Key result
Lower socioeconomic status is not independently linked to incident coronary heart disease after risk factor adjustment.
Why the study?
Socioeconomic differentials in CHD risk have been described but the extent to which lifestyle factors explain these differentials has been less examined.
Does lower socioeconomic status increase the risk of incident coronary heart disease in middle-aged men?
Population
10,593 men aged 50-59 years from Northern Ireland and France
Comparison
Lower socioeconomic status vs higher socioeconomic status
Design
Prospective cohort study
Follow-up
5 years
Authors
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Supports emphasis on conventional risk factor control to address socioeconomic CHD gradients; leaves open effects in women or contemporary cohorts.
Cohort (n=10,593)
Yes
Does lower socioeconomic status increase the risk of incident coronary heart disease in middle-aged men?
Socioeconomic differentials in long-term risk of coronary heart disease are largely explained by traditional cardiovascular risk factors in this cohort of middle-aged men.
Yarnell et al. (2004) conducted a cohort in Coronary heart disease (n=10,593). Socioeconomic factors (education, unemployment) vs. Higher socioeconomic status was evaluated on Incident cases of coronary disease (coronary deaths, myocardial infarction, and angina). Socioeconomic factors such as education and unemployment did not independently increase the 5-year risk of incident coronary heart disease in men free of CHD at baseline after risk factor adjustment.
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