Explaining trends in coronary heart disease mortality in different socioeconomic groups in Denmark 1991-2007 using the IMPACTSEC model
| العنوان: | Explaining trends in coronary heart disease mortality in different socioeconomic groups in Denmark 1991-2007 using the IMPACTSEC model |
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| المؤلفون: | Maria Guzman-Castillo, Martin Berg Johansen, Jesper Hallas, Albert Marni Joensen, Simon Capewell, Eva Prescott, Martin O'Flaherty, Piotr Bandosz, Søren Lundbye-Christensen, Torben Joergensen |
| المصدر: | Joensen, A M, Joergensen, T, Lundbye-Christensen, S, Johansen, M B, Guzman-Castillo, M, Bandosz, P, Hallas, J, Prescott, E I B, Capewell, S & O'Flaherty, M 2018, ' Explaining trends in coronary heart disease mortality in different socioeconomic groups in Denmark 1991-2007 using the IMPACTSEC model ', PLOS ONE, vol. 13, no. 4, e0194793 . https://doi.org/10.1371/journal.pone.0194793 PLoS ONE, Vol 13, Iss 4, p e0194793 (2018) Joensen, A M, Joergensen, T, Lundbye-Christensen, S, Johansen, M B, Guzman-Castillo, M, Bandosz, P, Hallas, J, Prescott, E I B, Capewell, S & O'Flaherty, M 2018, ' Explaining trends in coronary heart disease mortality in different socioeconomic groups in Denmark 1991-2007 using the IMPACT SEC model ', PLoS ONE, vol. 13, no. 4, e0194793 . https://doi.org/10.1371/journal.pone.0194793 Joensen, A M, Joergensen, T, Lundbye-Christensen, S, Johansen, M B, Guzman-Castillo, M, Bandosz, P, Hallas, J, Prescott, E I B, Capewell, S & O’Flaherty, M 2018, ' Explaining trends in coronary heart disease mortality in different socioeconomic groups in Denmark 1991-2007 using the IMPACT SEC model ', PLOS ONE, vol. 13, no. 4, e0194793 . https://doi.org/10.1371/journal.pone.0194793 PLoS ONE |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | Male, European People, Denmark, lcsh:Medicine, Blood Pressure, Coronary Disease, 030204 cardiovascular system & hematology, Biochemistry, Vascular Medicine, Geographical locations, 0302 clinical medicine, Risk Factors, Medicine and Health Sciences, Coronary Heart Disease, Ethnicities, Medicine, Public and Occupational Health, Public Health Surveillance, 030212 general & internal medicine, lcsh:Science, Aged, 80 and over, education.field_of_study, Multidisciplinary, Pharmaceutics, Mortality rate, Middle Aged, Lipids, Socioeconomic Aspects of Health, Europe, Cholesterol, Female, Research Article, Adult, Death Rates, Population, Cardiology, Social class, History, 21st Century, 03 medical and health sciences, Chd mortality, Population Metrics, Drug Therapy, Humans, European Union, Risk factor, education, Socioeconomic status, Danish People, Aged, Population Biology, business.industry, lcsh:R, Biology and Life Sciences, Relative mortality, History, 20th Century, Coronary heart disease, Health Care, Social Class, Socioeconomic Factors, Population Groupings, lcsh:Q, People and places, business, Demography |
| الوصف: | AimTo quantify the contribution of changes in different risk factors population levels and treatment uptake on the decline in CHD mortality in Denmark from 1991 to 2007 in different socioeconomic groups.DesignWe used IMPACTSEC, a previously validated policy model using data from different population registries.ParticipantsAll adults aged 25–84 years living in Denmark in 1991 and 2007.Main outcome measureDeaths prevented or postponed (DPP).ResultsThere were approximately 11,000 fewer CHD deaths in Denmark in 2007 than would be expected if the 1991 mortality rates had persisted. Higher mortality rates were observed in the lowest socioeconomic quintile. The highest absolute reduction in CHD mortality was seen in this group but the highest relative reduction was in the most affluent socioeconomic quintile. Overall, the IMPACTSEC model explained nearly two thirds of the decline in. Improved treatments accounted for approximately 25% with the least relative mortality reduction in the most deprived quintile. Risk factor improvements accounted for approximately 40% of the mortality decrease with similar gains across all socio-economic groups. The 36% gap in explaining all DPPs may reflect inaccurate data or risk factors not quantified in the current model.ConclusionsAccording to the IMPACTSEC model, the largest contribution to the CHD mortality decline in Denmark from 1991 to 2007 was from improvements in risk factors, with similar gains across all socio-economic groups. However, we found a clear socioeconomic trend for the treatment contribution favouring the most affluent groups. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::ed7078c71fcfc48bf18072076cde7042 https://vbn.aau.dk/da/publications/c40b0245-fce7-499c-9479-a48fda04ac2e |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....ed7078c71fcfc48bf18072076cde7042 |
| قاعدة البيانات: | OpenAIRE |
| الوصف غير متاح. |