Individual social class, area-based deprivation, cardiovascular disease risk factors, and mortality: the Renfrew and Paisley Study.
Why the study?
Are individual social class and area-based deprivation independently associated with cardiovascular disease risk factors and mortality?
Population
14,952 participants from a population-based cardiovascular disease screening study between 1972 and 1976
Design
Cohort
Follow-up
15 years
Authors
Discussion
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Member takes
Implication
Supports dual socioeconomic assessment in CVD mortality risk; extends evidence on independent individual and area contributions but leaves causal inference open.
Key Points
- To investigate the independent and combined associations of individual social class and area-based deprivation with cardiovascular risk factors and 15-year mortality.
- Prospective cohort study analyzing 6,961 men and 7,991 women screened between 1972 and 1976 in Renfrew and Paisley, Scotland.
- Evaluated baseline cardiovascular disease risk factors and cardiorespiratory morbidity alongside 15-year all-cause and cardiovascular disease mortality.
- Area-based deprivation and individual social class independently correlated with less favorable baseline cardiovascular risk factor profiles, though plasma cholesterol was lower in manual social classes.
- All-cause and cardiovascular disease mortality rates were inversely associated with socioeconomic position, with both individual social class and area deprivation contributing independent risks.
Structured PICO
Are individual social class and area-based deprivation independently associated with cardiovascular disease risk factors and mortality?
P
Population
14,952 participants (6,961 men and 7,991 women) from a population-based cardiovascular disease screening study between 1972 and 1976
I
Intervention
Individual social class and area-based deprivation
O
Outcome
Cardiovascular disease risk factors and cardiorespiratory morbidity at the time of screening, and 15-year mortality from all causes and cardiovascular diseasehard clinical
Both individual social class and area-based deprivation independently contribute to cardiovascular risk and mortality, indicating that health inequality assessments should incorporate both individual and neighborhood-level socioeconomic indicators.
Cite This Study
Smith et al. (1998) studied this question.