ArticleJournal of epidemiology and community health2006
Associations of area based deprivation status and individual educational attainment with incidence, treatment, and prognosis of first coronary event in Rome, Italy.
Article in Journal of epidemiology and community health, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Impact of Educational Attainment on Health Outcomes in Moderate to Severe CKD.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2016Trial
- Income and recurrent events after a coronary event in women.European journal of epidemiology · 2008Trial
- A turnaround strategy: improving equity in order to achieve quality of care and financial sustainability in Italy.International journal for equity in health · 2018Article
- Cardiovascular diseases monitoring: lessons from population-based registries to address future opportunities and challenges in Europe.Archives of public health = Archives belges de sante publique · 2018Article
- Educational level and 30-day outcomes after hospitalization for acute myocardial infarction in Italy.BMC health services research · 2017Article
- Article
- The impact of social deprivation on mortality following acute myocardial infarction, stroke or subarachnoid haemorrhage: a record linkage study.BMC cardiovascular disorders · 2015Article
- Socioeconomic Status and in-hospital Mortality of Acute Coronary Syndrome: Can Education and Occupation Serve as Preventive Measures?International journal of preventive medicine · 2015Article
- Long-term survival among older patients with myocardial infarction differs by educational level: results from the MONICA/KORA myocardial infarction registry.International journal for equity in health · 2014Article
- Article
- Neighbourhood socioeconomic inequalities in incidence of acute myocardial infarction: a cohort study quantifying age- and gender-specific differences in relative and absolute terms.BMC public health · 2012Article
- Constructing compact Takagi-Sugeno rule systems: identification of complex interactions in epidemiological data.PloS one · 2012Article
- Trends and inequalities in short-term acute myocardial infarction case fatality in Scotland, 1988-2004.Population health metrics · 2010Article
- Social status and cardiovascular disease: a Mediterranean case. Results from the Italian Progetto CUORE cohort study.BMC public health · 2010Article
- The association of socioeconomic disadvantage with postoperative complications after major elective cardiovascular surgery.Journal of epidemiology and community health · 2008Article
- Socioeconomic differentials in premature mortality in Rome: changes from 1990 to 2001.BMC public health · 2006Article
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Authors and funding
6 authors.
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Abstract
backgroundSocioeconomic gradients in the occurrence of myocardial infarction are well known, but few studies have examined socioeconomic disparities in post-infarction outcomes. The objective of this study was to explore relations of socioeconomic status with the incidence, treatment, and outcome of first coronary event in Rome, Italy, during the period 1998-2000, examining effect modification by gender.
methodsSubjects were Rome residents aged 35-84 years who died from first acute coronary event before reaching the hospital (n=3470) or were hospitalised for first acute myocardial infarction (n=8467). Area based deprivation status and patients' educational attainment were the exposure variables. The outcomes were: incidence of coronary event; recanalisation at the index hospitalisation and fatality within 28 days of hospitalisation; cardiac readmissions and fatality between 28 days and one year of index hospitalisation.
resultsIncidence rates increased as area based deprivation status increased; the effect was stronger among women than among men (men RR=1.40, 95%CI:1.30, 1.50, women RR=1.78, 95%CI:1.60, 1.98, most compared with least deprived). Rates of recanalisation were significantly lower in the most deprived patients than in the least deprived (OR=0.77, 95%CI:0.59, 0.99) and in the less educated than in the highly educated (OR=0.73, 95%CI:0.58, 0.90). Associations of short term fatality with area based deprivation status and educational attainment were weak and inconsistent. However, neither deprivation status nor education was associated with one year outcomes.
conclusionsArea based deprivation status is strongly related to incidence of coronary events, and more so among women than among men. Deprivation status and educational attainment are weakly and inconsistently associated with short term fatality but seem not to influence one year prognosis of acute myocardial infarction. Deprived and less educated patients experience limited access to recanalisation procedures.
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