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Ptushkina, V.* ; Seidel-Jacobs, E.* ; Maier, W. ; Schipf, S.* ; Voelzke, H.* ; Markus, M.R.P.* ; Nauck, M.* ; Meisinger, C. ; Peters, A. ; Herder, C.* ; Schwettmann, L. ; Doerr, M.* ; Felix, S.B.* ; Roden, M.* ; Rathmann, W.*

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)

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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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Publication type Article: Journal article

Document type Scientific Article

Corresponding Author

Keywords 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

Journal International Journal of Public Health

Quellenangaben Volume: 66, Article Number: 633909

Publisher Springer

Publishing Place Avenue Du Tribunal Federal 34, Lausanne, Ch-1015, Switzerland

Non-patent literature Publications

Reviewing status Peer reviewed

Institute(s) Institute of Health Economics and Health Care Management (IGM)
Independent Research Group Clinical Epidemiology (KEPI)
Institute of Epidemiology II (EPI2)

Grants 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)