TY - JOUR
T1 - Effect of socioeconomic deprivation on the population risk of incident heart failure hospitalisation
T2 - An analysis of the Renfrew/Paisley Study
AU - Stewart, S.
AU - Murphy, N. F.
AU - McMurray, J. J.V.
AU - Jhund, P.
AU - Hart, C. L.
AU - Hole, D.
PY - 2006/12/1
Y1 - 2006/12/1
N2 - Background: There are few data describing the effect of socioeconomic deprivation on the risk of developing heart failure (HF). Aims: To examine the relationship between socioeconomic deprivation and hospitalisation with HF over 20 years. Methods: Between 1972 and 1976, 15,402 individuals, aged 45-64 years, residing in two towns in Scotland, underwent cardiovascular screening. We report hospitalisations with HF over the subsequent 20 years according to Carstairs deprivation category and Social Class. Results: Following screening, 628 men and women (4.1%) were hospitalised with a primary diagnosis of HF. There was a gradient in the risk of HF hospitalisation with increasing socioeconomic deprivation (P = 0.003). Of the most deprived individuals, 6.4% were hospitalised for HF compared to 3.5% of the most affluent group. Cox-proportional Hazard models showed that independent of age, sex and baseline risk factors for cardio-respiratory status, greater socioeconomic deprivation increased the risk of HF admission (P < 0.001, overall). The adjusted risk of admission for HF was 39% greater in the most versus least deprived subjects (RR 1.39 95% CI 1.04-2.01; P = 0.04). Conclusion: These data show a link between social deprivation and the risk of developing HF, irrespective of baseline cardio-respiratory status and cardiovascular risk factors.
AB - Background: There are few data describing the effect of socioeconomic deprivation on the risk of developing heart failure (HF). Aims: To examine the relationship between socioeconomic deprivation and hospitalisation with HF over 20 years. Methods: Between 1972 and 1976, 15,402 individuals, aged 45-64 years, residing in two towns in Scotland, underwent cardiovascular screening. We report hospitalisations with HF over the subsequent 20 years according to Carstairs deprivation category and Social Class. Results: Following screening, 628 men and women (4.1%) were hospitalised with a primary diagnosis of HF. There was a gradient in the risk of HF hospitalisation with increasing socioeconomic deprivation (P = 0.003). Of the most deprived individuals, 6.4% were hospitalised for HF compared to 3.5% of the most affluent group. Cox-proportional Hazard models showed that independent of age, sex and baseline risk factors for cardio-respiratory status, greater socioeconomic deprivation increased the risk of HF admission (P < 0.001, overall). The adjusted risk of admission for HF was 39% greater in the most versus least deprived subjects (RR 1.39 95% CI 1.04-2.01; P = 0.04). Conclusion: These data show a link between social deprivation and the risk of developing HF, irrespective of baseline cardio-respiratory status and cardiovascular risk factors.
KW - Epidemiology
KW - Heart failure
KW - Morbidity
UR - http://www.scopus.com/inward/record.url?scp=33751198935&partnerID=8YFLogxK
U2 - 10.1016/j.ejheart.2006.02.008
DO - 10.1016/j.ejheart.2006.02.008
M3 - Article
C2 - 16713336
AN - SCOPUS:33751198935
VL - 8
SP - 856
EP - 863
JO - European Journal of Heart Failure
JF - European Journal of Heart Failure
SN - 1388-9842
IS - 8
ER -