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Educational inequalities in blood pressure and cholesterol screening in nine European countries.
MedLine Citation:
PMID:  22245720     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BackgroundTo perform the first European overview of educational inequalities in the use of blood pressure and cholesterol screening.MethodsData were obtained on the use of screening services according to educational level from nationally representative cross-sectional surveys in Belgium, Czech Republic, Denmark, Estonia, Finland, Hungary, Italy, Latvia and Lithuania. Screening rates were examined in the preceding 12 months and 5 years, for respondents 35+ years (45+ for women). ORs comparing low- to high-educated respondents were estimated using logistic regression controlling for age.ResultsInequalities in cholesterol screening favouring higher socioeconomic groups were demonstrated with statistical significance among men in four countries, whereby men with higher education were more likely to receive screening, with 1.22 as the highest OR. Among women, a similar pattern was found. Inequalities in blood pressure screening were even smaller and less often statistically significant. Hungary was the only country with higher rates of both types of screening in the low-educated group. In other countries, pro-high inequalities were slightly increased after controlling for self-rated health.ConclusionsAll European countries in this study had small educational inequalities in the utilisation of blood pressure and cholesterol screening. These inequalities are smaller than those previously observed in the USA. Further comparative studies need to distinguish between screening for preventive purposes and screening for treatment and control.
Authors:
Danielle Rodin; Irina Stirbu; Ola Ekholm; Dagmar Dzurova; Giuseppe Costa; Johan P Mackenbach; Anton E Kunst
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-1-12
Journal Detail:
Title:  Journal of epidemiology and community health     Volume:  -     ISSN:  1470-2738     ISO Abbreviation:  -     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-1-16     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7909766     Medline TA:  J Epidemiol Community Health     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Erasmus Medical Centre, Rotterdam, the Netherlands.
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