Helmert U, Maschewsky-Schneider U, Mielck A, Greiser E
Abteilung Epidemiologie, Bremer Institut für Präventionsforschung und Sozialmedizin (BIPS).
Soz Praventivmed. 1993;38(3):123-32. doi: 10.1007/BF01324345.
It is examined to which extent social inequalities exist in West-Germany (old federal states) regarding myocardial infarction and stroke in the general population. Databases were the regional and national health surveys which were conducted in the framework of the German Cardiovascular Prevention Study (GCP) from 1984 to 1991. 12.445 males and 13,335 females aged 40-69 years were included in this analysis. The assessment of myocardial infarction and stroke was done by a self administered questionnaire. 648 (5.2%) males and 252 (1.9%) females reported a myocardial infarction. 209 (1.7%) males and 143 (1.1%) females reported a stroke. Social class was measured using an additive index comprising the dimensions income, occupational status and education. For both genders it was found that the prevalence of myocardial infarction and stroke increased significantly with decreasing social class. This association remained significant also under control for age and the cardiovascular disease risk factors cigarette smoking, hypertension, hypercholesterolemia and overweight. The results clearly demonstrate that in West-Germany--as was shown already for many other western industrialized nations--social factors independently from the classical risk factors have a significant effect on the incidence of myocardial infarction and stroke.
研究了在西德（原联邦州）普通人群中，心肌梗死和中风方面社会不平等的存在程度。数据库是1984年至1991年在德国心血管预防研究（GCP）框架内进行的区域和全国健康调查。本分析纳入了12445名年龄在40 - 69岁的男性和13335名女性。心肌梗死和中风的评估通过自我填写问卷进行。648名（5.2%）男性和252名（1.9%）女性报告有心肌梗死。209名（1.7%）男性和143名（1.1%）女性报告有中风。社会阶层采用一个包含收入、职业地位和教育维度的累加指数来衡量。对于男女两性，均发现心肌梗死和中风的患病率随社会阶层降低而显著增加。在对年龄以及心血管疾病危险因素吸烟、高血压、高胆固醇血症和超重进行控制后，这种关联仍然显著。结果清楚地表明，在西德——正如许多其他西方工业化国家已经表明的那样——独立于经典危险因素的社会因素对心肌梗死和中风的发病率有显著影响。
