ArticleJournal of preventive medicine and public health = Yebang Uihakhoe chi2016
The Impact of Educational Status on 10-Year (2004-2014) Cardiovascular Disease Prognosis and All-cause Mortality Among Acute Coronary Syndrome Patients in the Greek Acute Coronary Syndrome (GREECS) Longitudinal Study.
Article in Journal of preventive medicine and public health = Yebang Uihakhoe chi, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.
- Positive Association of Cardiovascular Disease (CVD) with Chronic Exposure to Drinking Water Arsenic (As) at Concentrations below the WHO Provisional Guideline Value: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2020Pooled it
- Twenty-Year Trajectories of Physical Activity and Acute Coronary Syndrome Incidence; the GREECS Epidemiological Study (2004-2024).American journal of lifestyle medicine · 2025Article
- The impact of education level on all-cause mortality in patients with atrial fibrillation.Scientific reports · 2024Article
- Time-Dependent Risk for Recurrence in Survivors of Major Adverse Cardiovascular Events.Cureus · 2024Article
- The impact of education as a marker of socio-economic status on survival of patients after transcatheter aortic valve implantation.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2022Article
- Low educational status correlates with a high incidence of mortality among hypertensive subjects from Northeast Rural China.Frontiers in public health · 2022Article
- Association between Educational Level and Physical Activity in Chronic Disease Patients of Eastern Slovakia.Healthcare (Basel, Switzerland) · 2021Article
- Irrational beliefs trigger depression and anxiety symptoms, and associated with increased inflammation and oxidative stress markers in the 10-year diabetes mellitus risk: the ATTICA epidemiological study.Journal of diabetes and metabolic disorders · 2021Article
- The influence of socio-environmental determinants on hypertension. A spatial analysis in Athens metropolitan area, Greece.Journal of preventive medicine and hygiene · 2020Article
- Trajectories of Outpatient Service Utilisation of Hypertensive Patients in Tertiary Hospitals in China.International journal of environmental research and public health · 2020Article
- Article
- The risk factors of 9-year follow-up on hypertension in middle-aged people in Tujia-Nationality settlement of China.Journal of human hypertension · 2017Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe association between educational status and 10-year risk for acute coronary syndrome (ACS) and all-cause mortality was evaluated.
methodsFrom October 2003 to September 2004, 2172 consecutive ACS patients from six Greek hospitals were enrolled. In 2013 to 2014, a 10-year follow-up (2004-2014) assessment was performed for 1918 participants (participation rate, 88%). Each patient's educational status was classified as low (<9 years of school), intermediate (9 to 14 years), or high (>14 years).
resultsOverall all-cause mortality was almost twofold higher in the low-education group than in the intermediate-education and high-education groups (40% vs. 22% and 19%, respectively, p<0.001). Additionally, 10-year recurrent ACS events (fatal and non-fatal) were more common in the low-education group than in the intermediate-education and high-education groups (42% vs. 30% and 35%, p<0.001), and no interactions between sex and education on the investigated outcomes were observed. Moreover, patients in the high-education group were more physically active, had a better financial status, and were less likely to have hypertension, diabetes, or ACS than the participants with the least education (p<0.001); however, when those characteristics and lifestyle habits were accounted for, no moderating effects regarding the relationship of educational status with all-cause mortality and ACS events were observed.
conclusionsA U-shaped association may be proposed for the relationship between ACS prognosis and educational status, with participants in the low-education and high-education groups being negatively affected by other factors (e.g., job stress, depression, or loneliness). Public health policies should be aimed at specific social groups to reduce the overall burden of cardiovascular disease morbidity.
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