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Am J Public Health. 2005 Jan;95(1):91-7.

Life-course socioeconomic position, area deprivation, and coronary heart disease: findings from the British Women's Heart and Health Study.

Author information

1
Department of Social Medicine, University of Bristol, Canynge Hall, Whiteladies Road, Bristol BS8 2PR, England. d.a.lawlor@bristol.ac.uk

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.

PMID:
15623866
PMCID:
PMC1449858
DOI:
10.2105/AJPH.2003.035592
[Indexed for MEDLINE]
Free PMC Article

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