Risk of major cardiovascular events according to educational level before and after the initial COVID-19 public lockdown: a nationwide study
| Autor: | Charlotte Andersson, Emil L. Fosbøl, Lauge Østergaard, Christian Torp-Pedersen, Paul Blanche, Gunnar Gislason, Mikkel Porsborg Andersen, Katrine Strandberg-Larsen, Lars Køber, Jawad H. Butt, Thomas A. Gerds, Julie Andersen, Morten Schou, Matthew Phelps, Kristian Kragholm |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male Epidemiology Myocardial Infarction Disease 030204 cardiovascular system & hematology Risk Assessment Danish 03 medical and health sciences 0302 clinical medicine Pandemic medicine Humans 030212 general & internal medicine Myocardial infarction Pandemics Stroke Original Research Aged public health policy Heart Failure social inequalities business.industry Incidence Incidence (epidemiology) public health Public Health Environmental and Occupational Health Absolute risk reduction COVID-19 health policy Middle Aged medicine.disease Educational attainment language.human_language socio-economic Quarantine language Educational Status Female business Demography |
| Zdroj: | Andersen, J, Strandberg-Larsen, K, Gerds, T, Gislason, G, Torp-Pedersen, C, Blanche, P, Andersson, C, Køber, L, Fosbøl, E, Phelps, M, Kragholm, K, Andersen, M P, Østergaard, L, Butt, J & Schou, M 2021, ' Risk of major cardiovascular events according to educational level before and after the initial COVID-19 public lockdown : a nationwide study ', Journal of Epidemiology and Community Health, vol. 75, no. 9, pp. 829-835 . https://doi.org/10.1136/jech-2020-215133 Journal of Epidemiology and Community Health |
| ISSN: | 1470-2738 0143-005X |
| Popis: | BackgroundDuring the COVID-19 pandemic, decreasing rates of hospitalisations for cardiovascular disease raised concerns for undertreatment, particularly for vulnerable groups. We investigated how the initial COVID-19 public lockdown, impacted the risk of being hospitalised with a major cardiovascular event (MCE: myocardial infarction/stroke/heart failure) according to educational level.MethodsWe grouped all Danish residents according to educational attainment level (low, medium, high) and age (40–59, 60–69, ≥70 years). In each group, we calculated the age-standardised and sex standardised risk of MCE hospitalisation in the initial COVID-19 lockdown-period (13 March 2020–3 May 2020) and in the corresponding calendar period in 2019. We calculated age-standardised and sex-standardised risks to investigate whether the COVID-19 lockdown had a differential effect on MCE incidence according to educational level.ResultsIn the period in 2019, 2700 Danish residents were hospitalised with MCE, compared with only 2290 during the lockdown. During lockdown, the risk of hospitalisation for MCE decreased among residents aged ≥70 with low education (risk difference (RD) −46.2 (−73.2; −19.2) per 100,000) or medium education (RD −23.2 (−50.8; 4.3) per 100 000), but not among residents with high education (RD 5.1 (−32.3; 42.5), per 100 000). The risk of hospitalisation for MCE did not decrease significantly for the younger age groups.ConclusionsThe COVID-19 lockdown is associated with a reduced incidence for MCE, especially among low educated, elderly residents. This raises concern for undertreatment that without clinical awareness and action may widen the educational gap in cardiovascular morbidity and mortality. |
| Databáze: | OpenAIRE |
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