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Life-course socioeconomic position, area deprivation, and coronary heart disease: Findings from the British women's heart and health study

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  • Lawlor, D.A.
  • Smith, G.D.
  • Patel, R.
  • Ebrahim, S.

Abstract

Objectives. We sought to determine whether residential area deprivation, over and above the effect of life-course socioeconomic status or position (SEP), is associated with coronary heart disease. Methods. We conducted a cross-sectional analysis of 4286 women aged 60 to 79 years from 457 British electoral wards. Results. After adjustment for age and 10 indicators of individual life-course SEP, the odds of coronary heart disease was 27% greater among those living in wards with a deprivation score above the median compared with those living in a ward with a deprivation score equal to or below the median (odds ratio = 1.27; 95% confidence interval = 1.02, 1.57). Conclusions. Adverse area-level socioeconomic characteristics, over and above individual life-course SEP, are associated with increased coronary heart disease.

Suggested Citation

  • Lawlor, D.A. & Smith, G.D. & Patel, R. & Ebrahim, S., 2005. "Life-course socioeconomic position, area deprivation, and coronary heart disease: Findings from the British women's heart and health study," American Journal of Public Health, American Public Health Association, vol. 95(1), pages 91-97.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2003.035592_9
    DOI: 10.2105/AJPH.2003.035592
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    Cited by:

    1. Cláudia Jardim Santos & Inês Paciência & Ana Isabel Ribeiro, 2022. "Neighbourhood Socioeconomic Processes and Dynamics and Healthy Ageing: A Scoping Review," IJERPH, MDPI, vol. 19(11), pages 1-26, May.
    2. Masashige Saito & Katsunori Kondo & Naoki Kondo & Aya Abe & Toshiyuki Ojima & Kayo Suzuki & the JAGES group, 2014. "Relative Deprivation, Poverty, and Subjective Health: JAGES Cross-Sectional Study," PLOS ONE, Public Library of Science, vol. 9(10), pages 1-9, October.
    3. Doebler, Stefanie & Broadhurst, Karen & Alrouh, Bachar & Cusworth, Linda & Griffiths, Lucy, 2022. "Born into care: Associations between area-level deprivation and the rates of children entering care proceedings in Wales," Children and Youth Services Review, Elsevier, vol. 141(C).
    4. Merkin, Sharon Stein & Diez Roux, Ana V. & Coresh, Josef & Fried, Linda F. & Jackson, Sharon A. & Powe, Neil R., 2007. "Individual and neighborhood socioeconomic status and progressive chronic kidney disease in an elderly population: The Cardiovascular Health Study," Social Science & Medicine, Elsevier, vol. 65(4), pages 809-821, August.
    5. Karmann Alexander & Weinhold Ines & Wende Danny, 2019. "Area Deprivation and its Impact on Population Health: Conceptual Aspects, Measurement and Evidence from Germany," Review of Economics, De Gruyter, vol. 70(1), pages 69-98, April.
    6. Renin Toms & Xiaoqi Feng & Darren J Mayne & Andrew Bonney, 2020. "Role of Area-Level Access to Primary Care on the Geographic Variation of Cardiometabolic Risk Factor Distribution: A Multilevel Analysis of the Adult Residents in the Illawarra—Shoalhaven Region of NS," IJERPH, MDPI, vol. 17(12), pages 1-21, June.
    7. Lenice de Castro Muniz de Quadros & Luciana de Avila Quevedo & Janaína Vieira dos Santos Motta & André Carraro & Felipe Garcia Ribeiro & Bernardo Lessa Horta & Denise Petrucci Gigante, 2015. "Social Mobility and Mental Disorders at 30 Years of Age in Participants of the 1982 Cohort, Pelotas, Rio Grande Do Sul – RS," PLOS ONE, Public Library of Science, vol. 10(10), pages 1-11, October.
    8. Mishra, Sandeep & Carleton, R. Nicholas, 2015. "Subjective relative deprivation is associated with poorer physical and mental health," Social Science & Medicine, Elsevier, vol. 147(C), pages 144-149.
    9. Boris Kauhl & Werner Maier & Jürgen Schweikart & Andrea Keste & Marita Moskwyn, 2018. "Who is where at risk for Chronic Obstructive Pulmonary Disease? A spatial epidemiological analysis of health insurance claims for COPD in Northeastern Germany," PLOS ONE, Public Library of Science, vol. 13(2), pages 1-18, February.
    10. Virtanen, Marianna & Kivimäki, Mika & Kouvonen, Anne & Elovainio, Marko & Linna, Anne & Oksanen, Tuula & Vahtera, Jussi, 2007. "Average household income, crime, and smoking behaviour in a local area: The Finnish 10-Town study," Social Science & Medicine, Elsevier, vol. 64(9), pages 1904-1913, May.
    11. Maria T Sánchez-Santos & Marco Mesa-Frias & Minkyoung Choi & Eveline Nüesch & Angel Asunsolo-Del Barco & Antoinette Amuzu & George Davey Smith & Shah Ebrahim & David Prieto-Merino & Juan P Casas, 2013. "Area-Level Deprivation and Overall and Cause-Specific Mortality: 12 Years’ Observation on British Women and Systematic Review of Prospective Studies," PLOS ONE, Public Library of Science, vol. 8(9), pages 1-1, September.

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