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Educational level, but not income or area deprivation, is related to macrovascular disease: Results from two population-based cohorts in Germany.
Int. J. Public Health 66:633909 (2021)
Verlagsversion
DOI
PMC
Objectives: An inverse relationship between education and cardiovascular risk has been described, however, the combined association of education, income, and neighborhood socioeconomic status with macrovascular disease is less clear. The aim of this study was to evaluate the association of educational level, equivalent household income and area deprivation with macrovascular disease in Germany.Methods: Cross-sectional data from two representative German population-based studies, SHIP-TREND (n = 3,731) and KORA-F4 (n = 2,870), were analyzed. Multivariable logistic regression models were applied to estimate odds ratios and 95% confidence intervals for the association between socioeconomic determinants and macrovascular disease (defined as self-reported myocardial infarction or stroke).Results: The study showed a higher odds of prevalent macrovascular disease in men with low and middle educational level compared to men with high education. Area deprivation and equivalent income were not related to myocardial infarction or stroke in any of the models.Conclusion: Educational level, but not income or area deprivation, is significantly related to the macrovascular disease in men. Effective prevention of macrovascular disease should therefore start with investing in individual education.
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Publikationstyp
Artikel: Journalartikel
Dokumenttyp
Wissenschaftlicher Artikel
Schlagwörter
Macrovascular Disease ; Education ; Income ; Area Deprivation ; Population-based Studies; Coronary-heart-disease; Myocardial-infarction; Socioeconomic-status; Health; Association; Prevalence; Mortality; Impact; Risk
ISSN (print) / ISBN
0303-8408
e-ISSN
1420-911X
Zeitschrift
International Journal of Public Health
Quellenangaben
Band: 66,
Artikelnummer: 633909
Verlag
Springer
Verlagsort
Avenue Du Tribunal Federal 34, Lausanne, Ch-1015, Switzerland
Nichtpatentliteratur
Publikationen
Begutachtungsstatus
Peer reviewed
Institut(e)
Institute of Health Economics and Health Care Management (IGM)
Independent Research Group Clinical Epidemiology (KEPI)
Institute of Epidemiology II (EPI2)
Independent Research Group Clinical Epidemiology (KEPI)
Institute of Epidemiology II (EPI2)
Förderungen
Ministry of School, Science and Research of the State of North-Rhine-Westphalia
German Federal Ministry of Health
German Research Foundation (DFG) from the German Diabetes Center
Helmholtz Zentrum Munchen-German Research Center for Environmental Health by German Federal Ministry of Education and Research by the State of Bavaria
German Federal Ministry of Education and Research (BMBF)
German Federal Ministry of Health
German Research Foundation (DFG) from the German Diabetes Center
Helmholtz Zentrum Munchen-German Research Center for Environmental Health by German Federal Ministry of Education and Research by the State of Bavaria
German Federal Ministry of Education and Research (BMBF)