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Educational inequality in patient-reported outcomes but not mortality among cardiac patients: Results from the national DenHeart survey with register follow-up.

Published on Feb 3, 2020in Scandinavian Journal of Public Health1.761
· DOI :10.1177/1403494820901423
Anne Vinggaard Christensen8
Estimated H-index: 8
,
Anne Vinggaard Christensen2
Estimated H-index: 2
(Copenhagen University Hospital)
+ 6 AuthorsSelina Kikkenborg Berg13
Estimated H-index: 13
(University of Southern Denmark)
Abstract
Aims: This study aimed to explore whether educational level is associated with mental and physical health status, anxiety and depression symptoms and quality of life at hospital discharge and predi...
  • References (26)
  • Citations (0)
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References26
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#1S. Biswas (Monash University)H-Index: 4
#2Nick Andrianopoulos Mbbs (Monash University)H-Index: 20
Last. Dion Stub (Monash University)H-Index: 24
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Background: Low socioeconomic status (SES) has been previously shown to be associated with worse cardiovascular outcomes. However, unlike in Australia, many of these studies have been performed in countries without universal healthcare where SES may be expected to have a greater impact on care and outcomes. We sought to determine whether there is an association between SES and baseline characteristics, clinical outcomes and use of secondary prevention therapy in patients with ST-segment–elevatio...
1 CitationsSource
#1J. Ohm (Karolinska University Hospital)H-Index: 1
#2Per H. Skoglund (Karolinska University Hospital)H-Index: 3
Last. Per Svensson (Karolinska University Hospital)H-Index: 12
view all 7 authors...
BackgroundRisk assessment post-myocardial infarction needs improvement, and risk factors derived from general populations apply differently in secondary prevention. The prediction of subsequent cardiovascular events post-myocardial infarction by socioeconomic status has previously been poorly studied.DesignSwedish nationwide cohort study.MethodsA total of 29,226 men and women (27%), 40–76 years of age, registered at the standardised one year revisit after a first myocardial infarction in the sec...
7 CitationsSource
#1Selina Kikkenborg Berg (Copenhagen University Hospital)H-Index: 13
Last. Jette Svanholm (Aarhus University Hospital)H-Index: 3
view all 9 authors...
Abstract Objective To describe: (i) differences in patient reported physical and mental health outcomes at hospital discharge between a) cardiac diagnostic groups and b) cardiac patients and a national representative reference population and to describe (ii) in-hospital predicting factors for patient reported outcomes. Methods A national cross-sectional survey combined with national register data. From April 2013 to April 2014 all patients (n = 34,564) discharged or transferred from one of five ...
7 CitationsSource
#1Anne Vinggaard Christensen (University of Southern Denmark)H-Index: 8
#2Mette Bjerrum Koch (University of Southern Denmark)H-Index: 5
Last. Knud Juel (University of Southern Denmark)H-Index: 39
view all 6 authors...
BackgroundSocial inequality is present in the morbidity as well as the mortality of cardiovascular diseases. This paper aims to quantify and compare the level of educational inequality across different cardiovascular diagnoses.DesignRegister based study.MethodsComparison of the extent of inequality across different cardiovascular diagnoses requires a measure of inequality which is comparable across subgroups with different educational distributions. The slope index of inequality and the relative...
8 CitationsSource
#1Yannan Hu (EUR: Erasmus University Rotterdam)H-Index: 9
#2Frank J. van Lenthe (EUR: Erasmus University Rotterdam)H-Index: 44
Last. Johan P. Mackenbach (EUR: Erasmus University Rotterdam)H-Index: 104
view all 15 authors...
Background Between the 1990s and 2000s, relative inequalities in all-cause mortality increased, whereas absolute inequalities decreased in many European countries. Whether similar trends can be observed for inequalities in other health outcomes is unknown. This paper aims to provide a comprehensive overview of trends in socioeconomic inequalities in self-assessed health (SAH) in Europe between 1990 and 2010. Methods Data were obtained from nationally representative surveys from 17 European count...
49 CitationsSource
#1Frank J. van Lenthe (EUR: Erasmus University Rotterdam)H-Index: 44
#2Carlijn B. M. Kamphuis (EUR: Erasmus University Rotterdam)H-Index: 22
Last. Johan P. Mackenbach (EUR: Erasmus University Rotterdam)H-Index: 104
view all 7 authors...
The main aim of the Gezondheid en Levens Omstandigheden Bevolking Eindhoven en omstreken (GLOBE) study (the letters of whose name represent the first letters of the Dutch acronym for Health and Living Conditions of the Population of Eindhoven and surroundings) is to quantitatively assess mechanisms and factors explaining socio-economic inequalities in health in the Netherlands. Baseline data for the study were collected by postal survey in 1991 among 18 973 respondents ranging in age from 15-75 ...
24 CitationsSource
#1Selina Kikkenborg Berg (Copenhagen University Hospital)H-Index: 13
#2Jette Svanholm (Aarhus University Hospital)H-Index: 3
Last. Lars Thrysøe (University of Southern Denmark)H-Index: 5
view all 11 authors...
Introduction Patient reported health status, which includes symptom burden, functional status and quality of life, is an important measure of health. Differences in health status between diagnostic groups within cardiology have only been sparsely investigated. These outcomes may predict morbidity, mortality, labour market affiliation and healthcare utilisation in various diagnostic groups. A national survey aiming to include all cardiac diagnostic groups from a total Heart Centre population has ...
9 CitationsSource
#1Caroline Méjean (UU: Utrecht University)H-Index: 29
#2Mariël Droomers (UvA: University of Amsterdam)H-Index: 19
Last. Joline W.J. Beulens (UU: Utrecht University)H-Index: 55
view all 8 authors...
Abstract Background The role of differences in diet on the relationship between socioeconomic factors and cardiovascular diseases remains unclear. We studied the contribution of diet and other lifestyle factors to the explanation of socioeconomic inequalities in cardiovascular diseases. Methods We prospectively examined the incidence of coronary heart disease (CHD) and stroke events amongst 33,106 adults of the EPIC-NL cohort. Education and employment status indicated socioeconomic status. We us...
44 CitationsSource
#1John S. RumsfeldH-Index: 83
#2Karen P. AlexanderH-Index: 61
Last. Julie Johnson ZerwicH-Index: 21
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The principal goals of health care are to help people “live longer and live better,” that is, to optimize both survival and health. In the American Heart Association’s (AHA) special report, “Defining and setting national goals for cardiovascular health promotion and disease reduction: the American Heart Association’s strategic Impact Goal through 2020 and beyond,” the AHA set the following goal: > “By 2020, to improve the cardiovascular health of all Americans by 20% while reducing deaths from c...
219 CitationsSource
#1Linda Ernstsen (Sør-Trøndelag University College)H-Index: 8
#2Bjørn Heine Strand (FHI: Norwegian Institute of Public Health)H-Index: 28
Last. Steinar Krokstad (NTNU: Norwegian University of Science and Technology)H-Index: 28
view all 5 authors...
Background There has been an overall decrease in incident ischaemic heart disease (IHD), but the reduction in IHD risk factors has been greater among those with higher social position. Increased social inequalities in IHD mortality in Scandinavian countries is often referred to as the Scandinavian “public health puzzle”. The objective of this study was to examine trends in absolute and relative educational inequalities in four modifiable ischaemic heart disease risk factors (smoking, diabetes, h...
63 CitationsSource
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