Lower education in females and lower income in males each increased the hazard of incident atherosclerotic cardiovascular disease by 61% (HR 1.61) within a universal healthcare system.
Do lower income and educational attainment increase the risk of incident ASCVD differently in males and females within a universal healthcare system?
Even within a universal healthcare system, significant sex-specific socioeconomic inequalities in ASCVD risk persist, with lower education primarily affecting females and lower income primarily affecting males.
Absolute Event Rate: 0% vs 0%
Background: Although education and income are established determinants of atherosclerotic cardiovascular (ASCVD) disease, it remains unclear whether there are sex differences in ASCVD risk associated with these factors within a universal public healthcare system.We examined the independent associations of income and educational attainment with incident ASCVD and their potential sex variations in Quebec, Canada. Methods:The CARTaGENE Study is an ongoing prospective cohort study.We completed Cox models to estimate hazard ratios (HR) for incident ASCVD, stratified by annual household income and educational attainment, among females and males without prior ASCVD.The primary endpoint was time to the first ASCVD event.Results: There were 17,626 participants with a mean age of 54 years 8 years (52% females), followed for a median of 6.6 years (2009)(2010)(2011)(2012)(2013)(2014)(2015)(2016).Females without collegiate education had a 61% increase in the hazard of incident ASCVD compared to females with university studies (Hazard ratio (HR: 1.61 (95% confidence intervals (CI): 1.15, 2.26).Compared to those with an annual household income of 100,000 CAD or more, males with an annual household income of less than 50,000 CAD had a 61% increase in the hazard of incident ASCVD (HR:1.61;95% CI: 1.23, 2.11). Conclusion:Within a public healthcare system and relatively affordable medication coverage, we still observed inequalities in ASCVD risk associated with educational attainment and household income.Future research is needed to confirm the potential sex differences in the impacts of educational attainment and income on the risk of ASCVD.
Haichin et al. (Wed,) reported a other. Lower education in females and lower income in males each increased the hazard of incident atherosclerotic cardiovascular disease by 61% (HR 1.61) within a universal healthcare system.