ArticleJournal of epidemiology and community health2007
Assessment of the magnitude of geographical variations and socioeconomic contextual effects on ischaemic heart disease mortality: a multilevel survival analysis of a large Swedish cohort.
Article in Journal of epidemiology and community health, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
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Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Is Population Density Associated with Non-Communicable Disease in Western Developed Countries? A Systematic Review.International journal of environmental research and public health · 2022Pooled it
- Adverse childhood experiences and living in the socially deprived areas in adulthood: a cross-sectional study of the nationwide data in Japan.BMC public health · 2023Article
- Association of socioeconomic status with cardiovascular disease and cardiovascular risk factors: a systematic review and meta-analysis.Zeitschrift fur Gesundheitswissenschaften = Journal of public health · 2023Article
- Neighbourhood Socioeconomic Processes and Dynamics and Healthy Ageing: A Scoping Review.International journal of environmental research and public health · 2022Article
- Higher Neighborhood Population Density Is Associated with Lower Potassium Intake in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL).International journal of environmental research and public health · 2021Article
- Should We Implement Geographic or Patient-Reported Social Determinants of Health Measures In Cardiovascular Patients.Ethnicity & disease · 2021Article
- Inter-country variability over time in the mortality of mechanically ventilated patients.Intensive care medicine · 2020Article
- Factors Affecting Under-Five Mortality in Ethiopia: A Multilevel Negative Binomial Model.Pediatric health, medicine and therapeutics · 2020Article
- Measures of clustering and heterogeneity in multilevel Poisson regression analyses of rates/count data.Statistics in medicine · 2018Article
- Contribution of the neighborhood environment to cross-sectional variation in long-term CVD risk scores in the Framingham Heart Study.PloS one · 2018Article
- The median hazard ratio: a useful measure of variance and general contextual effects in multilevel survival analysis.Statistics in medicine · 2017Article
- Cross-sectional associations between residential environmental exposures and cardiovascular diseases.BMC public health · 2015Article
- Neighborhood socioeconomic status and the prevalence of stroke and coronary heart disease in rural China: a population-based study.International journal of stroke : official journal of the International Stroke Society · 2015Article
- Statistical Significance of Geographic Heterogeneity Measures In Spatial Epidemiologic Studies.Open journal of statistics · 2015Article
- Individual- and area-level effects on mortality risk in Germany, both East and West, among male Germans aged 65+.International journal of public health · 2014Article
- Trends in socioeconomic inequalities in ischemic heart disease mortality in small areas of nine Spanish cities from 1996 to 2007 using smoothed ANOVA.Journal of urban health : bulletin of the New York Academy of Medicine · 2014Article
- Neighborhood deprivation and clinical outcomes among head and neck cancer patients.Health & place · 2012Article
- Associations between resident perceptions of the local residential environment and metabolic syndrome.Journal of environmental and public health · 2012Article
- Socioeconomic status, Medicaid coverage, clinical comorbidity, and rehospitalization or death after an incident heart failure hospitalization: Atherosclerosis Risk in Communities cohort (1987 to 2004).Circulation. Heart failure · 2011Article
- Investigating the spatial variability in incidence of coronary heart disease in the Gazel cohort: the impact of area socioeconomic position and mediating role of risk factors.Journal of epidemiology and community health · 2011Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn a public health perspective, it is of interest to assess the magnitude of geographical variations in ischaemic heart disease (IHD) mortality and quantify the strength of contextual effects on IHD.
objectiveTo investigate whether area effects vary according to the individual and contextual characteristics of the population, socioeconomic contextual influences were assessed in different age groups and within territories of differing population densities.
designMultilevel survival analysis of a 28-year longitudinal database.
participants341 048 residents of the Scania region in Sweden, reaching age 50-79 years in 1996, followed up over 7 years.
resultsAfter adjustment for several individual socioeconomic indicators over the adult age, Cox multilevel models indicated geographical variations in IHD mortality and socioeconomic contextual effects on the mortality risk. However, the magnitude of geographical variations and strength of contextual effects were modified by the age of individuals and the population density of their residential area: socioeconomic contextual effects were much stronger among non-elderly than among elderly adults, and much larger within urban territories than within rural ones. As a consequence, among non-elderly residents of urban territories, the socioeconomic contextual effect was almost as large as the effect of individual 20-year cumulated income.
conclusionsNon-elderly residents of deprived urban neighbourhoods constitute a major target for both contextual epidemiology of coronary disease and public health interventions aimed at reducing the detrimental effects of the social environment on IHD.
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