生命历程中的社会经济地位、地区贫困与冠心病：英国女性心脏与健康研究的结果
Life-course socioeconomic position, area deprivation, and coronary heart disease: findings from the British Women's Heart and Health Study.
作者信息
Lawlor Debbie A, Davey Smith George, Patel Rita, Ebrahim Shah
机构信息
Department of Social Medicine, University of Bristol, Canynge Hall, Whiteladies Road, Bristol BS8 2PR, England.
出版信息
Am J Public Health. 2005 Jan;95(1):91-7. doi: 10.2105/AJPH.2003.035592.
Abstract
OBJECTIVES
We sought to determine whether residential area deprivation, over and above the effect of life-course socioeconomic status or position (SEP), is associated with coronary heart disease.
METHODS
We conducted a cross-sectional analysis of 4286 women aged 60 to 79 years from 457 British electoral wards.
RESULTS
After adjustment for age and 10 indicators of individual life-course SEP, the odds of coronary heart disease was 27% greater among those living in wards with a deprivation score above the median compared with those living in a ward with a deprivation score equal to or below the median (odds ratio=1.27; 95% confidence interval=1.02, 1.57).
CONCLUSIONS
Adverse area-level socioeconomic characteristics, over and above individual life-course SEP, are associated with increased coronary heart disease.
摘要
目的
我们试图确定，除了生命历程中的社会经济地位或位置（SEP）的影响之外，居住地区的贫困状况是否与冠心病有关。
方法
我们对来自457个英国选举区的4286名60至79岁的女性进行了横断面分析。
结果
在对年龄和个体生命历程SEP的10项指标进行调整后，与居住在贫困得分等于或低于中位数的选区的女性相比，居住在贫困得分高于中位数的选区的女性患冠心病的几率高27%（优势比=1.27；95%置信区间=1.02，1.57）。
结论
除个体生命历程SEP外，不利的地区层面社会经济特征与冠心病发病率增加有关。
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