Evidence map›Paper›PMID 26285580›Full record

ArticleJournal of epidemiology and community health2015

The influence of neighbourhood-level socioeconomic deprivation on cardiovascular disease mortality in older age: longitudinal multilevel analyses from a cohort of older British men.

S E Ramsay, R W Morris, P H Whincup, S V Subramanian, A O Papacosta, Lucy T Lennon, S G Wannamethee

Abstract read
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Article in Journal of epidemiology and community health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

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0cells of the map it votes in
32citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed.

  1. Association of neighborhood economic trajectories and risk of mortality among older adults.Archives of public health = Archives belges de sante publique · 2026
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  14. Neighbourhood Socioeconomic Processes and Dynamics and Healthy Ageing: A Scoping Review.International journal of environmental research and public health · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

S E RamsayDepartment of Primary Care & Population Health, UCL, London, UK.
R W MorrisDepartment of Primary Care & Population Health, UCL, London, UK.
P H WhincupDivision of Population Health Sciences and Education, St George's University of London, London, UK.
S V SubramanianDepartment of Social and Behavioural Science, Harvard University, Boston, Massachusetts, USA.
A O PapacostaDepartment of Primary Care & Population Health, UCL, London, UK.
Lucy T LennonDepartment of Primary Care & Population Health, UCL, London, UK.
S G WannametheeDepartment of Primary Care & Population Health, UCL, London, UK.

Funding

British Heart Foundation RG/08/013/25942British Heart Foundation RG/13/16/30528Medical Research Council G0501859Medical Research Council G1002391
6 · The paper itself

Abstract

backgroundEvidence from longitudinal studies on the influence of neighbourhood socioeconomic factors in older age on cardiovascular disease (CVD) mortality is limited. We aimed to investigate the prospective association of neighbourhood-level deprivation in later life with CVD mortality, and assess the underlying role of established cardiovascular risk factors.

methodsA socially representative cohort of 3924 men, aged 60-79 years in 1998-2000, from 24 British towns, was followed up until 2012 for CVD mortality. Quintiles of the national Index of Multiple Deprivation (IMD), a composite score of neighbourhood-level factors (including income, employment, education, housing and living environment) were used. Multilevel logistic regression with discrete-time models (stratifying follow-up time into months) were used.

resultsOver 12 years, 1545 deaths occurred, including 580 from CVD. The risk of CVD mortality showed a graded increase from IMD quintile 1 (least deprived) to 5 (most deprived). Compared to quintile 1, the age-adjusted odds of CVD mortality in quintile 5 were 1.71 (95% CI 1.32 to 2.21), and 1.62 (95% CI 1.23 to 2.13) on further adjustment for individual social class, which was attenuated slightly to 1.44 (95% CI 1.09 to 1.89), but remained statistically significant after adjustment for smoking, body mass index, physical activity and use of alcohol. Further adjustment for blood pressure, high-density lipoprotein cholesterol and prevalent diabetes made little difference.

conclusionsNeighbourhood-level deprivation was associated with an increased risk of CVD mortality in older people independent of individual-level social class and cardiovascular risk factors. The role of other specific neighbourhood-level factors merits further research.

Indexed as

Poverty AreasSocial ClassAgedCardiovascular DiseasesCause of DeathEmploymentHumansLogistic ModelsLongitudinal StudiesMaleMiddle AgedMultilevel AnalysisProspective StudiesResidence CharacteristicsRisk FactorsUnited KingdomAGEINGCardiovascular diseaseDEPRIVATIONINEQUALITIESMULTILEVEL MODELLING

Identifiers

PMID26285580
PMCPMC4680118

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.