دورية أكاديمية
Cardiovascular disease in Edinburgh and north Glasgow--a tale of two cities.
العنوان: | Cardiovascular disease in Edinburgh and north Glasgow--a tale of two cities. |
---|---|
المؤلفون: | Smith WC; Cardiovascular Epidemiology Unit, Ninewells Hospital & Medical School, Dundee, Scotland., Shewry MC, Tunstall-Pedoe H, Crombie IK, Tavendale R |
المصدر: | Journal of clinical epidemiology [J Clin Epidemiol] 1990; Vol. 43 (7), pp. 637-43. |
نوع المنشور: | Comparative Study; Journal Article; Research Support, Non-U.S. Gov't |
اللغة: | English |
بيانات الدورية: | Publisher: Elsevier Country of Publication: United States NLM ID: 8801383 Publication Model: Print Cited Medium: Print ISSN: 0895-4356 (Print) Linking ISSN: 08954356 NLM ISO Abbreviation: J Clin Epidemiol Subsets: MEDLINE |
أسماء مطبوعة: | Publication: New York : Elsevier Original Publication: Oxford ; New York : Pergamon Press, c1988- |
مواضيع طبية MeSH: | Cardiovascular Diseases/*epidemiology, Adult ; Alcohol Drinking ; Anthropometry ; Blood Pressure ; Cardiovascular Diseases/etiology ; Cardiovascular Diseases/mortality ; Cholesterol/blood ; Epidemiologic Methods ; Female ; Humans ; Male ; Middle Aged ; Physical Exertion ; Risk Factors ; Scotland ; Smoking/adverse effects ; Socioeconomic Factors |
مستخلص: | Scotland has one of the highest mortality rates from coronary heart disease for both men and women. However within Scotland there are major geographical differences in the mortality rates, exemplified by the differences between the two largest Scottish cities. Glasgow on the west has a much higher mortality rate for cardiovascular diseases than Edinburgh in the east. During 1986 coronary risk factor population surveys were conducted simultaneously in Edinburgh and North Glasgow as part of the WHO MONICA study. These surveys employed standardized methods and the central quality control of the WHO project. Measures of coronary heart disease morbidity were higher in North Glasgow, except for electrocardiographic evidence of ischaemia, consistent with the mortality rates. The major coronary risk factors were uniformly higher in North Glasgow than in Edinburgh, except for serum lipids which were not significantly different. The risk factors, except the lipids, showed a gradient by socioeconomic status, so that when the risk factors levels were standardized for housing tenure the significant differences between the cities largely disappeared, and the serum cholesterol levels in women become significantly higher in Edinburgh because of their slight negative relationship with social status. This study shows that the socioeconomic differences between Edinburgh and North Glasgow largely explain the coronary risk factor differences between the cities. The socioeconomic differences in coronary disease and its major risk factors require further investigation and may be more fundamentally important than the geographical differences in the patterns of coronary heart disease. |
المشرفين على المادة: | 97C5T2UQ7J (Cholesterol) |
تواريخ الأحداث: | Date Created: 19900101 Date Completed: 19900820 Latest Revision: 20190828 |
رمز التحديث: | 20221213 |
DOI: | 10.1016/0895-4356(90)90033-l |
PMID: | 2370570 |
قاعدة البيانات: | MEDLINE |
تدمد: | 0895-4356 |
---|---|
DOI: | 10.1016/0895-4356(90)90033-l |