Educational class inequalities in the incidence of coronary heart disease in Europe
View Full Paper
Ask AI
Bookmark
Share
Why the study?
Does lower educational class increase the incidence of first CHD events in middle-aged European adults?
Population
110,928 middle-aged European adults free of coronary heart disease at baseline, from 49 cohorts across 15…
Comparison
Least educated class vs Most educated class
Design
Cohort
Follow-up
median 12 years
Authors
Discussion
Loading...
Member takes
Implication
Risk factor control may narrow educational CHD gaps; extends European cohort data but leaves causal mechanisms open.
Key Points
- To estimate the impact of educational inequalities on coronary heart disease incidence in Europe and identify key determinants.
- Analysis based on 49 cohorts from the MORGAM study involving 110,928 middle-aged individuals.
- Educational classes derived from birth cohorts to assess relative differences in CHD rates.
- Used regression-based measures to evaluate absolute differences in CHD event rates.
- A total of 6,522 first CHD events were recorded over a median follow-up of 12 years.
- The least educated men and women experienced 343 and 170 additional CHD events per 100,000 person-years compared to the most educated, respectively.
- Risk factors, especially smoking in men and HDL cholesterol in women, accounted for a third of the educational inequalities in CHD incidence.
Structured PICO
Does lower educational class increase the incidence of first CHD events in middle-aged European adults?
P
Population
110,928 middle-aged European adults free of coronary heart disease (CHD) at baseline, from 49 cohorts across 15 European populations
I
Intervention
Least educated class (lowest educational attainment)
C
Comparator
Most educated class (highest educational attainment)
O
Outcome
First CHD eventshard clinical
Lower educational attainment is significantly associated with an increased risk of incident coronary heart disease in European adults, with traditional risk factors mediating about one-third of this inequality.
Cite This Study
Veronesi et al. (2016) studied this question.
Topics
View Full Paper
Ask AI
Bookmark
Share