Evidence map›Paper›PMID 40358980›Full record

ArticleCirculation. Cardiovascular quality and outcomes2025

Global Sociodemographic Disparities in Ischemic Heart Disease Mortality According to Sex, 1980 to 2021.

Ahmed Sayed, Erin D Michos, Ann Marie Navar, Salim S Virani, LaPrincess C Brewer, JoAnn E Manson

Abstract readComparative Study
In one paragraph

Article in Circulation. Cardiovascular quality and outcomes, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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0cells of the map it votes in
4citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Ahmed SayedAin Shams University, Faculty of Medicine, Cairo, Egypt (A.S.).ORCID 0000-0003-0150-8917
Erin D MichosDivision of Cardiology, Johns Hopkins University School of Medicine, Baltimore, MD (E.D.M.).ORCID 0000-0002-5547-5084
Ann Marie NavarDivision of Cardiology, University of Texas Southwestern Medical Center, Dallas (A.M.N.).ORCID 0000-0002-6197-9860
Salim S ViraniDepartment of Medicine, Aga Khan University, Karachi, Pakistan (S.S.V.).ORCID 0000-0001-9541-6954
LaPrincess C BrewerDivision of Preventive Cardiology, Department of Cardiovascular Medicine, Mayo Clinic College of Medicine, Rochester, MN (L.P.C.B.).ORCID 0000-0002-6468-9324
JoAnn E MansonDivision of Preventive Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA (J.A.E.M.).ORCID 0000-0002-9426-7595

Funding

RISK FACTORS FOR CVD IN WOMENR01HL034594 · NHLBI · TULANE UNIVERSITY OF LOUISIANA · PI JoAnn Elisabeth Manson, Lu Qi · 1985 to 2026
$13.8M
NHLBI NIH HHS R01 HL034594
6 · The paper itself

Abstract

backgroundMortality due to ischemic heart disease (IHD) has declined in countries with high socioeconomic development. Whether these declines extend to other settings, and whether socioeconomic development influences IHD mortality among men and women differently, is unknown.

methodsWe obtained annual data on sex-specific IHD mortality rates for countries/territories in the GBD study (Global Burden of Disease) from 1980 to 2021. The sociodemographic index (SI), a measure of socioeconomic development, was retrieved for each country/territory. Age-adjusted IHD mortality rates were modeled as a smooth function of sex, year, and SI.

resultsFrom 1980 to 2021, IHD mortality rates did not decrease in low SI settings for men or women. In contrast, mortality rates relative to 1980 declined by >25% in average SI settings (age-adjusted mortality per 100 000, 153-107 for women and 218-161 for men) and >50% in high SI settings (age-adjusted mortality per 100 000, 162-69 for women and 258-114 for men). Comparing the 20th versus 80th percentile of SI in 2021 (corresponding to lower versus higher socioeconomic development), mortality rates were 81% higher for men and 111% higher for women living in socioeconomically deprived settings (

conclusionsAcross the past 4 decades, low socioeconomic development was associated with no improvement in IHD mortality rates for men or women, in contrast to the large reductions observed in settings with high socioeconomic development. In contemporary settings, socioeconomic deprivation is associated with larger relative excess mortality in women and larger absolute excess mortality in men.

Indexed as

Global HealthHealth Status DisparitiesMyocardial IschemiaSocial Determinants of HealthSocioeconomic FactorsAgedFemaleGlobal Burden of DiseaseHumansMaleMiddle AgedRisk AssessmentRisk FactorsSex DistributionSex FactorsTime Factorscoronary diseaseglobal burden of diseasehealth equitymyocardial ischemiarisk factorssocioeconomic factors

Identifiers

PMID40358980
PMCPMC12263309

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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.