Evidence map›Paper›PMID 40018182›Full record

ArticleBMJ public health2024

Area deprivation and premature cardiovascular mortality: a nationwide population-based study in South Korea.

Eunji Kim, Hokyou Lee, Donald Lloyd-Jones, Young Gyu Ko, Byoung Gwon Kim, Hyeon Chang Kim

Abstract read
In one paragraph

Article in BMJ public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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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

6 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

6 authors.

Eunji KimDepartment of Preventive Medicine, Gachon University College of Medicine, Incheon, Korea (the Republic of).ORCID 0000-0002-1306-4105
Hokyou LeeDepartment of Preventive Medicine, Yonsei University College of Medicine, Seoul, Korea (the Republic of).ORCID 0000-0002-5034-8422
Donald Lloyd-JonesDepartment of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.ORCID 0000-0003-0847-6110
Young Gyu KoBusan Public Health Policy Institute, Busan, Korea (the Republic of).ORCID 0000-0003-0634-7278
Byoung Gwon KimDepartment of Preventive Medicine, Dong-A University College of Medicine, Busan, Korea (the Republic of).ORCID 0000-0002-1762-6320
Hyeon Chang KimDepartment of Preventive Medicine, Yonsei University College of Medicine, Seoul, Korea (the Republic of).ORCID 0000-0001-7867-1240

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Regional disparities in cardiovascular disease (CVD) burden exist. The effect of area deprivation, one of the possible explanations, still needs to be fully understood. This population-based study investigated the association between Area Deprivation Index (ADI) and CVD-related premature death. Methods: ADI was derived from 10 socioeconomic indicators in 250 South Korean municipalities using the 2020 Population and Housing Census data. Mortality rates for CVD and its subtypes, namely ischaemic heart diseases, other heart diseases and cerebrovascular diseases, in adults under 65 years were directly standardised by sex and age, referencing the total population structure. Municipalities were categorised by urbanicity, and adjustments for the number of hospitals and geographical area size were made using log-linear regression models. Results: The most deprived municipalities showed 41.6% excess mortality for CVD, 30.3% for ischaemic heart diseases, 60.7% for other heart diseases and 36.9% for cerebrovascular diseases compared with the least deprived municipalities. Even after adjusting for the number of hospitals per unit area, the association between ADI and premature CVD death was more significant in metropolitan areas than in other provinces. For each incremental increase in the continuous ADI, the adjusted mortality rate ratios were observed as 1.031 (95% CI, 1.020 to 1.043) in metropolitan areas and 1.009 (95% CI, 1.000 to 1.019) in other provinces. Additional multilevel analyses showed consistent findings of a higher risk in deprived areas. Conclusion: This study highlights a higher risk of premature cardiovascular death in socioeconomically disadvantaged areas. CVD prevention strategies should reflect regional characteristics and focus on reducing the burden in deprived metropolitan areas.

Indexed as

Cardiovascular DiseasesEpidemiologyPublic HealthSociodemographic Factors

Identifiers

PMID40018182
PMCPMC11812902

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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.