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Life-course socioeconomic and behavioral influences on cardiovascular disease mortality: The collaborative study

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  • Smith, G.D.
  • Hart, C.

Abstract

Objectives. This study sought to demonstrate life-course influences on cardiovascular disease (CVD). Methods. Data were derived from a prospective observational study in which the main outcome measure was death resulting from CVD. Results. Combining 4 socioeconomic and behavioral risk indicators into a measure of life-course exposure produced 5 groups whose relative risks of CVD mortality ranged from 1.00 (the group with the most favorable life-course exposures) to 4.55 (the group with the least favorable life-course exposures). If the entire study population had had the CVD mortality risk of the subsample with the most favorable risk factor profile, approximately two thirds of cardiovascular deaths would not have occurred. Conclusions. CVD risk is influenced in a cumulative fashion by socioeconomic and behavioral factors acting throughout the life course.

Suggested Citation

  • Smith, G.D. & Hart, C., 2002. "Life-course socioeconomic and behavioral influences on cardiovascular disease mortality: The collaborative study," American Journal of Public Health, American Public Health Association, vol. 92(8), pages 1295-1298.
    • Handle: RePEc:aph:ajpbhl:2002:92:8:1295-1298_0
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    Cited by:

    1. Madsen, Mia & Andersen, Per K. & Gerster, Mette & Andersen, Anne-Marie N. & Christensen, Kaare & Osler, Merete, 2014. "Are the educational differences in incidence of cardiovascular disease explained by underlying familial factors? A twin study," Social Science & Medicine, Elsevier, vol. 118(C), pages 182-190.
    2. Charafeddine, Rana & Van Oyen, Herman & Demarest, Stefaan, 2012. "Does the association between smoking and mortality differ by educational level?," Social Science & Medicine, Elsevier, vol. 74(9), pages 1402-1406.
    3. Per E Gustafsson & Miguel San Sebastian & Urban Janlert & Töres Theorell & Hugo Westerlund & Anne Hammarström, 2013. "Residential Selection across the Life Course: Adolescent Contextual and Individual Determinants of Neighborhood Disadvantage in Mid-Adulthood," PLOS ONE, Public Library of Science, vol. 8(11), pages 1-11, November.
    4. Schafer, Markus H. & Ferraro, Kenneth F., 2011. "Distal and variably proximal causes: Education, obesity, and health," Social Science & Medicine, Elsevier, vol. 73(9), pages 1340-1348.
    5. Melissa Scharoun-Lee & Penny Gordon-Larsen & Linda Adair & Barry Popkin & Jay Kaufman & Chirayath Suchindran, 2011. "Intergenerational Profiles of Socioeconomic (Dis)advantage and Obesity During the Transition to Adulthood," Demography, Springer;Population Association of America (PAA), vol. 48(2), pages 625-651, May.
    6. Næss, Øyvind & Hernes, Frank H. & Blane, David, 2006. "Life-course influences on mortality at older ages: Evidence from the Oslo Mortality Study," Social Science & Medicine, Elsevier, vol. 62(2), pages 329-336, January.

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