| Potential explanations for the educational gradient in coronary heart disease: a population-based case-control study of Swedish women. | |
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MedLine Citation:
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PMID: 10076479 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: This study examined the association between educational attainment and coronary heart disease (CHD) and the factors that may explain this association. METHODS: This population-based case-control study included 292 women with CHD who were 65 years or younger and 292 age-matched controls. RESULTS: Compared with the adjusted odds ratio for CHD associated with college education, the age-adjusted odds ratio associated with mandatory education (< or = 9 years) was 1.87 (95% confidence interval [CI] = 1.23, 2.84) and the odds ratio for high school education was 1.35 (95% CI = 0.81, 2.25) (P for trend < .01). The odds ratio for mandatory education was reduced by 82%, to 1.16 (95% CI = 0.69, 2.09), after adjustment for psychosocial stress, unhealthy lifestyle patterns, hemostatic factors, hypertension, and lipids. CONCLUSIONS: Much of the increased risk of CHD in women with low education appears to be linked to psychosocial stress and lifestyle factors. Hemostatic factors, lipids, and hypertension also contribute to a lesser extent. These factors may be considered in strategies geared to reducing socioeconomic inequalities in cardiovascular health. |
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Authors:
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S P Wamala; M A Mittleman; K Schenck-Gustafsson; K Orth-Gomér |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: American journal of public health Volume: 89 ISSN: 0090-0036 ISO Abbreviation: Am J Public Health Publication Date: 1999 Mar |
Date Detail:
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Created Date: 1999-03-30 Completed Date: 1999-03-30 Revised Date: 2009-11-18 |
Medline Journal Info:
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Nlm Unique ID: 1254074 Medline TA: Am J Public Health Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 315-21 Citation Subset: AIM; IM |
Affiliation:
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Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden. sarah.wamala@phs.ki.se |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Case-Control Studies Coronary Disease / epidemiology*, etiology* Educational Status Female Humans Hypertension / complications Life Style Middle Aged Odds Ratio Population Surveillance Questionnaires Risk Factors Socioeconomic Factors Stress, Psychological / complications Sweden / epidemiology Women / education* |
| Grant Support | |
ID/Acronym/Agency:
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HL45785/HL/NHLBI NIH HHS |
| Comments/Corrections | |
Erratum In:
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Am J Public Health 1999 May;89(5):785 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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