دورية أكاديمية
Variation in coronary risk factors by social status: results from the Scottish Heart Health Study.
| العنوان: | Variation in coronary risk factors by social status: results from the Scottish Heart Health Study. |
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| المؤلفون: | Shewry MC; Cardiovascular Epidemiology Unit, Ninewells Hospital and Medical School, Dundee., Smith WC, Woodward M, Tunstall-Pedoe H |
| المصدر: | The British journal of general practice : the journal of the Royal College of General Practitioners [Br J Gen Pract] 1992 Oct; Vol. 42 (363), pp. 406-10. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Royal College of General Practitioners Country of Publication: England NLM ID: 9005323 Publication Model: Print Cited Medium: Print ISSN: 0960-1643 (Print) Linking ISSN: 09601643 NLM ISO Abbreviation: Br J Gen Pract Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: London : Royal College of General Practitioners |
| مواضيع طبية MeSH: | Coronary Disease/*epidemiology, Adult ; Female ; Health Surveys ; Humans ; Male ; Middle Aged ; Random Allocation ; Risk Factors ; Scotland/epidemiology ; Smoking/epidemiology ; Social Class ; Socioeconomic Factors |
| مستخلص: | The relationship between social status and coronary heart disease in the United Kingdom is well established with the more socially disadvantaged being at higher risk. There is also evidence that the levels of most of the known coronary risk factors vary with social status in a way consistent with their relationship to coronary heart disease. Using data from the Scottish heart health study the aim of this study was to quantify, for men and women, the variation in four of the main coronary heart disease risk factors--smoking, serum total cholesterol level, blood pressure and obesity--according to a number of social factors--occupational social class, housing tenure, level of education and employment status. The analyses used both mean risk factor levels as well as the percentages above suggested cut off levels, in order to provide estimates of the percentage of people at risk. All the risk factors, apart from total cholesterol level in men, showed fairly consistent variation across social groups with the more socially disadvantaged being at higher risk. Similar social variation was found for the percentages above the cut off levels, and these indicate that nearly 60% of the Scottish population aged 40-59 years, have one or more risk factors for coronary heart disease. These results suggest that some targeting of health education and management is appropriate, and this is especially relevant as the reforms to the National Health Service set health targets for health authorities and encourage general practitioners to provide health promotion services.(ABSTRACT TRUNCATED AT 250 WORDS) |
| References: | Am J Epidemiol. 1978 May;107(5):362-83. (PMID: 665654) Br Heart J. 1981 Jan;45(1):13-9. (PMID: 7459161) Prev Med. 1992 Jan;21(1):136-48. (PMID: 1738765) Int J Epidemiol. 1991 Jun;20(2):379-83. (PMID: 1917238) BMJ. 1990 Apr 14;300(6730):981-3. (PMID: 2344507) Scott Med J. 1989 Dec;34(6):550-5. (PMID: 2631201) Scott Med J. 1989 Dec;34(6):556-60. (PMID: 2631202) Lancet. 1987 Jul 25;2(8552):197-201. (PMID: 2885648) Int J Epidemiol. 1988 Dec;17(4):759-65. (PMID: 3225082) Am J Epidemiol. 1988 May;127(5):923-32. (PMID: 3258732) CMAJ. 1986 Jan 15;134(2):127-32. (PMID: 3484656) Health Bull (Edinb). 1987 Jul;45(4):211-7. (PMID: 3497906) Postgrad Med J. 1986 Aug;62(730):797-9. (PMID: 3774716) Br Med J (Clin Res Ed). 1985 Nov 9;291(6505):1312-4. (PMID: 3933646) Ir Med J. 1984 Oct;77(10):316-8. (PMID: 6500892) J Epidemiol Community Health. 1980 Mar;34(1):48-52. (PMID: 7365395) Br Med J. 1978 Oct 21;2(6145):1109-12. (PMID: 709255) |
| تواريخ الأحداث: | Date Created: 19921001 Date Completed: 19930127 Latest Revision: 20181113 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC1372229 |
| PMID: | 1466917 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 0960-1643 |
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