OBJECTIVE: To examine socioeconomic differences in case fatality and prognosis of myocardial infarction (MI) events, and to estimate the contributions of incidence and case fatality to socioeconomic differences in coronary heart disease (CHD) mortality. DESIGN: A population-based MI register study. METHODS: The FINMONICA MI Register recorded all MI events among persons aged 35-64 years in three areas of Finland during 1983-1992. A record linkage of the MI Register data with the files of Statistics Finland was performed to obtain information on socioeconomic indicators for each individual registered. First MI events (n=8427) were included in the analyses. MAIN RESULTS: The adjusted risk ratio of prehospital coronary death was 2.11 (95% CI 1.82, 2.46) among men and 1.68 (1.14, 2.48) among women with low income compared with those with high income. Even among persons hospitalised alive the risk of death during the next 12 months was markedly higher in the low income group than in the high income group. Case fatality explained 51% of the CHD mortality difference between the low and the high income groups among men and 38% among women. Incidence contributed 49% and 62%, respectively. CONCLUSIONS: Considerable socioeconomic differences were observed in the case fatality of first coronary events both before hospitalisation and among patients hospitalised alive. Case fatality explained a half of the CHD mortality difference between the low and the high income groups among men and more than a third among women.
OBJECTIVE: To examine socioeconomic differences in case fatality and prognosis of myocardial infarction (MI) events, and to estimate the contributions of incidence and case fatality to socioeconomic differences in coronary heart disease (CHD) mortality. DESIGN: A population-based MI register study. METHODS: The FINMONICA MI Register recorded all MI events among persons aged 35-64 years in three areas of Finland during 1983-1992. A record linkage of the MI Register data with the files of Statistics Finland was performed to obtain information on socioeconomic indicators for each individual registered. First MI events (n=8427) were included in the analyses. MAIN RESULTS: The adjusted risk ratio of prehospital coronary death was 2.11 (95% CI 1.82, 2.46) among men and 1.68 (1.14, 2.48) among women with low income compared with those with high income. Even among persons hospitalised alive the risk of death during the next 12 months was markedly higher in the low income group than in the high income group. Case fatality explained 51% of the CHD mortality difference between the low and the high income groups among men and 38% among women. Incidence contributed 49% and 62%, respectively. CONCLUSIONS: Considerable socioeconomic differences were observed in the case fatality of first coronary events both before hospitalisation and among patients hospitalised alive. Case fatality explained a half of the CHD mortality difference between the low and the high income groups among men and more than a third among women.
Authors: T Lang; P Ducimetière; D Arveiler; P Amouyel; J P Cambou; J B Ruidavets; M Montaye; V Meyer; A Bingham Journal: Int J Epidemiol Date: 1997-02 Impact factor: 7.196
Authors: V Salomaa; H Miettinen; K Kuulasmaa; M Niemelä; M Ketonen; T Vuorenmaa; S Lehto; P Palomäki; M Mähönen; P Immonen-Räihä; M Arstila; E Kaarsalo; H Mustaniemi; J Torppa; J Tuomilehto; P Puska; K Pyörälä Journal: Circulation Date: 1996-12-15 Impact factor: 29.690
Authors: H Miettinen; S Lehto; V Salomaa; M Mähönen; M Niemelä; S M Haffner; K Pyörälä; J Tuomilehto Journal: Diabetes Care Date: 1998-01 Impact factor: 19.112
Authors: E Vartiainen; J Pekkanen; S Koskinen; P Jousilahti; V Salomaa; P Puska Journal: J Epidemiol Community Health Date: 1998-07 Impact factor: 3.710
Authors: Jonas Hermansson; Katja Gillander Gådin; Berndt Karlsson; Christina Reuterwall; Johan Hallqvist; Anders Knutsson Journal: Int Arch Occup Environ Health Date: 2014-09-27 Impact factor: 3.015
Authors: Anna M Kucharska-Newton; Kennet Harald; Wayne D Rosamond; Kathryn M Rose; Thomas D Rea; Veikko Salomaa Journal: Ann Epidemiol Date: 2011-08 Impact factor: 3.797
Authors: Sheena Kayaniyil; Chris I Ardern; Jane Winstanley; Cynthia Parsons; Stephanie Brister; Paul Oh; Donna E Stewart; Sherry L Grace Journal: Patient Educ Couns Date: 2008-10-25
Authors: J M Goldstein; S Cherkerzian; S L Buka; G Fitzmaurice; M Hornig; M Gillman; S O'Toole; R P Sloan Journal: J Dev Orig Health Dis Date: 2011-12 Impact factor: 2.401
Authors: Khalid F Alhabib; Ahmad Hersi; Hussam Alfaleh; Khalid Alnemer; Shukri Alsaif; Amir Taraben; Tarek Kashour; Anas Bakheet; Ayed Al Qarni; Tariq Soomro; Asif Malik; Waqar H Ahmed; Ahmed M Abuosa; Modaser A Butt; Mushabab A Almurayeh; Abdulaziz Al Zaidi; Gamal A Hussein; Mohammed A Balghith; Tareg Abu-Ghazala Journal: J Saudi Heart Assoc Date: 2011-06-01