community Health |
| ISSN: | 1470-2738 |
| Popis: | Background The relationship between educational attainment and ischaemic heart disease (IHD) is limited in evidence in middle-income countries like China. Exploring lifestyle-related mediators, which might be not universal between socioeconomic status and health outcomes in diverse regions, can contribute to interventions targeted at the Chinese to narrow the educational gap in IHD. Methods Based on the China Kadoorie Biobank of 489 594 participants aged 30–79 years who did not have heart disease or stroke at baseline, this study examined the association of educational attainment with IHD. Total IHD cases were further divided into acute myocardial infarction (AMI) cases and non-AMI cases. The Cox proportional hazard model was performed to estimate the HRs and 95% CIs for mortality and incidence of IHD. Logistic regression was used to estimate the ORs and 95% CIs for case fatality. Results During the median follow-up period of 11.1 years, this study documented 45 946 (6668) incident IHD (AMI) cases and 5948 (3689) deaths altogether. Lower educational attainment was associated with increased risk of incident AMI as well as death and fatality of total IHD including its subtypes (ptrend |
| Databáze: | OpenAIRE |
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