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首页> 外文期刊>Annals of epidemiology >Socioeconomic Inequalities in the Morbidity and Mortality of Acute Coronary Events in Finland: 1988 to 2002
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Socioeconomic Inequalities in the Morbidity and Mortality of Acute Coronary Events in Finland: 1988 to 2002

机译：1988年至2002年芬兰急性冠脉事件的发病率和死亡率中的社会经济不平等现象

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Purpose: To examine the changes in socioeconomic disparities in the incidence of coronary heart disease (CHD) and mortality in Finland and to analyze the effects of the severe economic recession of the early 1990s on these disparities. Methods: The population-based FINAMI Myocardial Infarction (MI) register recorded all suspected MI events among men and women ages 35 to 99 years in four geographical areas of Finland. Record linkage with the files of Statistics Finland provided us with detailed information on the indicators of socioeconomic status (SES; income, education, and profession). Rates were expressed per 100,000 inhabitants of each socioeconomic group per year and age-standardized to the European standard population. Poisson regression was used for analyzing rate ratios and time trends of coronary events in different socioeconomic groups. Results: The mortality rate ratio of coronary events among 35- to 64 year-old men was 5.21 (95% confidence interval, 4.23-6.41) when the lowest income sixth to the highest income sixth were compared. Among women, the respective rate ratio was 11.13 (5.77-21.45). Significant differences in the incidence and 28-day mortality by SES were seen also in the older age groups. Some socioeconomic differences were found in the proportions of patients receiving thrombolysis or undergoing early revascularization. No substantial changes were observed in inequalities between the socioeconomic groups during the study period. Conclusions: The excess CHD morbidity and mortality among persons with lower SES is still considerable in Finland, but the economic recession did not widen the differences.
机译：目的：研究芬兰社会经济差异对冠心病（CHD）的发生率和死亡率的影响，并分析1990年代初严重的经济衰退对这些差异的影响。方法：以人群为基础的FINAMI心肌梗塞（MI）记录记录了芬兰四个地理区域35至99岁的所有可疑MI事件。与芬兰统计局档案的记录链接为我们提供了有关社会经济状况指标（SES;收入，教育和职业）的详细信息。比率以每年每个社会经济群体的100,000居民表示，并按照欧洲标准人口的年龄标准化。使用泊松回归分析不同社会经济群体中冠状动脉事件的发生率和时间趋势。结果：将收入最低的第六位和收入最高的第六位进行比较，在35岁至64岁的男性中，冠心病的死亡率为5.21（95％置信区间为4.23-6.41）。在妇女中，各自的比率为11.13（5.77-21.45）。在老年组中，SES的发生率和28天死亡率也存在显着差异。在接受溶栓或早期血运重建的患者比例中发现了一些社会经济差异。在研究期间，未发现社会经济群体之间的不平等发生重大变化。结论：在SES较低的人群中，冠心病的发病率和死亡率过高，在芬兰仍然相当可观，但经济衰退并未扩大差异。

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