ArticlePsychosomatic medicine2013
Low socioeconomic status and psychological distress as synergistic predictors of mortality from stroke and coronary heart disease.
Article in Psychosomatic medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers.
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Who cites it
46 citing papers in PubMed.
- Genetic insights into socioeconomic inequalities and adiposity-related interventions for reducing accelerated biological aging.International journal of obesity (2005) · 2026Observational
- Socioeconomic differences in the prevalence, treatment and control of major cardiometabolic risk factors by sex: a cross-sectional study of the UK Biobank.BMJ public health · 2026Article
- Evaluating short-term air pollution-related mental health resilience using a directional network.BMC public health · 2025Article
- Gender-based distribution of depression and anxiety following acute coronary syndrome in the Turkish population: are women at higher risk?BMC cardiovascular disorders · 2025Observational
- Depressive symptoms partially mediate the relationship between psychosocial factors and epigenetic age acceleration in a multi-racial/ethnic sample of older adults.Brain, behavior, & immunity - health · 2025Article
- Joint effects of depression and social determinants of health on mortality risk among U.S. adults: a cohort study.BMC psychiatry · 2024Article
- The Relationship Between Poststroke Dysphagia and Poststroke Depression and Its Risk Factors.American journal of speech-language pathology · 2024Article
- Socioeconomic inequalities in pandemic-induced psychosocial stress in different life domains among the working-age population.BMC public health · 2024Article
- Lower Socioeconomic Status, Psychological Distress, and Self-reported Hypertension: A Longitudinal Moderated Mediation Analysis.American journal of hypertension · 2024Article
- Solid fuel use, socioeconomic status and depression: a cross-study of older adults in China.BMC geriatrics · 2024Article
- Health equity engineering: Optimizing hope for a new generation of healthcare.Journal of clinical and translational science · 2024Article
- Interventions to tackle health inequalities in cardiovascular risks for socioeconomically disadvantaged populations: a rapid review.British medical bulletin · 2023Review
- Cardiovascular Disease in China: Socioeconomic Status Variation in Prevalence.Risk management and healthcare policy · 2023Article
- Religiosity Is Associated with Reduced Risk of All-Cause and Coronary Heart Disease Mortality among Jewish Men.International journal of environmental research and public health · 2022Article
- Psychological stress, body shape and cardiovascular events: Results from the Whitehall II study.Comprehensive psychoneuroendocrinology · 2022Article
- Clinical Cardiology in South East Asia: Indonesian Lessons from the Present towards Improvement.Global heart · 2022Review
- Ambulatory Patients with Cardiometabolic Disease and Without Evidence of COVID-19 During the Pandemic. The CorCOVID LATAM Study.Global heart · 2021Article
- Relationship Between Dietary Knowledge, Socioeconomic Status, and Stroke Among Adults Involved in the 2015 China Health and Nutrition Survey.Frontiers in nutrition · 2021Article
- Psychological Adaptation to Serious Illness: A Qualitative Study of Culturally Diverse Patients With Advanced Chronic Kidney Disease.Journal of pain and symptom management · 2021Article
- The Effectiveness of the Good Affordable Food Intervention for Adults with Low Socioeconomic Status and Small Incomes.International journal of environmental research and public health · 2020Article
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Abstract
backgroundThe purpose of this study was to test whether lower socioeconomic status (SES) augments the effect of psychological distress on mortality from stroke or coronary heart disease (CHD).
methodsWe prospectively linked data from 66,500 participants 35 years or older in the Health Survey for England, selected using stratified random sampling from 1994 to 2004, and free of cardiovascular disease and cancer at baseline, with mortality records. The median follow-up time was 7.9 years. SES was indexed by occupational class, and psychological distress was assessed using the 12-item General Health Questionnaire (GHQ-12).
resultsAfter adjustment for demographic and clinical variables, both psychological distress and low SES were associated with increased mortality: the hazard ratios (HR) for one-category increase in low SES (three categories in total) were 1.15 for stroke-death (95% confidence interval [CI] = 1.00-1.31, p = .043) and 1.24 for CHD-death (95% CI = 1.09-1.41, p = .001); the HR for one-category increase in GHQ-12 (three categories in total) was 1.18 for stroke-death (95% CI = 1.07-1.30, p = .001) and 1.24 for CHD-death (95% CI = 1.13-1.36, p < .001). In stratified analyses, the strongest associations were found in the lowest SES categories: the HR for GHQ-12 toward stroke-death was 1.15 in high-SES participants (95% CI = 0.97-1.37, p = .107) and 1.31 in low-SES ones (95% CI = 1.13-1.51, p < .001); the HR for GHQ-12 toward CHD-death was 1.10 in high-SES participants (95% CI = 0.97-1.25, p = .129) and 1.33 in low-SES ones (95% CI = 1.19-1.48, p < .001).
conclusionsPeople in low socioeconomic circumstances are more vulnerable to the adverse effect of psychological distress. This pattern should be taken into account when evaluating the association between psychosocial variables and health outcomes.
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