IDEAS home Printed from https://ideas.repec.org/a/aph/ajpbhl/10.2105-ajph.2005.078691_0.html
   My bibliography  Save this article

Socioeconomic position, co-occurrence of behavior-related risk factors, and coronary heart Disease: The finnish public sector study

Author

Listed:
  • Kivimäki, M.
  • Lawlor, D.A.
  • Smith, G.D.
  • Kouvonen, A.
  • Virtanen, M.
  • Elovainio, M.
  • Vahtera, J.

Abstract

Objectives. We examined the associations between socioeconomic position, co-occurrence of behavior-related risk factors, and the effect of these factors on the relative and absolute socioeconomic gradients in coronary heart disease. Methods. We obtained the socioeconomic position of 9337 men and 39 255 women who were local government employees aged 17-65 years from employers' records (the Public Sector Study, Finland). A questionnaire survey in 2000-2002 was used to collect data about smoking, heavy alcohol consumption, physical inactivity, obesity, and prevalence of coronary heart disease (myocardial infarction or angina diagnosed by a doctor). Results. The age-adjusted odds of coronary heart disease were 2.1-2.2 times higher for low-income groups than high-income groups for both men and women, and adjustment for risk factors attenuated these associations by 13%-29%. There was no further attenuation with additional adjustment for the number of co-occurring risk factors, although socioeconomic disadvantage was associated with the co-occurrence of multiple risk factors. The absolute difference in coronary heart disease risk between socioeconomic groups could not be attributed to the measured risk factors. Conclusions. Interventions to reduce adult behavior-related risk factors may not completely remove socioeconomic differences in relative or absolute coronary heart disease risk, although they would lessen these effects.

Suggested Citation

  • Kivimäki, M. & Lawlor, D.A. & Smith, G.D. & Kouvonen, A. & Virtanen, M. & Elovainio, M. & Vahtera, J., 2007. "Socioeconomic position, co-occurrence of behavior-related risk factors, and coronary heart Disease: The finnish public sector study," American Journal of Public Health, American Public Health Association, vol. 97(5), pages 874-879.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2005.078691_0
    DOI: 10.2105/AJPH.2005.078691
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.2105/AJPH.2005.078691
    Download Restriction: no
    File URL: https://libkey.io/10.2105/AJPH.2005.078691?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Fulvio Ricceri & Carlotta Sacerdote & Maria Teresa Giraudo & Francesca Fasanelli & Giulia Lenzo & Matteo Galli & Sabina Sieri & Valeria Pala & Giovanna Masala & Benedetta Bendinelli & Rosario Tumino &, 2016. "The Association between Educational Level and Cardiovascular and Cerebrovascular Diseases within the EPICOR Study: New Evidence for an Old Inequality Problem," PLOS ONE, Public Library of Science, vol. 11(10), pages 1-15, October.
    2. Emma Björkenstam & Anders Hjern & Ellenor Mittendorfer-Rutz & Bo Vinnerljung & Johan Hallqvist & Rickard Ljung, 2013. "Multi-Exposure and Clustering of Adverse Childhood Experiences, Socioeconomic Differences and Psychotropic Medication in Young Adults," PLOS ONE, Public Library of Science, vol. 8(1), pages 1-9, January.
    3. Murayama, Hiroshi & Wakui, Tomoko & Arami, Reiko & Sugawara, Ikuko & Yoshie, Satoru, 2012. "Contextual effect of different components of social capital on health in a suburban city of the greater Tokyo area: A multilevel analysis," Social Science & Medicine, Elsevier, vol. 75(12), pages 2472-2480.
    4. Jongkwan Lee & Anthony Niu & Hee-Seung Yang, 2022. "Language Proficiency and Subjective Well-being: Evidence from Immigrants in Australia," Journal of Happiness Studies, Springer, vol. 23(5), pages 1847-1866, June.
    5. Saana Myllyntausta & Marianna Virtanen & Jaana Pentti & Mika Kivimäki & Jussi Vahtera & Sari Stenholm, 2022. "Why do men extend their employment beyond pensionable age more often than women? a cohort study," European Journal of Ageing, Springer, vol. 19(3), pages 599-608, September.
    6. Sabbah, Wael & Tsakos, Georgios & Sheiham, Aubrey & Watt, Richard G., 2009. "The role of health-related behaviors in the socioeconomic disparities in oral health," Social Science & Medicine, Elsevier, vol. 68(2), pages 298-303, January.
    7. Fujishiro, Kaori & Xu, Jun & Gong, Fang, 2010. "What does "occupation" represent as an indicator of socioeconomic status?: Exploring occupational prestige and health," Social Science & Medicine, Elsevier, vol. 71(12), pages 2100-2107, December.
    8. Khang, Young-Ho & Lynch, John W. & Yang, Seungmi & Harper, Sam & Yun, Sung-Cheol & Jung-Choi, Kyunghee & Kim, Hye Ryun, 2009. "The contribution of material, psychosocial, and behavioral factors in explaining educational and occupational mortality inequalities in a nationally representative sample of South Koreans: Relative an," Social Science & Medicine, Elsevier, vol. 68(5), pages 858-866, March.
    9. Samir KC & Harold Lentzner, 2010. "The effect of education on adult mortality and disability: a global perspective," Vienna Yearbook of Population Research, Vienna Institute of Demography (VID) of the Austrian Academy of Sciences in Vienna, vol. 8(1), pages 201-235.
    10. Jaana I Halonen & Mika Kivimäki & Jaana Pentti & Ichiro Kawachi & Marianna Virtanen & Pekka Martikainen & S V Subramanian & Jussi Vahtera, 2012. "Quantifying Neighbourhood Socioeconomic Effects in Clustering of Behaviour-Related Risk Factors: A Multilevel Analysis," PLOS ONE, Public Library of Science, vol. 7(3), pages 1-8, March.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:aph:ajpbhl:10.2105/ajph.2005.078691_0. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Christopher F Baum (email available below). General contact details of provider: https://www.apha.org .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.