ArticleEClinicalMedicine2021
Large health disparities in cardiovascular death in men and women, by ethnicity and socioeconomic status in an urban based population cohort.
Article in EClinicalMedicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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17 citing papers in PubMed, 23 citations in OpenAlex.
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- First-generation Turkish immigrants' views and preferences on cardiovascular disease prevention in primary care - a qualitative study in the Netherlands.Journal of migration and health · 2025Article
- Ultra-processed foods and cardiovascular disease: analysis of three large US prospective cohorts and a systematic review and meta-analysis of prospective cohort studies.Lancet regional health. Americas · 2024Article
- Data Resource Profile: Extramural Leiden University Medical Center Academic Network (ELAN).International journal of epidemiology · 2024Article
- AnnouncingThe Lancet regional health. Europe · 2024Article
- Tailoring remote patient management in cardiovascular risk management for healthcare professionals using panel management: a qualitative study.BMC primary care · 2024Article
- Ethnic Differences in Carotid Intima-Media Thickness and Plaque Presence: The HELIUS Study.Cerebrovascular diseases (Basel, Switzerland) · 2024Article
- Algorithmic fairness in cardiovascular disease risk prediction: overcoming inequalities.Open heart · 2023Article
- Ideal cardiovascular health metrics and life expectancy free of cardiovascular diseases: a prospective cohort study.The EPMA journal · 2023Article
- SCORE2 cardiovascular risk prediction models in an ethnic and socioeconomic diverse population in the Netherlands: an external validation study.EClinicalMedicine · 2023Article
- Population health interventions for cardiometabolic diseases in primary care: a scoping review and RE-AIM evaluation of current practices.Frontiers in medicine · 2023Article
- Health and health-related behaviours in refugees and migrants who self-identify as sexual or gender minority - A National population-based study in Sweden.EClinicalMedicine · 2022Article
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Authors and funding
11 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSocioeconomic status and ethnicity are not incorporated as predictors in country-level cardiovascular risk charts on mainland Europe. The aim of this study was to quantify the sex-specific cardiovascular death rates stratified by ethnicity and socioeconomic factors in an urban population in a universal healthcare system.
methodsAge-standardized death rates (ASDR) were estimated in a dynamic population, aged 45-75 in the city of The Hague, the Netherlands, over the period 2007-2018, using data of Statistics Netherlands. Results were stratified by sex, ethnicity (country of birth) and socioeconomic status (prosperity) and compared with a European cut-off for high-risk countries (ASDR men 225/100,000 and women 175/100,000).
findingsIn total, 3073 CVD deaths occurred during 1·76 million person years follow-up. Estimated ASDRs (selected countries of birth) ranged from 126 (95%CI 89-174) in Moroccan men to 379 (95%CI 272-518) in Antillean men, and from 86 (95%CI 50-138) in Moroccan women to 170 (95%CI 142-202) in Surinamese women. ASDRs in the highest and lowest prosperity quintiles were 94 (95%CI 90-98) and 343 (95%CI 334-351) for men, and 43 (95%CI 41-46) and 140 (95%CI 135-145), for women, respectively.
interpretationIn a diverse urban population, large health disparities in cardiovascular ASDRs exists across ethnic and socioeconomic subgroups. Identifying these high-risk subgroups followed by targeted preventive efforts, might provide a basis for improving cardiovascular health equity within communities. Instead of classifying countries as high-risk or low-risk, a shift towards focusing on these subgroups within countries might be needed.
fundingLeiden University Medical Center and Leiden University.
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