Low income and education were associated with a higher probability of vital exhaustion compared to high income and education (OR 13.31; 95% CI 4.67-37.94).
Cross-Sectional (n=362)
Is low socioeconomic status associated with higher vital exhaustion in patients with coronary heart disease?
Low socioeconomic status is strongly associated with higher vital exhaustion in patients with coronary heart disease, highlighting a potential mechanism for socioeconomic inequalities in cardiovascular prognosis.
Odds Ratio: 13.31 (95% CI 4.67–37.94)
BACKGROUND: Vital exhaustion has been shown to be a significant risk factor contributing to coronary heart disease, as well as a predictor of a worse prognosis among coronary patients. Socioeconomic differences in vital exhaustion may be part of the causal mechanism in the health and mortality inequalities connected with socioeconomic disadvantage. Our aim was to explore socioeconomic inequalities in vital exhaustion among coronary patients. METHODS: We included 362 patients (32% women, mean age 56+/-7.3 years) who were referred for coronary angiography. The Maastricht interview for vital exhaustion was conducted with each patient. Level of income and education were used as indicators of socioeconomic status. Functional status was assessed with the NYHA (dyspnoe symptoms) and CCS (chest pain) scales. RESULTS: Logistic regression showed significant socioeconomic inequalities in vital exhaustion among patients. Participants with low and middle income and education had a higher probability of being exhausted in comparison with patients with high income and education odds ratio (95% confidence interval): 13.31 (4.67-37.94) and 2.10 (1.19-3.64), respectively. Associations remained statistically significant after controlling for the effect of functional status and seriousness of disease. Socioeconomic differences were more salient among men than among women. CONCLUSION: Low education and income seem to be strongly associated with higher vital exhaustion among patients; a significant factor contributing to worse prognosis and lower quality of life among patients with coronary heart disease.
Škodová et al. (2008) conducted a cross-sectional in Coronary heart disease (n=362). Low income and education vs. High income and education was evaluated on Vital exhaustion (OR 13.31, 95% CI 4.67-37.94). Low income and education were associated with a higher probability of vital exhaustion compared to high income and education (OR 13.31; 95% CI 4.67-37.94).