ArticlePloS one2014
Association of socioeconomic status with overall and cause specific mortality in the Republic of Seychelles: results from a cohort study in the African region.
Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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14 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.
- Socioeconomic status and the 25 × 25 risk factors as determinants of premature mortality: a multicohort study and meta-analysis of 1·7 million men and women.Lancet (London, England) · 2017Pooled it
- Socioeconomic Status, Frailty, and All-Cause Mortality in Korean Older Adults: A 3-Year Population-Based Prospective Study.BioMed research international · 2017Trial
- Inequalities in health by regime of affiliation to the health system in events of obligatory notification, Colombia, 2015Biomedica : revista del Instituto Nacional de Salud · 2019Article
- The impact of socioeconomic status on emergency department outcome in a low-income country setting: A registry-based analysis.PloS one · 2019Article
- Generalized Unsafety Theory of Stress: Unsafe Environments and Conditions, and the Default Stress Response.International journal of environmental research and public health · 2018Review
- The relation between household income and surgical outcome in the Dutch setting of equal access to and provision of healthcare.PloS one · 2018Article
- Analysis of State-Specific Prevalence, Regional Differences, and Correlates of Hookah Use in U.S. Adults, 2012-2013.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2017Article
- Socioeconomic Status and Cardiovascular Disease: an Update.Current cardiology reports · 2017Review
- Educational Inequality in Obesity-Related Mortality in Korea.Journal of Korean medical science · 2017Article
- Socioeconomic Inequality in mortality using 12-year follow-up data from nationally representative surveys in South Korea.International journal for equity in health · 2016Article
- Analyses of prognostic factors in cases of non-small cell lung cancer with multiple brain metastases.OncoTargets and therapy · 2016Article
- Distribution of chronic disease mortality and deterioration in household socioeconomic status in rural Bangladesh: an analysis over a 24-year period.International journal of epidemiology · 2015Article
- Socio-Economic Differences in Cardiovascular Health: Findings from a Cross-Sectional Study in a Middle-Income Country.PloS one · 2015Article
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLow socioeconomic status (SES) is consistently associated with higher mortality in high income countries. Only few studies have assessed this association in low and middle income countries, mainly because of sparse reliable mortality data. This study explores SES differences in overall and cause-specific mortality in the Seychelles, a rapidly developing small island state in the African region.
methodsAll deaths have been medically certified over more than two decades. SES and other lifestyle-related risk factors were assessed in a total of 3246 participants from three independent population-based surveys conducted in 1989, 1994 and 2004. Vital status was ascertained using linkage with vital statistics. Occupational position was the indicator of SES used in this study and was assessed with the same questions in the three surveys.
resultsDuring a mean follow-up of 15.0 years (range 0-23 years), 523 participants died (overall mortality rate 10.8 per 1000 person-years). The main causes of death were cardiovascular disease (CVD) (219 deaths) and cancer (142 deaths). Participants in the low SES group had a higher mortality risk for overall (HR = 1.80; 95% CI: 1.24-2.62), CVD (HR = 1.95; 1.04-3.65) and non-cancer/non-CVD (HR = 2.14; 1.10-4.16) mortality compared to participants in the high SES group. Cancer mortality also tended to be patterned by SES (HR = 1.44; 0.76-2.75). Major lifestyle-related risk factors (smoking, heavy drinking, obesity, diabetes, hypertension, hypercholesterolemia) explained a small proportion of the associations between low SES and all-cause, CVD, and non-cancer/non-CVD mortality.
conclusionsIn this population-based study assessing social inequalities in mortality in a country of the African region, low SES (as measured by occupational position) was strongly associated with overall, CVD and non-cancer/non-CVD mortality. Our findings support the view that the burden of non-communicable diseases may disproportionally affect people with low SES in low and middle income countries.
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