Evidence map›Paper›PMID 30824952›Full record

ArticleInternational journal of public health2019

Health inequalities in terms of myocardial infarction and all-cause mortality: a study with German claims data covering 2006 to 2015.

Siegfried Geyer, Juliane Tetzlaff, Sveja Eberhard, Stefanie Sperlich, Jelena Epping

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in International journal of public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

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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

5 authors.

Siegfried GeyerMedical Sociology Unit, Hannover Medical School, Carl-Neuberg-Strasse 1, 30625, Hannover, Germany. geyer.siegfried@mh-hannover.de.
Juliane TetzlaffMedical Sociology Unit, Hannover Medical School, Carl-Neuberg-Strasse 1, 30625, Hannover, Germany.
Sveja EberhardAOK Niedersachsen (Local Statutory Health Insurance of Lower Saxony), Hildesheimer Strasse 273, 30519, Hannover, Germany.
Stefanie SperlichMedical Sociology Unit, Hannover Medical School, Carl-Neuberg-Strasse 1, 30625, Hannover, Germany.
Jelena EppingMedical Sociology Unit, Hannover Medical School, Carl-Neuberg-Strasse 1, 30625, Hannover, Germany.

Funding

AOK Niedersachsen (Local Statutory Health Insurance of Lower Saxony) No number assignedDeutsche Forschungsgemeinschaft GE 1167/15-1
6 · The paper itself

Abstract

objectivesInternational comparisons are suggesting that mortality inequalities may have changed in the last years, although not always into the same direction. Only a few studies examined myocardial infarction (MI). In our study, long-term developments of MI and all-cause mortality were considered by analysing social gradients by income.

methodsGerman claims data covering 2006 to 2015 (N = 2,474,448) were used with myocardial infarction and all-cause mortality as outcomes. Socio-economic position was depicted by individual income. Health inequalities were measured by hazard ratios between and within income groups for 10 consecutive calendar years.

resultsIn men, income gradients of MI and all-cause mortality were decreasing. In women, no income gradients emerged for MI, and they disappeared in mortality. In men, hazard ratios of MI and mortality decreased in the intermediate and in the lowest income thirds, thus leading to a reduction of MI-related health inequalities.

conclusionsIncome inequalities in terms of myocardial infarction and of mortality have narrowed in men, and those in the lowest income third were profiting most. No such changes were observed in women.

Indexed as

Health Status DisparitiesSocioeconomic FactorsAdultAgedCause of DeathFemaleGermanyHumansIncomeMaleMiddle AgedMortalityMyocardial InfarctionPovertyProportional Hazards ModelsSex FactorsClaims dataHealth inequalitiesIncomeLong-term trendsMyocardial infarctionSocial inequality

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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.