ArticleBMC public health2011
The impact of social status inconsistency on cardiovascular risk factors, myocardial infarction and stroke in the EPIC-Heidelberg cohort.
Article in BMC public health, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- The association between social determinants of health and all-cause, cardiovascular mortality in US rheumatoid arthritis: a cohort study of NHANES.BMC public health · 2025Article
- Investigating multimorbidity patterns and associated risk factors in the fasa adults cohort study (FACS): A latent class analysis.PloS one · 2025Article
- Developing a gender measure and examining its association with cardiovascular diseases incidence: a 28-year prospective cohort study.BMC medicine · 2024Article
- Chronic disease outcome metadata from German observational studies - public availability and FAIR principles.Scientific data · 2023Article
- High socioeconomic status is associated with stroke severity among stroke patients in the National Brain Centre Hospital, Jakarta, Indonesia.Preventive medicine reports · 2023Article
- Effects of Education and Income on Incident Type 2 Diabetes and Cardiovascular Diseases: a Dutch Prospective Study.Journal of general internal medicine · 2022Article
- Overqualification at work and risk of hospitalization for psychiatric and somatic diseases among immigrants in Sweden - a prospective register-based study.Scandinavian journal of work, environment & health · 2022Article
- Widening or narrowing income inequalities in myocardial infarction? Time trends in life years free of myocardial infarction and after incidence.Population health metrics · 2021Article
- Social inequalities in mild and severe myocardial infarction: how large is the gap in health expectancies?BMC public health · 2021Article
- Socioeconomic decline and advancement within and between generations and the risk of stroke - a case-control study.Neurological research and practice · 2019Article
- Invited Commentary: The Enduring Role of "Place" in Health-A Historic Perspective.American journal of epidemiology · 2017Article
- Associations between hair cortisol concentration, income, income dynamics and status incongruity in healthy middle-aged women.Psychoneuroendocrinology · 2016Article
- Article
- Overqualification and risk of all-cause and cardiovascular mortality: evidence from the Canadian Census Mortality Follow-up Study (1991-2001).Canadian journal of public health = Revue canadienne de sante publique · 2012Article
- Analysis of steps adapted protocol in cardiac rehabilitation in the hospital phase.Revista brasileira de cirurgia cardiovascular : orgao oficial da Sociedade Brasileira de Cirurgia CardiovascularObservational
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6 authors.
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Abstract
backgroundSocial inequalities in cardiovascular diseases are well documented. Yet, the relation of social status inconsistency (having different ranks in two or more status indicators like education, occupational position or income) and medical conditions of heart or vessels is not clear. Status inconsistency (SI) is assumed to be stressful, and the association of psychosocial distress and health is well known. Therefore, we aimed to analyze the relationship between cardiovascular diseases (CVD) and status inconsistency. Another target was to assess the influence of behaviour related risk factors on this association.
methods8960 men and 6070 women, aged 45-65 years, from the EPIC-Heidelberg cohort (European Prospective Investigation into Cancer and Nutrition) were included. Socio-economic status was assessed by education/vocational training and occupational position at recruitment. During a median follow-up of 8.7 years, information on CVD was collected.
resultsCompared to status consistent subjects, men who were in a higher occupational position than could be expected given their educational attainment had a nearly two-fold increased incidence of CVD (Odds Ratio (OR) = 1.8, 95% Confidence Interval (CI) = 1.5; 2.4, adjusted for age). Smoking behaviour and BMI differed significantly between those who had adequate occupational positions and those who did not. Yet, these lifestyle factors, as opposed to age, did not contribute to the observed differences in CVD. No association of cardiovascular diseases and status inconsistency was found for women or in cases where education exceeded occupational position.
conclusionsStatus inconsistent men (occupational position > education) had a higher risk of cardiovascular diseases than status consistent men. However, harmful behaviour did not explain this relationship.
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