ArticleInternational journal of public health2013
Unfavourable life-course social gradient of coronary heart disease within Spain: a low-incidence welfare-state country.
Article in International journal of public health, 2013. 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, 7 citations in OpenAlex.
- Mortality attributable to modifiable lifestyle factors in the Spanish cohort of the European prospective investigation into cancer and nutrition (EPIC) study.BMC public health · 2025Article
- [Cardiovascular risk factors in the population at risk of poverty and social exclusión].Atencion primaria · 2017Article
- US State-level income inequality and risks of heart attack and coronary risk behaviors: longitudinal findings.International journal of public health · 2015Article
- Roma coronary heart disease patients have more medical risk factors and greater severity of coronary heart disease than non-Roma.International journal of public health · 2013Article
Corrections and comments
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Authors and funding
17 authors at 7 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveSocial position has yet to be established as a risk factor of coronary heart disease (CHD). Our aim was to investigate an individual life-course social position gradient link with CHD incidence in the EPIC-Spain cohort.
methods41,066 participants, mostly 30-65 years old, and free of cardiovascular disease at baseline (1992-1996) were followed up for a mean of 10.4 years. A combined score of paternal occupation in childhood and own adult education was used to assess individual life-course risk accumulation. Hazard ratios of CHD were estimated using Cox models, stratifying by centre, and age, and adjusting for cardiovascular risk factors.
results583 participants (80 % men) developed a definite CHD event. Paternal occupational class IV was associated with CHD in all models in men. The educational gradient remained significant after adjusting for diet and physical activity (p = 0.01). All adjusted risk of incident CHD rose by 23 % (95 % CI 6-42 %) per category increase of life-course social position score in men. No significant associations were found in women.
conclusionsIndividual life-course social position gradient was adversely related to incident CHD in Spanish men.
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