ArticleBMC public health2008
Does economic development contribute to sex differences in ischaemic heart disease mortality? Hong Kong as a natural experiment using a case-control study.
Article in BMC public health, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Gender Disparities in Blood Pressure and the Role of Body Mass Index: A Birth Cohort Analysis in China.Journal of epidemiology and global health · 2023Article
- Childhood meat eating and inflammatory markers: the Guangzhou Biobank Cohort Study.BMC public health · 2011Article
- Estimated birth weight and adult cardiovascular risk factors in a developing southern Chinese population: a cross sectional study.BMC public health · 2010Article
- How does socioeconomic development affect risk of mortality? An age-period-cohort analysis from a recently transitioned population in China.American journal of epidemiology · 2010Article
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5 authors.
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Abstract
backgroundThe male excess risk of premature ischemic heart disease (IHD) mortality may be partially due to an unknown macro-environmental influence associated with economic development. We examined whether excess male risk of IHD mortality was higher with birth in an economically developed environment.
methodsWe used multivariable logistic regression in a population-based case-control study of all adult deaths in Hong Kong Chinese in 1998 to compare sex differences in IHD mortality (1,189 deaths in men, 1,035 deaths in women and 20,842 controls) between Hong Kong residents born in economically developed Hong Kong or in contemporaneously undeveloped Guangdong province in China.
resultsYounger (35-64 years) native-born Hong Kong men had a higher risk of IHD death than such women (odds ratio 2.91, 95% confidence interval 1.66 to 5.13), adjusted for age, socio-economic status and lifestyle. There was no such sex difference in Hong Kong residents who had migrated from Guangdong. There were no sex differences in pneumonia deaths by birth place.
conclusionMost of these people migrated as young adults; we speculate that environmentally mediated differences in pubertal maturation (when the male disadvantage in lipids and fat patterning emerges) may contribute to excess male premature IHD mortality in developed environments.
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