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Socioeconomic status and cardiovascular disease among men: The Korean National Health Service prospective cohort study

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  • Song, Y.-M.
  • Ferrer, R.L.
  • Cho, S.-I.
  • Sung, J.
  • Ebrahim, S.
  • Smith, G.D.

Abstract

Objectives. We examined the association between socioeconomic status (SES) and myocardial infarction and stroke subtypes, including the possible mediating influence of cardiovascular risk factors. Methods. We evaluated data on 578756 Korean male public servants aged 30 to 58 years from August 1, 1990, to July 31, 2001. Results. SES had inverse associations with mortality because of myocardial infarction and stroke subtypes, which were not changed by an adjustment for, or stratification by, cardiovascular risk factors. For nonfatal events, SES had positive, null, and inverse associations with myocardial infarction, ischemic stroke, and hemorrhagic stroke, respectively. The association between SES and nonfatal myocardial infarction depended on the presence of risk factors and was positive only among men who had cardiovascular risk factors. Case-fatality after hospital admission for cardiovascular diagnoses was significantly lower among higher SES groups, even after risk factor adjustment. Conclusions. Inverse SES associations with cardiovascular diseases were not mediated by cardiovascular risk factors among men who were undergoing economic transition. Socioeconomically patterned access to medical care may partly explain these socioeconomic gradients.

Suggested Citation

  • Song, Y.-M. & Ferrer, R.L. & Cho, S.-I. & Sung, J. & Ebrahim, S. & Smith, G.D., 2006. "Socioeconomic status and cardiovascular disease among men: The Korean National Health Service prospective cohort study," American Journal of Public Health, American Public Health Association, vol. 96(1), pages 152-159.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2004.061853_8
    DOI: 10.2105/AJPH.2004.061853
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    Cited by:

    1. Glei, Dana A. & Goldman, Noreen & Shkolnikov, Vladimir M. & Jdanov, Dmitri & Shalnova, Svetlana & Shkolnikova, Maria & Weinstein, Maxine, 2013. "To what extent do biomarkers account for the large social disparities in health in Moscow?," Social Science & Medicine, Elsevier, vol. 77(C), pages 164-172.
    2. Sujin Kim & Juhwan Oh & Jongho Heo & Hwa-Young Lee & Jong-Koo Lee & S V Subramanian & Daehee Kang, 2018. "Socioeconomic inequalities in the prevalence of biomarkers of cardio-metabolic disease in South Korea: Comparison of the Health Examinees Study to a nationally representative survey," PLOS ONE, Public Library of Science, vol. 13(4), pages 1-13, April.
    3. Ajay Mahal & Lainie Sutton, 2014. "Economic prosperity and non-communicable disease: understanding the linkages," Chapters, in: Raghbendra Jha & Raghav Gaiha & Anil B. Deolalikar (ed.), Handbook on Food, chapter 12, pages 278-324, Edward Elgar Publishing.
    4. Ji-Yeon Shin & Jiseun Lim & Myung Ki & Yeong-Jun Song & Heeran Chun & Dongjin Kim, 2018. "An Assessment of Magnitudes and Patterns of Socioeconomic Inequalities across Various Health Problems: A Large National Cross-Sectional Survey in Korea," IJERPH, MDPI, vol. 15(12), pages 1-13, December.
    5. Goldman, Noreen & Turra, Cassio M. & Rosero-Bixby, Luis & Weir, David & Crimmins, Eileen, 2011. "Do biological measures mediate the relationship between education and health: A comparative study," Social Science & Medicine, Elsevier, vol. 72(2), pages 307-315, January.

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