Life-Course Socioeconomic Position, Area Deprivation, and Coronary Heart Disease: Findings From the British Women’s Heart and Health Study

Debbie A. Lawlor · George Davey Smith · Rita Patel · Shah B J Ebrahim

99 citations0/0 files storedAmerican Journal of Public Health

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Health disparities and outcomes Cardiovascular Health and Risk Factors Public Health and Social Inequalities

Abstract

OBJECTIVES: We sought to determine whether residential area deprivation, over and above the effect of life-course socioeconomic status or position (SEP), is associated with coronary heart disease. METHODS: We conducted a cross-sectional analysis of 4286 women aged 60 to 79 years from 457 British electoral wards. RESULTS: After adjustment for age and 10 indicators of individual life-course SEP, the odds of coronary heart disease was 27% greater among those living in wards with a deprivation score above the median compared with those living in a ward with a deprivation score equal to or below the median (odds ratio=1.27; 95% confidence interval=1.02, 1.57). CONCLUSIONS: Adverse area-level socioeconomic characteristics, over and above individual life-course SEP, are associated with increased coronary heart disease.

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2001Multilevel analyses of neighbourhood socioeconomic context and health outcomes: a critical review: Table 1 2002Place effects on health: how can we conceptualise, operationalise and measure them?1993Socioeconomic factors and cardiovascular disease: a review of the literature.2001Neighborhood of Residence and Incidence of Coronary Heart Disease 1988THE MEASUREMENT OF SOCIAL CLASS IN EPIDEMIOLOGY 1993Deprivation and Health in Scotland 1997Neighborhood Environments and Coronary Heart Disease: A Multilevel Analysis 1997Lifetime socioeconomic position and mortality: prospective observational study

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